2020\u5e74\u53d7\u9a13\u3055\u308c\u305f\u3001\u3055\u3061\u3046\u3059\u5148\u751f\u304c\u4f5c\u3063\u3066\u304f\u3060\u3055\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\n \u611f\u8b1d\u611f\u8b1d\u3067\u3059m(_ _)m<\/p>\n 1\uff0c<\/span><\/strong><\/p>\n \u6b63\u89e3\uff1ab<\/p>\n b\uff1a\u30b8\u30a7\u30cd\u30ec\u30fc\u30bf<\/p>\n 2\uff0c<\/span><\/strong><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n d\uff1a\u03b2+<\/sup>\u5d29\u58ca\u3001\u8cea\u91cf\u6570\u306f\u5909\u5316\u305b\u305a\u539f\u5b50\u756a\u53f7\u306f-1<\/p>\n 3\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n (720\u00f70.8)\u00f760=15cps(=Bg)<\/p>\n 4\uff0c<\/span><\/strong><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n Sv=J\/kg<\/p>\n a\u3000\u7dda\u6e1b\u5f31\u4fc2\u6570\u3092\u5bc6\u5ea6\u3067\u5272\u3063\u305f\u3082\u306e 5\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n c.d\uff1dPET 6\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n PET\u306f\u30b3\u30ea\u30e1\u30fc\u30bf\u30fc\u304c\u5b58\u5728\u3057\u306a\u3044\u3002<\/p>\n 7\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a\u3001\u814e\u30ec\u30ce\u30b0\u30e9\u30e0\u3001\u553e\u6db2\u817a\u30b7\u30f3\u30c1\u30b0\u30e9\u30e0\u306a\u3069 8\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n SUV=150\u00d7106<\/sup>\/50\u00d7103<\/sup>\u5206\u306e9.0\u00d7103<\/sup>=3.0<\/p>\n 9\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/span><\/p>\n a\u3001\u5c40\u6240\u8840\u6d41 10\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n \u30c9\u30fc\u30d1\u30df\u30f3\u3067\u306f\u306a\u304f\u3001\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u53d7\u5bb9\u4f53<\/p>\n 11\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n 6\u5206\u306e1(Te)=8\u5206\u306e1(Tp)+Tb\u5206\u306e1\u21c4Tb=24<\/p>\n 12\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n a\u3001\u7d0410\u5206 13\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n b\u30011.1GBq 14\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n a\u300164.1h 15\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n \u6bce\u56de\u5fc5\u8981<\/p>\n 16\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a\u3001\u9178\u5316\u3092\u6291\u5236\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002 17\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a\u3001\u3055\u308c\u306b\u304f\u3044\u3002 18\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n 2007\u5e7413\u3067\u306f\u3001\u3053\u306e\u4e2d\u304b\u3089\u5fc5\u8981\u306a\u3082\u306e\u30923\u3064\u9078\u3070\u305b\u308b\u554f\u984c\u3042\u308a\u3002\uff08\u3053\u306e\u5834\u5408\u3001a.c\u304c\u4e0d\u8981\u3002\uff09 19\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n ICRP84\u306b\u8a18\u8f09\u3042\u308a\uff1f<\/p>\n 20\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n a~d\u3000\u77ed\u5bff\u547d\u6838\u7a2e<\/p>\n 21\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/span><\/p>\n 