【評論主題】30.下列有關核醫腦室造影(radionuclide cisternography)診斷脊髓液鼻漏的敘述,何者錯誤?(A)若頭部造影正常,可加照腹部,由胃部的顯影增加偵測鼻漏的機會(B)壓迫內頸靜脈法
【評論內容】參考Fundamentals of Nuclear Pharmacy , Fifth Edition (放射藥品學,第5版)P.255 腦池造影In patients with CSF leakage, cotton pledgets are placed in the nostrils fora period of 24 hr after lumbar puncture administration of 111In-DTPA, andthen removed at the end of the study. The activities in the pledgets and theblood are measured in a well counter, and compared. If the pledget activityis greater than the blood activity by a factor of 1.5 or more, CSF leakage(rhinorrhea) is suspected.棉球活性必須比血液活性大1.5倍(或是更高)才可確定是CSF鼻...
【評論主題】30.下列有關核醫腦室造影(radionuclide cisternography)診斷脊髓液鼻漏的敘述,何者錯誤?(A)若頭部造影正常,可加照腹部,由胃部的顯影增加偵測鼻漏的機會(B)壓迫內頸靜脈法
【評論內容】參考Fundamentals of Nuclear Pharmacy , Fifth Edition (放射藥品學,第5版)P.255 腦池造影In patients with CSF leakage, cotton pledgets are placed in the nostrils fora period of 24 hr after lumbar puncture administration of 111In-DTPA, andthen removed at the end of the study. The activities in the pledgets and theblood are measured in a well counter, and compared. If the pledget activityis greater than the blood activity by a factor of 1.5 or more, CSF leakage(rhinorrhea) is suspected.棉球活性必須比血液活性大1.5倍(或是更高)才可確定是CSF鼻...
【評論主題】36.以90Y-DOTATOC治療神經母細胞瘤(neuroblastoma)時,可能造成器官傷害,其中何者為最主要受害器官(dose-limited organ),因而限制了90Y-DOTATOC用量
【評論內容】
神經母細胞瘤是好發於兒童的惡性腫瘤,它源自於發育為人體交感神經系統的神經脊細胞(neural crest cells)。神經母細胞瘤可發生在交感神經系統分佈的任一部位,但最常發生在後腹腔,尤其一半以上原發在腎上腺的位置。所以治療神經母細胞瘤時,主要受害的器官為腎臟。