Case presentation for nuclear medicine residents
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Case presentation for nuclear medicine residents
- 2. Case 1 愕悋惡 惡悋 惡悋惘 悋 惘惆 HCC 擧惡惆 拆惆 悴惘悋忰 擧悋惆惆 . 惠悋愕惠悋慍 惡惘惘愕 悴惠 悋愕惠 愆惆 惘愕惠悋惆 悋愕惠悽悋 . 惡惘悋悧惆 悋愕擧 惘惆 惆惘 惘悋 悽惆 惴惘 惠悋惆 MRI 擧惆 愆悋惆 惡惺惆 悋愕悋惆 惆惘 惘悋 惡悋惘
- 6. Case 2 惡 惆惘悋 惡 拆悋愕悽 惡惘惘愕 悴惠 擧惡惆 惡 惠悋愕惠悋惠擧 擧 擧悋愕惘 愕悋惡 惡悋 惡悋惘 惘悋 悋悴悋 FDG PET/CT 悋愕惠 愆惆 惘愕惠悋惆 . 愕惠 惡悋惘 惘 惷悋惺 惘惆 惆惘 愆悋 惴惘 SUVmax=2.3
- 9. Case 3 悋惘 朸 擯 悋忰 惆惘 惘 愕悴 愕悋惘擧 愕悋惡 惡悋 悋 . 惆惘悋 惡 拆悋愕悽 惡惘惘愕 悴惠 悋悴悋 惡惘悋 FDG PET CT 悋愕惠 愆惆 惘愕惠悋惆 . 愕惠 惡惺惆 惠惶惘 悋 悋 惆惘 惘悋惆惆悋惘 惡惘惆悋愆惠悋 惘惆 惆惘 愆悋 惴惘
- 13. Muscle uptake due to severe crying
- 14. Case 4 愕悋惡 惡悋 悋惘 HL 惆惘悋 惡 拆悋愕悽 惡惘惘愕 悴惠 POST CHEMO 悋愕擧 惡惘悋 FDG PET CT 悋愕惠 愆惆 惘愕惠悋惆 . 愕惠 悋 悋 惆惘 惘悋惆惆悋惘 悋 惡惘惆悋愆惠 惘惆 惆惘 愆悋 惴惘
- 17. Intercostal muscle uptake
- 18. Another case with intercostal uptake
- 19. Case 5 惡惘悋 擧 擧悋愕惘 愕悋惡 惡悋 惡悋惘 staging 悋愕惠 愆惆 惘愕惠悋惆 . 擧惆 擯慍悋惘愆 惘悋 惡悋惘 悋 悋愕惠悽悋 惆惘 愀惡惺 愃惘 惡惘惆悋愆惠
- 21. Activity on both sides of a joint is benign until proved otherwise
- 22. Other cases with benign uptake
- 25. Case 6 悴惠 拆愕惠悋 擧悋愕惘 惡悋 惡悋惘 staging 惡悋 FDG PET CT 悋愕惠 愆惆 惘愕惠悋惆 . 擧惆 擯慍悋惘愆 擯 惘悋 惠惶惘 惆惘 愆惆 愆悽惶 惡惘惆悋愆惠 悋慍悋愆
- 28. Another case
- 34. Baastrup's disease is a benign condition, which presents as chronic low back pain. It is also known as kissing spine syndrome and refers to close approximation of adjacent spinous processes producing inflammation and back pain.
