갑상선암 환자에서 방사성 옥소로 오염된 목도리에 의한 위양성 소견 (False-positive I-131 Scan by Contaminated Muffler in a Patient with Thyroid Carcinoma) |
Author |
서한경1,김민우1,정환정1,2,3,손명희1,2,3, |
Han-Kyung Seo, M.S,1 Min-Woo Kim, M.D.,1 Hwan-Jeong Jeong, M.D.,1,2,3 and Myung-Hee Sohn, M.D.1,2,3 |
Affiliation |
전북대학교 의과대학 핵의학교실1, 의과학연구소2, 임상의학연구소3 1Department of Nuclear Medicine, 2Institute for Medical Sciences, and 3Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonju, Korea |
Abstract |
A 39-year-old female patient who had undergone a total thyroidectomy for a papillary thyroid carcinoma
underwent a whole body scan with I-131. The I-131 scan was performed 72 hours after administering 185 MBq (5
mCi) of an I-131 solution. The anterior image of the head, neck, and upper chest showed multiple areas of
increased uptake in the mediastinal area considering of functional metastasis. However, radioactivity was not
evident in the image taken after removing her clothes and muffler. The image obtained after placing the muffler
on the pallet showed that the radioactivity was still present. It is well known that artifacts on an I-131 scan can
be produced by styling hair sputum, drooling during sleep, chewing gum, and paper or a cloth handkerchief that
is contaminated with the radioactive iodine from either perspiration or saliva. This activity might be mistaken for a
functional metastasis. Therefore, it is essential that an image be obtained after removing the patient's clothes. In
this study, artifacts due to a contaminated muffler on the I-131 scan were found. These mimicked a functional
metastasis of the mediastinal area in a patient with a papillary thyroid carcinoma. (Nucl Med Mol Imaging
2006;40(1):51-52) |
Keyword |
I-131 scan, artifact, contamination, differentiated thyroid carcinoma |
Full text Article |
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