22\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n \u9ad8\u8840\u6d41\u57df\u76f8\u95a2\u306fIMP\u304c\u826f\u3044\u3002<\/p>\n 23\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n 18<\/sup>F-FDG:110min 24\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n b.30-50\u5206 25\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n MIBG<\/p>\n 26\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n c\u300116\u5206\u5272\u304c\u4e00\u822c\u7684\u3002<\/p>\n 27\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n 99m<\/sup>Tc\u88fd\u5264\u3067\u306f\u898b\u3089\u308c\u308b\u3002<\/p>\n 28\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a.\u4fdd\u967a\u9069\u7528\u306f\u306a\u3044\uff08ATP\u3082\u306a\u3044\uff09 29\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/p>\n Gradel\u306e\u65b9\u304c\u9ad8\u96c6\u7a4d\u3068\u306a\u308b\u3002<\/p>\n 30\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a,\u9aa8\uff08\u2212\uff09 31\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n \u8910\u8272\u8102\u80aa\u7d44\u7e54<\/p>\n 32\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n \u80c3\u306f\u63cf\u51fa\u3055\u308c\u306a\u3044\u3002\u6a19\u8b58\u4e0d\u826f\u306a\u3069\u3002<\/p>\n 33\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n \u52d5\u65b9\u5411\u306b\u79fb\u52d5\u3059\u308b\u3002<\/p>\n 34\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/p>\n a.99m<\/sup>Tc-MAA 35\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n a.\u63cf\u51fa\u3055\u308c\u308b\u3002 36\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n \u5de6\u4e0a\u8179\u90e8\u306e\u96c6\u7a4d\u304c\u7d4c\u6642\u7684\u306b\u4ea2\u9032\u3002\u813e\u6e7e\u66f2\u301c\u4e0b\u884c\u7d50\u8178\u51fa\u8840<\/p>\n 37\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/span><\/p>\n 38\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n \u80a5\u5727\u6027\u9aa8\u95a2\u7bc0\u75c7<\/p>\n 39\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n \u4e21\u5074\u4e0a\u8155\u9aa8\u8fd1\u4f4d\u5e79\u7aef\u3000\u5927\u817f\u9aa8\u9060\u4f4d\u9aa8\u5e79\u7aef\u3000\u811b\u9aa8\u8fd1\u4f4d\u9aa8\u5e79\u7aef\u3000\u306b\u96c6\u7a4d\u3002<\/span><\/p>\n 40\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n b.201<\/sup>TL 41\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/p>\n a.\u751f\u7406\u7684\u96c6\u7a4d\u306f\u53f3>\u5de6\u3000\u5de6\u526f\u814e\u306b\u75c5\u5909\u304c\u8a8d\u3081\u3089\u308c\u308b\u5834\u5408\u304c\u591a\u3044\u3002 42\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a,\u9aa8\u8ee2\u79fb 43\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/p>\n a.