- 36. Case 1 悽悋 朷杁 惡 悋 愆愆 惶惘悋 擧愕 惡惘惆悋愆惠 悴惘悋忰 愕悋惡 惶惘悋 惆惘惆 惡悋 愕悋 悋愕惠 擧惘惆 惘悋悴惺 . 惆悋惘惆 惶惘悋 悴悋惘 惆惘 悋惠愕悋惺 惡悋惘 愕擯惘悋 LFT 悋愕惠 惘悋 . 惡惘惘愕 悴惠 Sphincter of Oddi dysfunction 悋愕惠 愆惆 惘愕惠悋惆 . 擧惆 悵擧惘 惘悋 惡悋惘 惠惶惘惡惘惆悋惘 忰
- 39. 惡惘惘愕 悋擧 悴慍 拆悋惠惡悋惘 悋愕擧 SOD 悋愕惠 . 惠惶惘 悋悋 悋愕擧 悋 惠愕惘 惡惘悋 霸朮朧 悴惆 擧 惘悋 悋愕惠 惡愕悋惘 惆 惆惘 惡悋悋惆 惘悋惆悋擧惠惠 CBD 惺 惡 愆惆惠 惡 SOD 悋愕惠 . 悋 惡惘惘愕 愕惠惆 惡愕悋惘 擧 . 慍惘 愆惘忰 惡
- 42. Another case
- 44. Case 2 悛悋 擧 惡惺惆 惘惆 朶朷 惆惘 愆擧 愆惆惆 惆惘惆 惡悋 愕悋 RUQ 悋愕惠 擧惘惆 惘悋悴惺 . 愆擧擧 惆惆惆 惶惘悋 擧愕 惆惘 愕擯 愕擯惘悋 惆惘 悋惆 愆惆 忰悋惆 愕愕惠惠 擧 惡 . 惡惘悋 悋愕 愆惆 惘愕惠悋惆 拆悋惠惡悋惘 悋愕擧 愕擯 惡惆 忰悋惆 愕愕惠惠 擧 惡惘惘愕 惠 . 擧惆 悵擧惘 愀悋 惘悋 惠惶惘惡惘惆悋惘 忰
- 46. 惠惶 悋 惆悋惆 悋悴悋 惘悋 悋愕擧 惘 惡悋 惡悋惆 悋 忰悋惆 愕愕惠惠 擧 惠愆悽惶 惡惘悋 愕 惘 擯惘惠 惠悋悽惘 愕悋惺惠 : 惡惺惆 惠惶惘
- 48. Case 3 悋愕惠 擧惘惆 惘悋悴惺 慍 愕愕惠惠 擧 惡 愆擧擧 惶惘悋 惆惘惆 惡悋 惡悋惘 惡惺惆 惘惆 . 惆惘 愕惠 悴惆 惶惘悋 擧愕 惆惘 愕擯 惡悋惘 愕擯惘悋 sludge 惆悋惘惆 . 惡惘惘愕 悴惠 EF 愆惆 惘愕惠悋惆 惶惘悋 擧愕 惡惘悋悧惆 惘悋 惠惶惘惡惘惆悋惘 忰
- 51. 悋愕惠 拆悋惠惡悋惘 悋愕擧 惠 惺惆 悋惶 惺 悋慍 悋愆惠悋 惘惺悋惠 惺惆 愆惆 惠擧惘悋惘 惡悋惘 悋愕擧
- 53. EF=24%
- 54. Case 4 悽悋 惡惺惆 惡悋惘 朶朷 惡惘惘愕 悴惠 惶惘悋 擧愕 愕擯 惡惆 惶惘悋 惆惘惆 惡悋 愕悋 Gallbladder EF 愆惆 惘愕惠悋惆 惡惆 慍惘 惆惘 惘悋 悋愕擧
- 55. EF=20%
- 56. 惆惘 悋慍 惶惘悋 惠惘愆忰悋惠 愆惆 惠愆惆惆 惡悋惘 惆惘惆 愆惆 愕愕惠擧惠擧 惡悋惘 惡悋惘 惡惆 惆悋惘 悋惆悋 . 愆惆 惘愕惠悋惆 惶惘悋 擧 惡惘惘愕 惡惘悋 惡惘悋悧惆 惡悋惘 悋慍 惠惶惘惡惘惆悋惘 忰
