Imaging of Soft Tissue Tumors with Tc(V)-99m Dimercaptosuccinic Acid: A New Tumor-seeking Agent
Tumor scintigraphy, using Tc(V)-99m dimercaptosuccinic acid (Tc(V)-DMS) was performed in 58 patients with soft tissue tumors, and the results were compared with that of Ga-67 citrate. Tc(V)-DMS was found to have a sensitivity of 90% for malignant tumors including aggressive fibromatosis compared to...
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| Veröffentlicht in: | Clin. Nucl. Med.; (United States) 1984-10, Vol.9 (10), p.568-569 |
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| creator | OHTA, HITOYA ENDO, KEIGO FUJITA, TORU NAKAJIMA, TETSUO SAKAHARA, HARUMI TORIZUKA, KANJI SHIMIZU, YASUTOMO HATA, NAOTAKA MASUDA, HIDESUKE HORIUCHI, KAZUKO YOKOYAMA, AKIRA IKEKUBO, KATSUJI INOUE, NORIHIKO TAMURA, KIYOSHI KOTOURA, YOSHIHIKO ISHII, MASAO YOSHIZUMI, MASAYUKI |
| description | Tumor scintigraphy, using Tc(V)-99m dimercaptosuccinic acid (Tc(V)-DMS) was performed in 58 patients with soft tissue tumors, and the results were compared with that of Ga-67 citrate. Tc(V)-DMS was found to have a sensitivity of 90% for malignant tumors including aggressive fibromatosis compared to that of Ga-67 citrate, which was 56%. However, the specificity of Tc(V)-DMS for these tumors was 71% but with Ga-67 citrate the specificity was 80%. The imaging accuracy in soft tissue tumors with Tc(V)-DMS and Ga-67 citrate was 78% and 71%, respectively. Although the accumulation of Tc(V)-DMS has been detected in some benign soft tissue tumors, the reduced accumulation in inflammatory lesions compared to Ga-67 citrate was recognized, and Tc(V)-DMS could be of great use in the detection of extension or location of malignant soft tissue tumors. |
| doi_str_mv | 10.1097/00003072-198410000-00007 |
| format | Article |
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Tc(V)-DMS was found to have a sensitivity of 90% for malignant tumors including aggressive fibromatosis compared to that of Ga-67 citrate, which was 56%. However, the specificity of Tc(V)-DMS for these tumors was 71% but with Ga-67 citrate the specificity was 80%. The imaging accuracy in soft tissue tumors with Tc(V)-DMS and Ga-67 citrate was 78% and 71%, respectively. Although the accumulation of Tc(V)-DMS has been detected in some benign soft tissue tumors, the reduced accumulation in inflammatory lesions compared to Ga-67 citrate was recognized, and Tc(V)-DMS could be of great use in the detection of extension or location of malignant soft tissue tumors.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-198410000-00007</identifier><identifier>PMID: 6091971</identifier><language>eng</language><publisher>United States: Lippincott-Raven Publishers</publisher><subject>550601 - Medicine- Unsealed Radionuclides in Diagnostics ; Abscess - diagnostic imaging ; ACCURACY ; Adult ; Aged ; BETA DECAY RADIOISOTOPES ; BETA-MINUS DECAY RADIOISOTOPES ; BIOLOGICAL LOCALIZATION ; CARBOXYLIC ACID SALTS ; CARBOXYLIC ACIDS ; CITRATES ; COMPARATIVE EVALUATIONS ; COUNTING TECHNIQUES ; DAYS LIVING RADIOISOTOPES ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; DICARBOXYLIC ACIDS ; DISEASES ; ELECTRON CAPTURE RADIOISOTOPES ; False Negative Reactions ; False Positive Reactions ; Female ; Fibroma - diagnostic imaging ; GALLIUM 67 ; GALLIUM ISOTOPES ; Gallium Radioisotopes ; Histiocytoma, Benign Fibrous - diagnostic imaging ; HOURS LIVING RADIOISOTOPES ; Humans ; INTERMEDIATE MASS NUCLEI ; ISOMERIC NUCLEI ; ISOMERIC TRANSITION ISOTOPES ; ISOTOPE APPLICATIONS ; ISOTOPES ; LABELLED COMPOUNDS ; Lipoma - diagnostic imaging ; Male ; Middle Aged ; NEOPLASMS ; Neurilemmoma - diagnostic imaging ; Neuroectodermal Tumors, Primitive, Peripheral - diagnostic imaging ; NUCLEI ; ODD-EVEN NUCLEI ; ORGANIC ACIDS ; ORGANIC COMPOUNDS ; PATIENTS ; RADIOISOTOPE SCANNING ; RADIOISOTOPES ; RADIOLOGY AND NUCLEAR MEDICINE ; Radionuclide Imaging ; SCINTISCANNING ; Soft Tissue Neoplasms - diagnostic imaging ; SPECIFICITY ; Succimer ; SUCCINIC ACID ; Sulfhydryl Compounds ; Synovitis - diagnostic imaging ; Technetium ; TECHNETIUM 99 ; TECHNETIUM ISOTOPES ; Technetium Tc 99m Dimercaptosuccinic Acid ; TRACER TECHNIQUES ; UPTAKE ; YEARS LIVING RADIOISOTOPES</subject><ispartof>Clin. Nucl. Med.; (United States), 1984-10, Vol.9 (10), p.568-569</ispartof><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6091971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/5948331$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>OHTA, HITOYA</creatorcontrib><creatorcontrib>ENDO, KEIGO</creatorcontrib><creatorcontrib>FUJITA, TORU</creatorcontrib><creatorcontrib>NAKAJIMA, TETSUO</creatorcontrib><creatorcontrib>SAKAHARA, HARUMI</creatorcontrib><creatorcontrib>TORIZUKA, KANJI</creatorcontrib><creatorcontrib>SHIMIZU, YASUTOMO</creatorcontrib><creatorcontrib>HATA, NAOTAKA</creatorcontrib><creatorcontrib>MASUDA, HIDESUKE</creatorcontrib><creatorcontrib>HORIUCHI, KAZUKO</creatorcontrib><creatorcontrib>YOKOYAMA, AKIRA</creatorcontrib><creatorcontrib>IKEKUBO, KATSUJI</creatorcontrib><creatorcontrib>INOUE, NORIHIKO</creatorcontrib><creatorcontrib>TAMURA, KIYOSHI</creatorcontrib><creatorcontrib>KOTOURA, YOSHIHIKO</creatorcontrib><creatorcontrib>ISHII, MASAO</creatorcontrib><creatorcontrib>YOSHIZUMI, MASAYUKI</creatorcontrib><creatorcontrib>Kyoto Univ., Japan</creatorcontrib><title>Imaging of Soft Tissue Tumors with Tc(V)-99m Dimercaptosuccinic Acid: A New Tumor-seeking Agent</title><title>Clin. Nucl. Med.; (United States)</title><addtitle>Clin Nucl Med</addtitle><description>Tumor scintigraphy, using Tc(V)-99m dimercaptosuccinic acid (Tc(V)-DMS) was performed in 58 patients with soft tissue tumors, and the results were compared with that of Ga-67 citrate. Tc(V)-DMS was found to have a sensitivity of 90% for malignant tumors including aggressive fibromatosis compared to that of Ga-67 citrate, which was 56%. However, the specificity of Tc(V)-DMS for these tumors was 71% but with Ga-67 citrate the specificity was 80%. The imaging accuracy in soft tissue tumors with Tc(V)-DMS and Ga-67 citrate was 78% and 71%, respectively. Although the accumulation of Tc(V)-DMS has been detected in some benign soft tissue tumors, the reduced accumulation in inflammatory lesions compared to Ga-67 citrate was recognized, and Tc(V)-DMS could be of great use in the detection of extension or location of malignant soft tissue tumors.</description><subject>550601 - Medicine- Unsealed Radionuclides in Diagnostics</subject><subject>Abscess - diagnostic imaging</subject><subject>ACCURACY</subject><subject>Adult</subject><subject>Aged</subject><subject>BETA DECAY RADIOISOTOPES</subject><subject>BETA-MINUS DECAY RADIOISOTOPES</subject><subject>BIOLOGICAL LOCALIZATION</subject><subject>CARBOXYLIC ACID SALTS</subject><subject>CARBOXYLIC ACIDS</subject><subject>CITRATES</subject><subject>COMPARATIVE EVALUATIONS</subject><subject>COUNTING TECHNIQUES</subject><subject>DAYS