PET/CT 전신 영상에서 오렌지 주스(Orange Juice)를 이용한 위장 확장 영상의 유용성

• 영문명: Usefulness of Stomach Extension after Drinking Orange Juice in PET/CT Whole Body Scan
• 발행기관: 대한핵의학기술학회
• 저자명: 조석원(Seok Won Cho) 정석(Seok Chung) 오신현(Shin Hyun Oh) 박훈희(Hoon Hee Park) 김재삼(Jae Sam Kim) 이창호(Chang Ho Lee)
• 간행물 정보: 『핵의학기술』Vol.13 No.1, 86~92쪽, 전체 7쪽
• 주제분류: 의약학 > 방사선과학
• 파일형태: PDF
• 발행일자: 2009.05.30

영문 초록

Purpose: The PET/CT has a clear distinction on the lesion of the functional image by adding anatomical information. It also could reduce the examination time using CT data as the attenuation-correction. When the stomach was contracted from a fast, it could bring a misinterpretation of the cancer of the lesion with a presence of physiological ¹⁸F-FDG uptake in stomach and it occasionally would bring an additional scan to confirm. To complement this shortcoming, the method that the patients had water before the examination to extend the stomach had been attempted. However, a short excretion time of the stomach did not give sufficiently extended image of the stomach. Then the patients had additional water and had the examination again. Therefore, the noticed fact is that the stomach excretion time depends on calories, protein content, and the level of carbohydrate. In this study, we use an orange juice to evaluate the extension of the stomach and usefulness of it. Materials and Methods: PET/CT scan were obtained on total 150 of patient from February 2008 to October2008, There were 3 groups in this study and each group had 50 patients. First group drank nothing, Second group drank water and third group drank orange juice. The patients (man 25, female 25) not drinking are the age of 30~71 years old (average: 54), the patients (man: 25, female: 25) drinking water (400 cc) are the age of 28~71 years old (average: 54) and the patients (man: 25, female: 25) drinking orange juice (400 cc) are the age of 32~74 years old (average: 56). The patients were fasted in 6-8 hours before the test, the patients were not diabetic. ¹⁸F-FDG 370~555 MBq were injected intravenously. The patients were in stable position for 1 hour, than the image was obtained. The patients drank water and other patients drank orange juice before Whole body scan. The image scan started from mid-femur to skull base. The emission scan acquired for three minutes per bed and the images were reconstructed. Stomach extension analysis is measured from vertical and horizontal length. Results: Stomach Extension was described as the vertical length of the Non Drink Group was 1.20±0.50 cm, horizontal length was 1.4±0.53 cm, the vertical length of the Water Drink Group was 1.67±0.63 cm, horizontal length was 1.65±0.77 cm, the vertical length of Orange juice Drink Group was 3.48± 0.77 cm, horizontal length was 3.66±0.77 cm in coronal image. Stomach Extension was described the vertical length of the Non Drink Group was 2.03±0.62 cm, horizontal length was 1.69±0.68 cm, the vertical length of Water Drink Group was 5.34±1.62 cm, horizontal length was 2.45±0.72 cm, the vertical length of Orange juice Drink Group was 7.74±1.62 cm, horizontal length was 3.57±0.77 cm in transverse image. The Stomach Extension has specific differences (p<0.001). The SUVs shows the Non Drink Group were measured as Liver 2.52±0.42, Lung 0.51±0.14, the Water Drink Group were measured as Liver 2.47±0.38, Lung 0.50±0.14, Orange juice Drink Group were measured as Liver 2.47±0.38, Lung 0.50±0.14. The SUVs did not have specific differences (p>0.759). Conclusions: There was not a large difference of SUV in three groups. When the patients drank Orange juice and water, the range extension of stomach was higher than without drinking nothing and it was possible to acquire fully extended images. Therefore, it will be possible that unnecessary additional stomach scans will be reduced by drinking orange juice before the examination so that the patients’ claim from uncomfortable and long period of fast will be minimized.

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실험재료 및 방법

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키워드

PET/CT SUV Orange juice