- 58. 悋愕惠 擧惆擧 愕惘 惡惆 惡悋慍 惡惘惘愕 惶惘悋 擧 惡惘惘愕 惆惘 愕悋 惠惘 . 悴惆 惡惆 惡悋慍 愆悋 愕悋惺惠 惆 惠惶悋惘 惆惘 擧惆擧 愆惆 惆惆 惘悋 惡 惘惆 惆惘 悋擧惠惠 愕惘 悋愕惠 惠擯 愆悋 愕悋惺惠 惆 惠惶悋惘 惆惘 擧惆擧 悋惆 惡悋 悋 惘惆 惆惘 悋擧惠惠 悴惆 惺惆 悋 悋愕惠 愕惘 悋愕惆悋惆 . 悋愕惠 惶惘悋 擧 擧惆擧 悋愕惆悋惆 惡悋 惡悋惘 擧 惡惺惆 惘惆
- 61. Case 5 惡惺惆 惘惆 惡悋惘 霸朧 悋愕惠 愆惆 悋悴悋惆 悋悽惘悋 擧 悋愕惠 擧惘惆 惘悋悴惺 惘悋 惡悋 愕悋 . 惆惘 CT 惆悋惘惆 擧惆擧 擧愕惠 惡 愆擧擧 悋忰 愕擯惘悋 . . 愕惠 惠惶惘惡惘惆悋惘 忰
- 68. Case 6 惡惺惆 惘惆 拆愕惘 霸杁 惆惘 擧 拆悋惠擯悋 惡悋 愕悋 CT 悋愕惠 惆悋愆惠 惠惺惆惆 擧愕惠悋 . 悋愕惠 愆惆 惘愕惠悋惆 拆悋惠惡悋惘 悋愕擧 惡惘悋 擧悋惘 惡悋惘 惡 愆擧 惡悋 . 愕惠 悋愕擧 悋 惆惘惘惆 愆悋 惴惘
- 71. 悋 愕悽 惠惘惡悋 擧悋惘 惡悋惘 惠愆悽惶 惡惘悋 拆悋惠惡悋惘 悋愕擧 悋慍 悋愕惠悋惆 愕惠 惡悋愆惆 悛愆悋 悛 惡悋 惡悋惆 忰悋 惘 惡 . 惆 擧 惆惆 愆悋 惘悋 悽惆 惶惘悋 愕愕惠 惡悋 惘惠惡愀 擧愕惠悋 惡悋 擧悋惘 惡悋惘 悋忰 惘 悋愕惠 惠惘 愆惆惆 惘悋愕惠 惡 悋 愕惠 .
- 75. Case 7 拆悋惠 悧悋惠悋 悋慍 惶惘悋 悛惠惘慍 悋惠惘悋 悴惠 拆悋惠惡悋惘 悋愕擧 惆 惡悋 惡悋惘 惆 慍惘 惆惘 惘悋 惠 惡惆 惡悋愆 惆悋愆惠 惘悋 忰愕悋愕惠 惡愆惠惘 惠悋 惆惆 惠惷忰 惘悋 惡惘惆悋惘 惠惶惘 忰 悋悋
- 80. Case 8 惘惆 擧 悛悽惘 惘惆 朿杁 惡 愆擧擧 擧 擧惡惆 惆惘 惠惆 擧 擧愆 愕悋惡 惡悋 愕悋 Focal Nodular Hyperplasia 悋愕惠 . 擧惆 惠惶 惡悋惘 惡惘悋 惘悋 悋愕擧 愆悋
- 86. Case 1 惆悽惠惘 霸朸 惡悋惘 惡悋 愕悋 ITP 慍 悋愕惠 擯惘惠 惘悋惘 悋愕拆擧惠 惺 惠忰惠 悋惆 悋惠 悋慍悋愆 拆悋擧惠悋 . 悋愕擧 惡悋惘 惡惘悋 RBC 悋愕惠 愆惆 惆惘悽悋愕惠 惆悋惠惘 . 擧惆 悵擧惘 惘悋 惠惶惘惡惘惆悋惘 慍悋 惠慍惘 惆慍 惠 忰 !
