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논문 기본 정보

자료유형
학술저널
저자정보
Kang, Ji-Yeon (Department of Nuclear Medicine, Seoul National University Bundang Hospital) Jang, Su-Jin (Department of Nuclear Medicine, Seoul National University Bundang Hospital) Lee, Won-Woo (Department of Nuclear Medicine, Seoul National University Bundang Hospital) Jang, Sung-June (Department of Nuclear Medicine, Seoul National University Bundang Hospital) Lee, Yun-Jong (Department of Internal Medicine, Seoul National University College of Medicine) Kim, Sang-Eun (Department of Nuclear Medicine, Seoul National University Bundang Hospital)
저널정보
대한핵의학회 Nuclear medicine and molecular imaging : NMMI Nuclear medicine and molecular imaging : NMMI 제45권 제3호
발행연도
2011.1
수록면
161 - 168 (8page)

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Purpose Salivary gland scintigraphy (SGS) provides an objective means of diagnosing salivary gland dysfunction in Sj$\ddot{o}$gren's syndrome (SS) patients and in thyroid cancer patients after radioactive iodine (RAI) therapy. In the present study, SGS was performed in SS patients and in thyroid cancer patients post-RAI, and scintigraphic parameters were compared. Methods Twenty-eight SS patients (males:females=1:27, age $53.3{\pm}11.9$ years), 28 controls (males:females=3:25, age $54.1{\pm}10.1$ years), and 92 thyroid cancer patients (males:females=28:64, age $46.2{\pm}12.9$) who had undergone a session of high-dose RAI therapy (mean dose, $5.2{\pm}1.5$ GBq) were included. SGS was performed using Tc-99m pertechnetate (925 MBq). Scintigraphic parameters (parotid uptake ratio PU, submandibular uptake ratio SU, percentage parotid excretion %PE, and percentage submandibular excretion %SE) were measured and compared for SS, thyroid cancer post-RAI, and control patients. Results PU, SU, %SE, and %PE were all significantly lower in SS than in post-RAI thyroid cancer or control patients (p<0.05), whereas only %PE was significantly lower in post-RAI thyroid cancer patients than in controls (p<0.05). SU and %SE were found to be correlated with the unstimulated whole salivary flow rate. Conclusion Scintigraphic parameters derived from SGS can play a crucial role in the detection of salivary gland dysfunction in SS patients and in post-RAI thyroid cancer patients.

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