핵의학 간담도 스캔 시, 전면상과 우측 측면상에서의 담낭박출률에 대한 비교 및 고찰

• 영문명: Comparison and Review of GBEF% on the Anterior and Right Lateral Images of Nuclear Hepatobiliary Scan
• 발행기관: 대한핵의학기술학회
• 저자명: 이은별(Eun-Byeol Lee) 김재일(Jae-Il Kim) 도용호(Yong-Ho Do) 임정진(Jung-Jin Llm) 조성욱(Sung-Wook Cho) 노경운(Gyeong-Woon Noh)
• 간행물 정보: 『핵의학기술』Vol.22 No.2, 92~96쪽, 전체 5쪽
• 주제분류: 의약학 > 방사선과학
• 파일형태: PDF
• 발행일자: 2018.10.30

영문 초록

Purpose In case of nuclear medical hepatobiliary scan, To quantitatively evaluate contractility of a gallbladder, gallbladder ejection fraction (GBEF%) is calculated from anterior images using fatty meal. However, when a gallbladder and other organs overlap on an anterior image , the gallbladder ejection fraction is not accurately evaluated. In order to reduce this error, the objective of our study was to figure out whether there is a significant difference in GBEF% calculated from the anterior and right lateral images. Materials and Methods After intravenous injection of 99mTc-Mebrofenin 370 MBq to randomly 50 patients who visited our hospital, we started to examine nuclear hepatobiliary scan. Using skylight(Philips, United States), we acquired anterior and right lateral image at 10 minutes, 20 minutes, 30 minutes, 60 minutes, 90minutes after injection. Using images at 60 and 90 minutes, gallbladder ejection fraction (GBEF%) was calculated from the anterior and right lateral images using JETstream workspace. For drawing more accurate ROI, CT images were referenced and 4 radiologists calculated the GBEF% in the same image and calculated the average value. We assessed whether there was a significant difference in GBEF% calculated from the anterior and right lateral images using SPSS program(Statistical Package for the Social Science, SPSS Ver.18 Inc. USA). Results About randomly 50 patients, the average value of the GBEF% calculated from the anterior image was 63.212 and the average value of the GBEF% calculated from the right lateral image was 62.666. GBEF% decreased 0.433% on the right lateral image compared with anterior image. Result of paired sample t-test, p value is over 0.05. So, there was no significant difference in GBEF% calculated from the anterior and right lateral images. Conclusion In the case that a gallbladder and other organs are not separated on an anteior image, Right lateral image would be better to acquire more accurate GBEF% than using anterior image.

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실험재료 및 방법

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고찰 및 결론

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REFERENCE

키워드

Hepatobiliary scan GBEF% Anterior view image Right lateral view image