- 89. Following correct kit preparation
- 90. Case 2 慍悋惆 朮朧 擯悋 擯惘惆 惘悋惘 悴惘悋忰 惠忰惠 拆 愕惠 惆悋惘悋擯 惘 惡悋 惘慍 愆惆 悋惠 悽惆 悴悋 惆惘 愀忰悋 悴惘悋忰 惡惺惆 愕擯惘悋 惆惘 慍 悴惘悋忰 . 悋愕擧 惡悋惘 惡惘悋 RBC 愆惆 惆惘悽悋愕惠 惆悋惠惘 . 愕惠 愆悋 惴惘
- 92. Case 3 悋愕惠 惡悋惘 愕 惘惆 朶朶 惡 愕悋 惆 愆擧 惡悋惠 惠惘悋 愕悋惡 惡悋 愕悋 愀忰悋 拆悋惘擯 惺惠 惡 悋愕拆擧惠 . 悋愕惠 擧惘惆 惘悋悴惺 愆擧 惆惘惆 惡悋 . 惠惺惆惆 悋忰 悋愕擧 惠 愕 惆惘 peritoneal thickening 愆惆 惆惆 . 悋愕擧 惡悋愆惆 愀忰悋 惡 惘惡愀 悋忰 悋 悋擧 惡 愆擧 惡悋 RBC 悋悴悋 惡悋惘 惡惘悋 惆悋惠惘 愆惆 愕惠 愆悋 惴惘
- 94. Case 4 惡悋惘 霸朶 愆擧 惡悋惠 惠惘悋 惡悋 愕悋 . 惠忰惠 悋愕惠 愆惆 悋愕拆擧惠 spleen transplantation 悋愕惠 擯惘惠 惘悋惘 . 悋愕擧 RBC 愆惆 惆惘悽悋愕惠 愀忰悋 惺擧惘惆 拆擯惘 惡惘悋 惆悋惠惘 擧惆 惠惶 惘悋 悋愕擧 悋 悛悋
- 96. GE Reflux Scan 悋愕 擧惘惆 惘悋悴惺 惘 惡 惺惆 惘悋擧愕 惡 愆擧 惡悋 惆 愕惘 愕慍愆 愆擧悋惠 惡悋 惡悋惘 惠 . 悋愕擧 悋悴悋 忰 GE reflux 忰 惆慍 惶惘 惘悋惆惆悋惘 惡悋惘 悛悋惆擯 悋惆 惡惘悋悧惆 惘悋 惠惶惘惡惘惆悋惘
- 100. Case 1 惡悋惘 朶杁 悋愕 擧惘惆 惘悋悴惺 擯悋愕惠惘拆悋惘慍 惡 愆擧擧 惆 惆悋惡惠 愕悋惡 惡悋 愕悋 惠 惺惆 惠悽 悋愕擧 悋悴悋 悴惠 . 惡惘悋悧惆 惡悋 惘悋 悋愕擧 悋悴悋 忰
- 104. Case 2 惡悋惘 杁杁 惠悽 悋愕擧 惡惘悋 惺悋悧擯悋愕惠惘拆悋惘慍 惆 惆悋惡惠 愕悋惡 惡悋 愕悋 惺惆 悋愕惠 擧惘惆 惘悋悴惺 . 惡惆 慍惘 惆惘 惘悋 惡悋惘 悋愕擧 愕惠 愆悋 惴惘
- 106. Case 3 惡悋惘 朶朶 擯悋惘愆 愆惆惆 惺悋悧 惡悋 悋 惆惘悋 惡惘悋 惺惆 悴惘悋忰 愕悋惡 惡悋 愕悋 悋愕惠 擧惘惆 惘悋悴惺 愃悵悋 悽惘惆 慍 惡惺惆 悋愕惠惘悋愃 惠惺 . 惡惆 慍惘 惆惘 惘悋 惡悋惘 悋愕擧 . 愕惠 愆悋 惴惘
- 107. Case 4 惡悋惘 45 惠惠悋 擯悋愕惠惘擧惠 愕悋惡 惡悋 愕悋 roux en y 惘悋悴惺 惆悋拆擯 惺悋悧 悋愕惠 擧惘惆 . 擧惆 惡悋 悛惘悋 擯慍悋惘愆 忰 惺惆 惠悽 悋愕擧 悋悴悋 忰
- 111. Case 5 悋愕惠 愆惆 惘愕惠悋惆 惺惆 惠悽 悋愕擧 惡惘悋 擧惘惘 悋愕惠惘悋愃悋 惺悋悧 惡悋 慍悋惆 . 擧惆 惡悋 悛惘悋 擯慍悋惘愆 悋愕擧 悋悴悋 忰
- 112. In newborns and infants, gastric emptying is evaluated using milk or formula mixed with 99m Tc-sulfur colloid. The patient should have been fasting for approximately 4 h before the study. Barium studies should not be obtained within 48 h before scintigraphy. The total volume of milk or formula to be administered should be approximately the same as the child usually takes in a regular meal. The tracer is mixed with approximately a third of the total expected volume to be administered, followed by the nonradioactive volume. Oral feeding is preferred, but depending on the patients condition, labeled formula or milk can be administered by nasogastric or gastrostomy tube. The patient is placed supine on the imaging table, and the g-camera, equipped with a low-energy high- resolution collimator, is placed under the table. An initial image is used to determine the amount of tracer that has already left the stomach. Dynamic imaging is obtained for 60 min at 1 frame/min. Regions of interest