\u5de6 \u5074\u982d\u8449\u30fb\u982d\u9802\u8449\u3000\u5f8c\u90e8\u5e2f\u72b6\u56de\u301c\u6954\u524d\u90e8\u3000\u8840\u6d41\u4f4e\u4e0b\u3002s\/o\u30a2\u30eb\u30c4\u30cf\u30a4\u30de\u30fc\u578b\u8a8d\u77e5\u75c7<\/p>\n 44\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n DATscan\u2192\u8907\u6570\u306e\u96c6\u7a4d\u4f4e\u4e0b\u3042\u308a 45\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n \u8840\u6d41\u4f4e\u4e0b<\/p>\n 46\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n \u53f3\u5927\u8133\u75c5\u5909\u306eCCD<\/p>\n 47\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/span><\/p>\n 48\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n \u7570\u5e38\u306a\u3057<\/p>\n 49\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n \u904b\u52d5\u8ca0\u8377SPECT\u3067\u4e2d\u9694\u8840\u6d41\u4f4e\u4e0b\u3002<\/p>\n 50\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ab<\/p>\n \u5de6\u524d\u4e0b\u679d\u9818\u57df\u306e\u865a\u8840<\/p>\n 51\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n a.\u5e74\u9f62\u306a\u3069\u304b\u3089\u9ad8\u5b89\u52d5\u8108 \u5929\u52d5\u8108\u58c1\u306bFDG\u96c6\u7a4d<\/p>\n 52\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a,\u5341\u5206\u3068\u8003\u3048\u3089\u308c\u308b<\/p>\n end point d.\u8a8d\u3081\u308b 53\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/span><\/p>\n 54\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n d.\u4fdd\u305f\u308c\u3066\u3044\u308b<\/p>\n 55\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n CT:\u65e9\u671f\u6d41\u6cab\u2192washout 56\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/p>\n \u5927\u817f\u9aa8\u306b\u6de1\u3044\u70b9\u72b6\u96c6\u7a4d\uff08\u4e21\u5074\u6027\uff09 57\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ae<\/span><\/p>\n 58\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ac<\/p>\n a.\u554f\u984c\u306a\u3044 IgG4\u95a2\u9023\u75be\u60a3\u306e\u7591\u3044\u3002<\/p>\n 59\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1aa<\/p>\n b.\u9aa8\u6709\u8cea 60\uff0c<\/strong><\/span><\/p>\n \u6b63\u89e3\uff1ad<\/span><\/p>\n <\/p>\n
\n\u9593\u63a5\u96fb\u96e2\u653e\u5c04\u7dda\u306b\u3088\u3063\u3066\u3001\u7269\u8cea\u306e\u5358\u4f4d\u8cea\u91cf\u3042\u305f\u308a\u304b\u3089\u767a\u751f\u3057\u305f\u8377\u96fb\u7c92\u5b50\u306e \u904b\u52d5\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u7dcf\u548c\u3001\u5358\u4f4dGy<\/p>\n
\ne=SPECT<\/p>\n
\nd\u3001SPECT\u306e\u5b9a\u91cf\u89e3\u6790\u306a\u3069\u753b\u50cf\u306e\u5909\u5f62\u306b\u7528\u3044\u308b
\ne\u3001\u5fc3\u6a5f\u80fd\u89e3\u6790\u306a\u3069<\/p>\n
\nb\u3001\u7cd6\u4ee3\u8b1d
\nd\u3001\u9aa8\u4ee3\u8b1d
\ne\u3001\u795e\u7d4c\u7d42\u672b\u8caf\u8535\u9846\u7c92<\/p>\n
\nb\u3001\u7d046\u6642\u9593
\nc\u3001\u7d042.8\u65e5
\nd\u3001\u7d0413\u6642\u9593<\/p>\n
\nc\u3001Treatment
\nd\u3001\u5168\u6458\u5fc5\u9808<\/p>\n
\nb\u3001CD20
\nc\u3001\u7a7a\u6c17\u4e2d\u3067915\u03bcm<\/p>\n
\nb\u3001\u5e38\u6e29\u306b\u623b\u3059\u3002
\nd\u3001\u85ac\u5264\u304c\u6df7\u3056\u308b\u5371\u967a\u304c\u3042\u308b\u3002
\ne\u3001\u9178\u5316\u3092\u9632\u3050\u305f\u3081\u3001\u7a7a\u6c17\u306f\u5165\u308c\u306a\u3044\u3002<\/p>\n
