The 52nd Nuclear Medicine Imaging Conference update: Apr 5, 2002

Case A

• Age/Sex:64M
• Chief Complaint: Cough, Abnormal chest X-ray
• Images: (click each image to magnify)
  • X-ray CT

    Plain	Contrast	Lung

  • F-18 FDG

    Tl-201 Early	Tl-201 Delayed	FDG

Case B

• Age/Sex:78F
• Chief Complaint: Abnormal chest X-ray
• Images: (click each image to magnify)
  • X-ray CT

    Plain	Contrast	Dynamic

  • F-18 FDG

    Tl-201 Early	Tl-201 Delayed	FDG

あなたの診断はWhat is your first impression?

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CaseST03

• Age/Sex: 67M
• Chief Complaint: fever, hemiplegia
• Images: (click each image to magnify)
  • Ga-67 citrate

あなたの診断はWhat is your first impression?

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• Age/Sex:　52M
• Chief Complaint: During course of treatment for malignant lymphoma
• labo data:
• Images: (click each image to magnify)

  Tl-201	FDG	MRI

あなたの診断はWhat is your first impression?

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Case A

• Age/Sex: 54F
• Chief Complaint: cough
• Images: (click each image to magnify)

X-ray CT

• Ga-67
  Tl-201(E)
  Tl-201(D)

Case B

• Age/Sex:73m
• Chief Complaint: no symptom
• Images: (click each image to magnify)
• X-ray CT
• Tl-201

あなたの診断はWhat is your first impression?

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• Age/Sex: 73M
• Chief Complaint: syncope
• ECG
• Images
  • I-123 MIBG Anterior images (early and delayed)
    • H/M(Early) 2.67, (Delayed) 3.40, WR=35%

  

  • SPECT Short-axis : (click whole slices to magnify)
    • early delayed

  　

  　

あなたの診断はWhat is your first impression?

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• Age/Sex: 45M
• Chief Complaint: hemodialysis due to polycystic kidneys and chronic renal failure, Increased Ca and P concentration
• Images: (click each image to magnify)
  • Chest X-ray
  • X-ray CT
  • Bone->magnifiedWhat's this?

  　

あなたの診断はWhat is your first impression?

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I-131 MIBGによる褐色細胞種の治療経験

治療用の高比放射能MIBGは，放射性医薬品として承認を受けていない状況であり，使用する施設は，いわゆる「放射線障害防止法」の許可を受けねばならない．

2001(平成13)年10月に金沢大学医学部附属病院の新病棟がオープンし，それに合わせてアイソトープ病棟は医療法と障害防止法両者の許可を取得した．

昨年のオープンとほぼ同時にI-131 MIBGによる悪性褐色細胞腫症例を治療した．

施設の紹介と合わせて，適応の決定，治療方法の実際，留意点を報告する．

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ご意見，質問のメールはnakajima@med.kanazawa-u.ac.jp