are marked over the stomach, the esophagus, the rest of the abdomen, and the back-ground, and timeactivity curves, corrected for decay, are obtained. The gastric timeactivity curve after placement of the child on the examining table provides another measure of gastric emptying time. Results are expressed as the percentage of the initial activity in the stomach (4345). There are no widely accepted standards of normal gastric emptying times in this group. A study on healthy infants revealed a 1-h normal gastric residual of 48%70%. Another study showed that gastric emptying at 1 h in children younger than 2 y was 27%81%. Gastric emptying time is affected by the position of the patient and other factors such as type and volume of food, patient anxiety, and pain. Children that show slow gastric emptying when supine can show rapid emptying by a simple change of position (45). Emptying more than 40% at 1 hour is considered normal
- 114. Case 6 拆愕惘 擧 12 悋愕擧 悋悴悋 惡惘悋 擯悋愕惠惘拆悋惘慍 惡 愆擧擧 悋愕惠惘悋愃 惠惺 惡悋 愕悋 悋愕惠 擧惘惆 惘悋悴惺 惺惆 惠悽 . 惆惆 惠惷忰 惘悋 悋愕擧 擯慍悋惘愆 悋悴悋 忰
- 115. All GES studies utilized the recommended standard solid meal consisting of 2 pieces of white toast, 120 mL of scrambled egg substitute (equivalent of 2 large eggs), a 15 g packet of jelly, and 120 mL of water (13). Technetium-99- labeled sulfur colloid was utilized for all studies and was mixed in the egg substitute prior to cooking. Meals were consumed within a 10-minute period, after which a baseline scintigraphic image was obtained. Anterior and posterior images were acquired concurrently and a geometric mean value was calculated (12). Subsequent images were taken at 1-hour intervals over a 4- hour period. If a child was unable to consume the entire meal within a 10- minute period or if they vomited within the 4-hour duration of the GES study, he/she was excluded from the primary data analysis and labeled as unable to complete GES. Interpretation the same as adults
- 117. Case 7 惡悋惘 35 擯悋愕惠惘拆悋惘慍 悋忰惠悋 惠愆悽惶 惡悋 愕悋 .
- 118. 0 55 0.5 52 1 47 2 30 3 15
- 119. Decay correction
- 121. Case 1 悋 惘惆 : 惡 惡惠悋 惡悋惘 擧 cystic fibrosis 惆 惆惘 拆悋惘惠惆 愃惆惆 惆 惘 惘悋悴惺 惠惘 愕悋惡 惡悋 擯悵愆惠 愕悋 . 悋愕惠 惡惆 愀惘 惆 惡 悋 擧 惡惠 悛悽惘 . 惡惘惘愕 惡惘悋 惡悋惘 拆慍愆擧 悋愕惠 擧惘惆 惆惘悽悋愕惠 惡慍悋 愃惆惆 悋愕擧 拆悋惘惠惆 悴悋惘 悋愕惆悋惆 悋忰惠悋 . 悋悴悋 忰 惆惆 惠惷忰 惘悋 悋愕擧 .
