RESUMEN
PURPOSE: In preoperative contrast-enhanced computed tomography (CT) of the stomach, an effervescent agent is taken internally to stretch the wall of the stomach to allow evaluation of tumor depth. However, there are no reports on the effects of the effervescent agent on the contrast effects of arteries, veins, portal veins, and hepatic veins. The purpose of this study was to clarify the effects of an effervescent agent on the contrast effects of blood vessels in abdominal contrast-enhanced CT. METHODS: The subjects were 60 preoperative gastric or pancreatic CT patients who underwent contrast-enhanced CT either with or without the effervescent agent. CT attenuations of the vessels were measured. RESULTS: CT attenuations of the left gastric artery, left gastroepiploic artery, right gastroepiploic artery, left gastric vein, left gastroepiploic vein, right gastroepiploic vein, portal vein, and hepatic vein were significantly higher (p<0.01) when the effervescent agent was taken. CONCLUSION: In abdominal contrast-enhancement CT, CT attenuations of the left gastric artery, left gastroepiploic artery, right gastroepiploic artery, left gastric vein, left gastroepiploic vein, right gastroepiploic vein, portal vein, and hepatic vein were found to be higher when the patient was administered the effervescent agent.
Asunto(s)
Laparoscopía , Neoplasias Gástricas , Humanos , Gastrectomía/métodos , Laparoscopía/métodos , Tomografía Computarizada por Rayos X , Vena Porta/patologíaRESUMEN
The purpose of this study were to evaluate the residual volume of radiopharmaceuticals in the three-way stopper and syringe used during radiopharmaceutical administration and the effect of washing. The three-way stoppers were a top injector tube, a top three-way stopper, and a Nipro three-way stopper with a needle. Sodium pertechnetate [99mTc] injection (99mTcO4-) was used to compare the residual volume of radiopharmaceuticals in the three-way stopper and syringe without and with washing. Clinically, 137 patients who underwent cerebral blood flow scintigraphy, dopamine transporter scintigraphy, and bone scintigraphy were included. N-isopropyl-p-[123I]iodoamphetamine (123I-IMP), 123I-N-ω-fluoropropyl-2ß-carboxymethoxy-3ß-(4-iodophenyl)nortropane (123I-FP-CIT), and 99mTc-methylene diphosphonate (99mTc-MDP) were used to compare the residual volume of radiopharmaceuticals in the three-way stopper and syringe without and with washing. The residual volume depended on the type of three-way stopper and radiopharmaceutical used. The residual volume could be reduced by washing, but the effect depended on the type of three-way stopper and radiopharmaceutical used. The residual volume of radiopharmaceuticals in three-way stoppers and syringes can be determined and subtracted to achieve more accurate dose control.
Asunto(s)
Radiofármacos , Jeringas , Humanos , Volumen Residual , Radioisótopos de Yodo , Tomografía Computarizada de Emisión de Fotón ÚnicoRESUMEN
This study aimed to evaluate the effect of pulmonary arteriovenous computed tomography (CT) value and CT value difference on the pulmonary arteriovenous automatic extraction ability of a medical workstation. We classified patients who previously underwent contrast-enhanced CT as those with a pulmonary arteriovenous CT value difference of <50 Hounsfield unit (HU) and ≥100 HU. The groups were further divided into four subgroups each, with a total of eight groups, based on low pulmonary arteriovenous CT values of 200 or more and <250 HU, 250 or more and <300 HU, 300 or more and <350 HU, and 350 HU or more. A radiographer conducted a visual evaluation, and we judged whether it could extract pulmonary arteries A1-A10 and pulmonary veins V1-V10 without errors. When the CT value difference was <50 HU, the low pulmonary arteriovenous CT value of 200 or more and <250 HU significantly decreased the extraction ability compared with the ≥350 HU group (p<0.05), but when the CT value difference was ≥100 HU, no difference in the CT value was found. The pulmonary arteriovenous CT value and CT value difference affect the pulmonary arteriovenous automatic extraction ability of the medical workstation, but revision by the creator is necessary because misrecognition is included even if a CT value and CT value difference is high.