Biomedical subjects

Shoji Kawatsu

Publications and source records attributed to Shoji Kawatsu.

4 recordsLinked to original sources

PubMed2006

An abnormal accumulation of fluorine-18-FDG PET in cytomegalovirus enteritis--a case report.

The source of a fever of unknown origin (FUO) and watery diarrhea in a 63-yr-old female with a history of disturbance of consciousness due to moyamoya disease was examined. Fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET), colonoscopy, blood analysis, and determination of cytomegalovirus (CMV) antigenemia were performed. FDG was found to be accumulated in the wall of a dilated colon, and extended from the transverse to sigmoid colon. Colonoscopy revealed edematous, inflammatory, and punched out lesions in accordance with the areas of abnormal FDG uptake. A biopsy specimen showed the antibody of CMV in the colonic mucosa, and CMV antigenemia was detected by an immunohistochemical assay using a monoclonal antibody for CMV pp65 antigen. From these findings, we strongly suspected CMV enteritis.

Cytomegalovirus↗

PubMed2005

Development of a practical image-based scatter correction method for brain perfusion SPECT: comparison with the TEW method.

PURPOSE: An image-based scatter correction (IBSC) method was developed to convert scatter-uncorrected into scatter-corrected SPECT images. The purpose of this study was to validate this method by means of phantom simulations and human studies with 99mTc-labeled tracers, based on comparison with the conventional triple energy window (TEW) method. METHODS: The IBSC method corrects scatter on the reconstructed image I(mub)AC with Chang's attenuation correction factor. The scatter component image is estimated by convolving I(mub)AC with a scatter function followed by multiplication with an image-based scatter fraction function. The IBSC method was evaluated with Monte Carlo simulations and 99mTc-ethyl cysteinate dimer SPECT human brain perfusion studies obtained from five volunteers. The image counts and contrast of the scatter-corrected images obtained by the IBSC and TEW methods were compared. RESULTS: Using data obtained from the simulations, the image counts and contrast of the scatter-corrected images obtained by the IBSC and TEW methods were found to be nearly identical for both gray and white matter. In human brain images, no significant differences in image contrast were observed between the IBSC and TEW methods. CONCLUSION: The IBSC method is a simple scatter correction technique feasible for use in clinical routine.

Algorithms↗

PubMed2004

Visual hallucination in Parkinson's disease with FDG PET.

To determine the characteristics of cerebral glucose metabolism in Parkinson's disease patients with visual hallucinations, group comparison studies using [18F]fluorodeoxyglucose positron emission tomography were performed. Nondemented Parkinson's disease patients in advanced stages were classified into two groups: (1) patients without visual hallucinations; (2) patients with visual hallucinations. Compared to patients without hallucinations, the relative regional cerebral glucose metabolic rate was greater in the frontal areas in patients with visual hallucinations, and the increase reached a significant level in the left superior frontal gyrus. Relative frontal hypermetabolism may be a feature of Parkinson's disease patients with visual hallucinations.

Aged↗

PubMedDate not supplied

New insight into the analysis of 6-[18F]fluoro-L-DOPA PET dynamic data in brain tissue without an irreversible compartment: comparative study of the Patlak and Logan analyses.

The objective of this study was to show that the Logan analysis is theoretically more appropriate than the Patlak analysis for the assessment of 6-[18F] fluoro-L-DOPA (FDOPA) positron emission tomography (PET) dynamic data in brain tissue without an irreversible compartment, e.g., occipital cortex. Another purpose was to provide the first application of this analysis to real data. Ten normal controls (NC), 10 Parkinson's disease (PD) patients, and 10 Parkinson's disease with dementia (PDD) patients underwent FDOPA PET. The Logan analysis and the Patlak analysis were applied to the occipital cortex with the cerebellum as a reference tissue. In the occipital cortex, the Logan analysis showed a significant difference (p=0.018) between NC and PDD patients. However, the Patlak analysis showed no significant differences, but larger variances. The Logan analysis of FDOPA PET dynamic data in the occipital cortex was considered to be theoretically appropriate and to provide new insight into the analysis of that region.

Aged↗