- 122. Method 惆慍 : 5 惠悋 10 惠惶惘惡惘惆悋惘 惆惠 愀 惆悋 悋 悋慍 惆悋擧 惠惶惘惡惘惆悋惘 擧惘 忰惆惆 30 悋 40 惆 . 慍悋 惆惘 惠惘悴忰悋 15 惡悋惘 悋慍 愆惆 悋惠惘悋 悋 惆 惠惶惘惡惘惆悋惘 拆悋悋 惆惘 慍 愆惆 悋悋 惡惠惘 惡慍悋 愃惆惆 惠悋 擯惘惠 . 愆惆 悋悴悋 悛惡 惡悋 惡慍悋 愃惆惆 惠忰惘擧 . 惆惘 15 忰惆惆 慍惘 悋慍 拆愕 惆 3 惠悋 5 惆 惡悋惘 惡 悛惡 惠惘 ( 悽惘悋擧 ) 惠 惠悋 惡擯惘惆悋惆 惘悋 悛惡 惆悋 惆惘 惓悋 惆 愃惆惆 悋 惡惡惺惆 愕拆愕 愆惆 惠忰惘擧 惡慍悋 . 惠悋 惆悋擧 惡惘惆悋惘 惠惶惘 15 悋愕惠 惡惠惘 悛惡 悋慍 惡惺惆 悋惡惆 悋惆悋 惡惆 慍惘 惆惘 惘悋 惡悋惘 惠惶悋惘 . 愕惠 悋愕擧 悋 悋慍 愆悋 惠愕惘
- 125. 惘悋 悋愕擧 惺悋惘悋 擧 - 惡慍悋 愃惆 愆惆 惴悋惘 慍悋 : 愀 惡悋惆 惡慍悋 愃惆惆 惘悋 愀惘 惡 1 惠悋 4 惆 惆 愆惆 . 惆 - 悋擧惠惠 忰惆悋擧惓惘 惡 惘愕惆 慍悋 : 愀 忰惆悋擧惓惘 惡悋惆 惘悋 愀惘 惡 10 惡 惆 惡惘愕惆 忰惆悋擧惓惘 . 愕 - 惆悋 忰惘 愆惆 惆惆 : 忰惘 悋 惆 惡愕惠 惆惘 惘悋 愀惘 惡 惡惘悋惆 悋忰惴 惘悋 擧 擧惠悋惡 悋慍 慍惘 悴惆 愆惆 惆惆 惡悋惆 惆悋
- 127. 惡 悋愕 愆 擯惘惠 惆惘惴惘 惘悋惆惆悋惘 惡惘惆悋愆惠 惡惘惘愕 惡惘悋 擧 擧 惺悋惘 悋 愕惠 惠惘悧惆 . 悋愕惠 惘悋 惡惆 惠惘悧惆 惡悋 惡惘悋惡惘 惡慍悋 愃惆惆 惆惘 惡惘惆悋愆惠 悋擯惘 . 悋惡惠 惡愕悋惘 惡悋愆惆 擧惆 擧擧 惠悋惆 忰悋 惘 惡 愕惠 悋惆 .
- 128. 惡惆 慍惘 惆惘 惘 惠忰惘擧 悋慍 拆愕 惠悽 惺悋惘 . 惡悋惆 Ejection fraction 惡愆 忰悋愕惡 . 惡悋 悋慍 惡惺惆 惆 悋惘 惠悋 惆 惠惶悋惘 惠忰惘擧 悋慍 惡 惆 悋惘 惠悋 惆 惠惶悋惘 悋慍 悋愕惠悋惆 惠忰惘擧 . 惆 惆 惠悽 惆惡悋惘 愕悋惡 愃惆惆 惆惘 悋 惘惆 惆惘 惓悋 擧 惡擯惘惆 惴惘 惆惘 悋惡惠 悋慍 惡 惆 惠惶悋惘 惡悋惆 愆惆 愆惘惺 惠忰惘擧 3 惡惘悋 惡擯惘 惴惘 惆惘 惆悋惘 惘悋 擧悋惠 忰惆悋擧惓惘 擧 惘 忰悋愕惡 . 惠惘惠惡 惡 惆惡悋惘 愕悋惡 拆悋惘惠惆 愃惆惆 惡惘悋 惘悋 忰惆悋 28 20 愕惠 惆惘惶惆
- 130. 愆 惆惆 悋愕惡 慍悋 惆惘 惡惘惆悋愆惠 悽惆 惘惆 惡 惡惘擯惘惆 忰悋悋 . 悋惘 惘 惆惘 悴惆惡 悋愕惠 悋惠 擧悋愆 擧 惘悋愕惠 拆悋惘惠惆 悽惶惶 惡 惡慍悋 愃惆 ( 惠惘悧 惡悋 悋惡愕 惆惘 惆 .) 愕惠 悋愕惡 愃惆 悋惘 惘 悋慍 惠悽 . 悋 惆惡悋惘 愕悋惡 惠忰惘擧 悋慍 拆愕 拆悋惘惠惆悋 悋惆 擧惘惆 惠悽 惠忰惘擧 惡 忰惠 . 擧 惡慍悋 愃惆惆 惴惘 惡 惆悋惘 悋愕惆悋惆 拆愕 愕惠 惠悴 悋惡 惡慍悋 愃惆惆 惘悋悴惺 慍 惠惘 惡悋 擧 惆悋惘惆 惡惘惆悋愆惠 擧悋愆 .
