The 44th Nuclear Medicine Imaging Conference

• Age/Sex:　47F
• Chief Complaint:　後腹膜腫瘍の全身検索
• Clinical Course:　約10ヶ月間心窩部痛を繰り返し，腹部CTで左後腹膜腫瘤が指摘された．手術で平滑筋肉腫の診断を得たが，骨シンチグラフィ異常を認めた．
• Lab. Data: BUN 8.1，Cr 0.61，Ca 8.1，Pi 2.8，CEA 正常，CA19-9 正常
• Images:
  • X-CT, abdomen
  • 
  • Bone scintigrams, Ant, Lat
  • 
  • Skull X-ray, XCT
  • 

あなたの診断はWhat is your first impression?

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• Age/Sex: 56M
• Chief Complaint:　腎移植のドナー
• Clinical Course:
• Lab. Data:
• Images:
  • Tc-99m MAG3，坐位
    • Blood flow phase
    • 
    • Cortical-Excretory phase
    • 
    • renogram
    • 
  • DIP　10 min (左）20min （右）立位
  • 
  • X-CT: 左右の容積計測値　R/L比=0.8

あなたの診断はWhat is your first impression?

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• Age/Sex: 3 M
• Chief Complaint:　けいれん発作重積状態
• Clinical Course:
• Lab. Data:
• Images:
  • MR T1 (a)
  • MR T1 (b)
  • MR T2 (a)
  • MR T2 (b)
  • Tc-99m ECD Aug/27
  • Tc-99m ECD Aug/31

あなたの診断はWhat is your first impression?

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• Age/Sex: 50M
• Chief Complaint: 頭痛，発汗過多，動悸，体重減少
• Clinical Course:　アルコール性肝炎にて経過観察中。最近１年間、高血圧症の診断で降圧薬を内服している。
• Lab. Data: 末梢血中濃度　Epinephrine 43 pg/ml (基準値 0-80), Norepinephrine 31400 pg/ml (基準値 90-420), Dopamine 122 pg/ml (基準値 0-30)
• Images:
  • X-CT
  • ¹³¹I MIBG, 48h¹²³I MIBG, 24h

あなたの診断はWhat is your first impression?

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• Age/Sex: 48F
• Chief Complaint: 乳房腫瘤
• Clinical Course:
• Lab. Data:
• Images:
  • CT(1)CT(2)
  • CT(3)CT(4)
  • DSA1
  • DSA2

あなたの診断はWhat is your first impression?

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• Age/Sex: 17F
• Chief Complaint: 無月経，男性化徴候
• Clinical Course:
• Lab. Data: ACTH 42pg/ml, cortisol 8.23μg/dl, testosterone 398ng/ml, DHEAS 10130ng/ml, CEA 176.7ng/ml
• Images:
  • X-CT
  • ¹³¹I Adosterol (left), Dexamethasone Suppression (right)
  • 

あなたの診断はWhat is your first impression?

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• Age/Sex: 72M
• Chief Complaint:　体重減少，食欲低下
• Clinical Course:
• Lab. Data:
• Images:
  • X-CT
  • 
  • Ga-67 (a)
  • Ga-67 (b)

あなたの診断はWhat is your first impression?

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