MIBG scintiscan

ʻO kahi scibiscan MIBG kahi ʻano o ka hoʻokolohua kiʻi. Hoʻohana ia i kahi mea radioactive (i kapa ʻia he tracer). ʻIke a hōʻoia paha kahi scanner i ka hiki ʻana o pheochromocytoma a me neuroblastoma. ʻO kēia nā ʻano tumors e pili ana i nā aʻa nerve.

Hoʻokomo ʻia kahi radioisotope (MIBG, iodine-131-meta-iodobenzylguanidine, a iodine-123-meta-iodobenzylguanidine) i kahi aa koko. Hoʻopili kēia hui i nā hunaola tumola kikoʻī.

Loaʻa iā ʻoe ka scan ma hope o kēlā lā a i ka lā aʻe. No kēia ʻāpana o ka hoʻāʻo, moe ʻoe ma ka papa ma lalo o ka lima o ka scanner. Nānā ʻia kou ʻōpū. Pono paha ʻoe e hoʻi no ka scans hou no 1 a 3 mau lā. Kēlā me kēia scan NineManga.com 1 i 2 mau hola.

Ma mua a i ʻole i ka wā o ka hoʻāʻo, hāʻawi ʻia paha ʻoe i kahi hui iodine. Pale kēia i kāu kelepa thyroid mai ka omo nui ʻana i ka radioisotope.

Pono ʻoe e kau inoa i kahi palapala ʻae ʻikepili. E noi ʻia ʻoe e ʻaʻahu i ke kapa komo i ka haukapila a i ʻole nā ​​lole lole lino. Pono ʻoe e hemo i nā mea hoʻonaninani a i ʻole nā ​​mea hao ma mua o kēlā me kēia scan. Hoʻopilikia nā lāʻau he nui i ka hoʻāʻo. E noi i kāu mea mālama ola ʻo wai o kāu mau lāʻau maʻamau āu e pono ai e hōʻoki i ka lawe ʻana ma mua o ka hōʻoia.

E ʻike ʻoe i kahi kui kuʻikuʻu ʻoi loa ke injected i ka mea. Anuanu a paʻakikī paha ka pākaukau. E moe mālie ʻoe i ka nānā ʻana.

Hana ʻia kēia ho'āʻo e kōkua i ka hōʻoia ʻana i ka pheochromocytoma. Hana ʻia ia i kahi scan CT ʻōpū a i ʻole scan MRI ʻōpū ʻaʻole hāʻawi i kahi pane kikoʻī. Hoʻohana ʻia ia e kōkua i ke diagnose neuroblastoma a hiki ke hoʻohana ʻia no nā tumors carcinoid.

ʻAʻohe hōʻailona o ka tumo.

Hōʻike nā hopena maʻamau:

• Pheochromocytoma
• Neoplasia endocrine maha (MEN) II
• Tumo Carcinoid
• ʻO Neuroblastoma

Aia kekahi hōʻike i ka pāhawewe mai ka radioisotope. ʻOi aku ka kiʻekiʻe o ka radiation mai kēia radioisotope ma mua o nā mea ʻē aʻe ʻē aʻe. Pono paha ʻoe e hana i ke akahele hou aʻe no kekahi mau lā ma hope o ka hoʻāʻo. E haʻi aku kāu mea hāʻawi iā ʻoe i nā hana e hana ai.

Ma mua a i ʻole i ka wā o ka hoʻāʻo, hāʻawi ʻia paha ʻoe i kahi hopena iodine. Mālama kēia i kou kelu thyroid mai ka omo nui ʻana i ka iodine. Lawe ka poʻe i potide iodide no 1 lā ma mua a me 6 mau lā ma hope. Pale kēia i ka thyroid mai ka lawe ʻana i ka MIBG.

ʻAʻole pono e hana i kēia hōʻoia ma nā wahine hāpai. Hiki i ke radiation ke hoʻoweliweli i ka pēpē i hānau ʻole ʻia.

Kiʻi medullary Adrenal; Meta-iodobenzylguanidine scintiscan; Pheochromocytoma - MIBG; Neuroblastoma - MIBG; ʻO Carcinoid MIBG

• ʻOki MIBG

Bleeker G, Tytgat GAM, Adam JA, et al. 123I-MIBG scintigraphy a me 18F-FDG-PET kiʻi no ka diagnose neuroblastoma. ʻO Cochrane Database Syst Rev.. 2015; (9): CDC009263. PMID: 26417712 pubmed.ncbi.nlm.nih.gov/26417712/.

ʻO Cohen DL, ʻo Fishbein L. kiʻekiʻe kiʻekiʻe: pheochromocytoma a me paraganglioma. I: Bakris GL, Sorrentino MJ, eds. Hypertension: He hoa hele no ka maʻi puʻuwai o Braunwald. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 15.

ʻO Oberg K. Neuroendocrine tumors a me nā maʻi e pili pū ana. I Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 45.

ʻO Yeh MW, Livhits MJ, Duh Q-Y. ʻO nā momona adrenal. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 39.