\nc\u3001\u5916\u90e8\u88ab\u3070\u304f\u3002<\/p>\n
\na\u306b\u3064\u3044\u3066\u306f\u3001d.c\u3067\u7d2f\u7a4d\u653e\u5c04\u80fd\u304c\u8a08\u7b97\u3067\u304d\u308b\u306e\u3067\u4e0d\u8981\u3068\u3042\u3063\u305f\u304c\u3001c\u306b\u3064\u3044\u3066\u306f\u660e\u3089\u304b\u306a\u8aa4\u308a\u3068\u3042\u3063\u305f\u305f\u3081\u30011\u3064\u9078\u3076\u306a\u3089c\u304b\u3002
\n\uff08\u53c2\u8003\uff1a\u30ea\u30ec\u30fc\u8b1b\u5ea7\u300c\u8a3a\u5bdf\u300d\u5f79\u7acb\u3064\u6838\u533b\u5b66\u306e\u57fa\u672c\u30fc\u5c02\u9580\u533b\u8a66\u9a13\u898b\u636e\u3048\u300c\u5b89\u5168\u53d6\u308a\u6271\u3044\u30fb\u95a2\u9023\u6cd5\u898f\u30fb\u88ab\u66dd\u305d\u306e3\u300d\u81e8\u5e8a\u6838\u533b\u5b66vol47.No1 5-8<\/p>\n
\n99m<\/sup>Tc:6h
\n123<\/sup>I:13h<\/p>\n
\nc.\u96c6\u7a4d\u3059\u308b
\nd.185MBq
\ne.\u8a8d\u3081\u308b<\/p>\n
\nb.\u5de6\u5ba4\u5fc3\u7b4b\u524d\u58c1
\nd.\u65e5\u672c\u3067\u306f\u7d04\u534a\u6570\u304c20mSv\u4ee5\u4e0b
\ne.\u4e2d\u58c1\u57fa\u90e8<\/span><\/p>\n
\nb,\u8133\uff08\u2212\uff09
\nd,\u5fc3\uff08\u2212\uff09
\ne,\u7532\u72b6\u817a\uff08\u2212\uff09<\/p>\n
\nc.\u80ba\u8840\u6d41
\nd.\u76f4\u5f8c
\ne.\u7de9\u5f90\u306b\u9759\u6ce8\u3059\u308b<\/p>\n
\nb.PMT
\nc.5\u5206\u5f8c\u300110\u5206\u5f8c\u3001\u4ee5\u964d10\u5206<\/p>\n
\nc.99m<\/sup>Tc-\u30d5\u30c1\u30f3\u9178\u30b9\u30ba\u30b3\u30bb\u30a4\u30c9
\nd.201<\/sup>TL\u300048-72h
\ne.201<\/sup>TL\u306a\u3069<\/p>\n
\nc.MIBG\u3067\u3067\u63a1\u7528\u3002\u30a2\u30c9\u30b9\u30c6\u30ed\u30fc\u30eb\u306f\u307e\u3060\u3002
\ne.\u73fe\u5728\u306f123<\/sup>I-MIBG\u306e\u307f\u3002<\/p>\n
\nb,\u5f97\u3089\u308c\u305f
\nd,\u9aa8
\ne,\u8178\u7ba1<\/p>\n
\nb.\u6709\u7528\u3068\u8003\u3048\u3089\u308c\u308b
\nc.DLB
\nd.DLB,PSP<\/p>\n
\nMIBG\u2192\u5fc3\u7b4b\u306e\u96c6\u7a4d\u4f4e\u4e0b\u306a\u3057
\nIMP\u2192\u524d\u982d\u8449\u512a\u4f4d\u306e\u4f4e\u4e0b
\nMRI\u2192\u4e2d\u8133\u88ab\u84cb\u306e\u840e\u7e2e<\/p>\n
\nb.\u8a8d\u3081\u306a\u3044
\nc.\u751f\u7406\u7684\u96c6\u7a4d\u3068\u9451\u5225\u56f0\u96e3
\ne.\u7279\u306b\u524d\u51e6\u7f6e\u306f\u4e0d\u8981<\/p>\n
\n1.\u75c7\u5019\u9650\u754c\u6027
\n2.\u5e74\u9f62\u5225\u4e88\u60f3\u6700\u5927\u5fc3\u62cd\u6570\u306e85%\u4ee5\u4e0a
\n3.ECG\u30670.2mSv\u4ee5\u4e0a\u306e\u6c34\u5e73cm\u4e0b\u964d\u578bst\u4f4e\u4e0b or ST\u4e0a\u6607 or \u91cd\u7be4\u306a\u4e0d\u6574\u8108
\n4.\u8840\u5727250mmHg\u4ee5\u4e0a or 10mmHg\u4ee5\u4e0a\u306e\u4f4e\u4e0b<\/p>\n
\ne.\u9069\u5fdc\u306f\u3042\u308b<\/p>\n
\nMRI:T1WI low\u3000T2WI high
\nMIBG:\u96c6\u7a4d\uff08-)
\nFDG:\u8efd\u5ea6\u96c6\u7a4d(+)
\nSW:3.62<\/p>\n
\n\u5de6\u811b\u9aa8\u306b\u96c6\u7a4d\u2192\u75b2\u52b4\u9aa8\u6298\u306e\u7591\u3044<\/p>\n
\nb.\u8a8d\u3081\u306a\u3044
\nd.\u81ea\u5df1\u514d\u75ab\u6027\u80ba\u708e
\ne.\u9023\u306e\u75c5\u5909<\/p>\n
\nc.paragarg homa
\nd.FDG\u306e\u6240\u898b\uff1f\u4eca\u56de\u306f\u7121\u95a2\u4fc2
\ne.\u75c5\u5909<\/p>\n