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1.
THE ROLE OF SPECT/CT SCINTIGRAPHY IN LOCALIZATION OF PARATHYROID ADENOMAS
Sebastijan Rep, 2016, magistrsko delo

Opis: Parathyroid scintigraphy is based on the different accumulation and distribution of radiopharmaceutical 99mTc-MIBI (MIBI) in parathyroid and adjacent tissues. Different scintigraphic techniques can be used: subtraction scintigraphy is a combination of MIBI and 99mTc-pertehnetate (pertehnetate) scintigraphy; SPECT can be performed after intravenous injection of MIBI or in the combination with low-dose computerized tomography (SPECT/CT) which allows precise anatomical localization of enlarged parathyroid glands (EPG). The objectives of our study were: to assess diagnostic performance of preoperative localization of EPG (adenomas and hyperplasia) of the early, delayed and combined SPECT/CT and of subtraction scintigraphy in patients with biochemically proven primary hyperparathyroidism (PHP); to determine whether size of EPG, serum parathyroid hormone (PTH), calcium (Ca) and phosphate (P) correlate with successful localization; to assess radiation exposure of patients with early and late SPECT/CT and subtraction scintigraphy The study included 41 patients in whom early, delay SPECT/CT and subtraction scintigraphy were performed. For all scintigraphic methods sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated. Receiver Operating Characteristic analysis was used to express relationship between scintigraphy results and size of the EPG and serum Ca, P and PTH levels. ImPACT CT Patient Dosimetry Calculator and weighting factors for radiopharmaceuticals (MIBI and pertechnetate) were used for calculating patient expose dose. Sensitivity and specificity were 51.1% and 98.3 for subtraction scintigraphy, 65.1% and 97.5% for early SPECT/CT and 65.1% and 95.5% for delay SPECT/CT. In combined early and delay SPECT/CT sensitivity and specificity were 74.4% and 95.1%.Only size of the EPG correlated with successful localization in our study (AUC of 0.791-0.810). The highest average ED per patient had subtraction scintigraphy (7.37±0.40 mSv), which was statistically significant higher in comparison to combined early and delayed SPECT/CT (6.81±0.44 mSv). The most sensitive and most accurate method of preoperative localization of EPG in patients with PHP is combined early and delayed SPECT/CT. Only size of the EPG correlates with successful localization. The highest radiation exposure is after subtraction scintigraphy.
Najdeno v: ključnih besedah
Povzetek najdenega: ..., combined SPECT/CT, subtraction scintigraphy, 99mTc-MIBI, 99mTc-pertechnetate, effective dose, serum parathyroid hormone, calcium, phosphate...
Ključne besede: Enlarged parathyroid glands, early SPECT/CT, delayed SPECT/CT, combined SPECT/CT, subtraction scintigraphy, 99mTc-MIBI, 99mTc-pertechnetate, effective dose, serum parathyroid hormone, calcium, phosphate
Objavljeno: 03.10.2016; Ogledov: 1049; Prenosov: 40
.pdf Polno besedilo (1,03 MB)

2.
ASSESSMENT OF EFFECTIVE DOSES BASED ON VARIOUS RADON MEASURING TECHNIQUES
Nataša Smrekar, 2016, magistrsko delo

Opis: In my master's thesis, I have focused on radon gas in 43 buildings used for different purposes (23 schools, 3 kindergartens, 16 offices and a residential house) in which preliminary measurements had shown higher concentrations of radon gas. I carried out measurements of radon and short-lived radon products whilst simultaneously employing different measurement techniques. In all 43 buildings, I measured the instantaneous concentration of radon by using scintillation cells; in 18 buildings, I additionally measured the average concentration of radon by using solid state nuclear track detectors and in 10 buildings, I measured concentration retrospectively with solid state nuclear track detectors. In four selected buildings (a school, a kindergarten, an office and a residential house), I carried out the measurements by using all of the available equipment. I monitored the daily fluctuations of concentration of radon and short-lived radon products by using continuous monitors in 14 buildings. This is how I obtained the factor of radioactive equilibrium between radon and its short-lived products. Based on the results obtained, I calculated the effective doses. As the basis for calculating the doses, I used the instantaneous and average concentrations of radon and the equilibrium factor taken from literature (0.40) or own measurements. I compared the doses and critically evaluated them. In contrast to the previous research, I researched radon exclusively in areas with increased risk for radon. I studied the influence of the working regime on the concentration of radon in different working environments (i.e. a school, a kindergarten and an office).
Najdeno v: ključnih besedah
Povzetek najdenega: ...track detector, retrospective detector, equilibrium factor, effective dose, comparison....
Ključne besede: Radon, short-lived radon products, measurement technique, scintillation cell, solid-state nuclear track detector, retrospective detector, equilibrium factor, effective dose, comparison.
Objavljeno: 28.09.2016; Ogledov: 821; Prenosov: 68
.pdf Polno besedilo (1,86 MB)

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