- 131. 惠忰惘擧 惡惆 惠悽 惆悋惘盒潮
- 132. Case 2
- 133. 悋惆 愆惆 悋悴悋 惠悽 愆惆 擧 悋 悴悵惡 惡慍悋 悴悋惘 忰悋惆 悋愕惆悋惆 惆惘 惘惆 2
- 134. Case 3
- 135. 惆惆 悴悋惡 惠忰惘擧 惡 悋惡惠 愆惆 擧 惡慍悋 愃惆 悴悵惡 慍 悋愕惆悋惆 惆惘
- 136. Case 4,5
- 138. 惘惆 擧悋惘 惡 悋愕惆悋惆悋 拆擯惘 惆惘 惡慍悋 愃惆惆 悋愕擧
- 139. Case 6 慍 35 愆擯惘 愕悋惡 惡悋 愕悋 7 慍 愕悋悋惆惠 愕悋
- 142. 惘悋 惠悽 愆惆 惆惆 惆 惡愕惠 惆惘 惆悋 悋惠 擧悋愆 惡慍悋 愃惆惆 悴悵惡 悋愕惠 . 悋愕惆悋惆 惡惆 慍 愕悋悋惆惠 擧
- 143. Case 7
- 146. Case 8 慍 45 愕悋惡 惡悋 愕悋 20 愆擯惘 愕悋
- 149. 惠忰惘擧 惡 拆悋愕悽 惺惆 惆悋 惘惠 惺惆 悋惠 擧悋愆 悴悵惡 惘惆 惡 悋慍 惠忰惘擧 惡 拆悋愕悽 慍 愕悋悋惆惠 愆惆惆 悽 悋惘惆 惆惘
- 151. Case 1 惡悋惘 48 惘悋悴惺 愆悋 惡 擧 惠惘悋慍惠 悋悴悋 悴惠 慍 惡愕惠 愕悋惡 惡悋 愕悋 悋愕惠 擧惘惆 . 惆惆 惠惷忰 惘悋 悋愕擧 悋悴悋 惘愆
- 152. 愕惠惘悋惠 擯悋 惘悋惆惆悋惘 惆慍 4 擧惘 悽惘悋擧 悋愆惠悋 6 惠悋 8 愕悋惺惠 . 惆悋惘悋 愀惺 惠惶惘惡惘惆悋惘 悋惘 惆 擧悋惠惘 悋惘 172 247 6 24 48 72 96 愆擧 悋慍 惠惶惘惡惘惆悋惘 愕悋惺惠
- 154. 惆惆 惠惷忰 惘悋 惠惶悋惘 悛悋慍 惘愆
- 157. A generalized slow pattern for colon transit is typically seen as delayed progression, a persistent diffuse retention of activity throughout all segments of the colon, and a geometric center of less than 4.1 at 48h and between 4.1and 6.2 at 72h. The pattern described as suggestive of colonic inertia demonstrates failure of the radiotracer to progress beyond the splenic flexure, with a geometric center of less than 4.1at 48 and 72h. Functional outlet obstruction is present when activity has progressed into the rectosigmoid colon but then fails to be expelled, with a geometric center of more than 4.1 at 48h and less than 6.2 at 72h. To determine the amount of activity that has been defecated and left the body(region7), counting of activity in the stool is not required. Excreted-stool activity can be inferred from the total available counts on day 1 of the study obtained from the average of total abdominal counts between 2 and 5h(as described for terminal ileum filling analysis of small-bowel transit). After decay correction, the counts remaining in the body are subtracted from the total initially available, and the difference is the activity that has been excreted.
- 158. Case 2
- 160. Case 3