LIVING RADIOISOTOPES</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DICARBOXYLIC ACIDS</subject><subject>DISEASES</subject><subject>ELECTRON CAPTURE RADIOISOTOPES</subject><subject>False Negative Reactions</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Fibroma - diagnostic imaging</subject><subject>GALLIUM 67</subject><subject>GALLIUM ISOTOPES</subject><subject>Gallium Radioisotopes</subject><subject>Histiocytoma, Benign Fibrous - diagnostic imaging</subject><subject>HOURS LIVING RADIOISOTOPES</subject><subject>Humans</subject><subject>INTERMEDIATE MASS NUCLEI</subject><subject>ISOMERIC NUCLEI</subject><subject>ISOMERIC TRANSITION ISOTOPES</subject><subject>ISOTOPE APPLICATIONS</subject><subject>ISOTOPES</subject><subject>LABELLED COMPOUNDS</subject><subject>Lipoma - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>NEOPLASMS</subject><subject>Neurilemmoma - diagnostic imaging</subject><subject>Neuroectodermal Tumors, Primitive, Peripheral - diagnostic imaging</subject><subject>NUCLEI</subject><subject>ODD-EVEN NUCLEI</subject><subject>ORGANIC ACIDS</subject><subject>ORGANIC COMPOUNDS</subject><subject>PATIENTS</subject><subject>RADIOISOTOPE SCANNING</subject><subject>RADIOISOTOPES</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radionuclide Imaging</subject><subject>SCINTISCANNING</subject><subject>Soft Tissue Neoplasms - diagnostic imaging</subject><subject>SPECIFICITY</subject><subject>Succimer</subject><subject>SUCCINIC ACID</subject><subject>Sulfhydryl Compounds</subject><subject>Synovitis - diagnostic imaging</subject><subject>Technetium</subject><subject>TECHNETIUM 99</subject><subject>TECHNETIUM ISOTOPES</subject><subject>Technetium Tc 99m Dimercaptosuccinic Acid</subject><subject>TRACER TECHNIQUES</subject><subject>UPTAKE</subject><subject>YEARS LIVING RADIOISOTOPES</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UU1v1DAQtRBV2RZ-ApLFAdGDix0nsc1tVb4qVXBg4Wo5k8muaRIvtqNV_z1ZsvTWOcxoZt57I80jhAp-LbhR7_kckquCCaNLcezYMalnZCUqWTNeFOY5WXFZS2ZUXbwgFyn95lzUoi7PyXnNjTBKrIi9HdzWj1saOvojdJlufEoT0s00hJjowecd3cC7X1fMmIF-9ANGcPsc0gTgRw90Db79QNf0Gx4WEkuI90fF9RbH_JKcda5P-OpUL8nPz582N1_Z3fcvtzfrOwayqhUTCqFUlQbdFoCOt65pRcVBi6aUlWokYNmUrkZuqko6JwtX84Y7MNJ1RpXykrxZdEPK3ibwGWEHYRwRsq1MqaUUM-jtAtrH8GfClO3gE2DfuxHDlKwWhdZKyRmoFyDEkFLEzu6jH1x8sILbowH2vwH20YB_IzVTX59uTM2A7SPx9PF5Xy77Q-gzxnTfTweMdoeuzzv7lK_yL_m2jmQ</recordid><startdate>198410</startdate><enddate>198410</enddate><creator>OHTA, HITOYA</creator><creator>ENDO, KEIGO</creator><creator>FUJITA, TORU</creator><creator>NAKAJIMA, TETSUO</creator><creator>SAKAHARA, HARUMI</creator><creator>TORIZUKA, KANJI</creator><creator>SHIMIZU, YASUTOMO</creator><creator>HATA, NAOTAKA</creator><creator>MASUDA, HIDESUKE</creator><creator>HORIUCHI, KAZUKO</creator><creator>YOKOYAMA, AKIRA</creator><creator>IKEKUBO, KATSUJI</creator><creator>INOUE, NORIHIKO</creator><creator>TAMURA, KIYOSHI</creator><creator>KOTOURA, YOSHIHIKO</creator><creator>ISHII, MASAO</creator><creator>YOSHIZUMI, MASAYUKI</creator><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>198410</creationdate><title>Imaging of Soft Tissue Tumors with Tc(V)-99m Dimercaptosuccinic Acid: A New Tumor-seeking Agent</title><author>OHTA, HITOYA ; ENDO, KEIGO ; FUJITA, TORU ; NAKAJIMA, TETSUO ; SAKAHARA, HARUMI ; TORIZUKA, KANJI ; SHIMIZU, YASUTOMO ; HATA, NAOTAKA ; MASUDA, HIDESUKE ; HORIUCHI, KAZUKO ; YOKOYAMA, AKIRA ; IKEKUBO, KATSUJI ; INOUE, NORIHIKO ; TAMURA, KIYOSHI ; KOTOURA, YOSHIHIKO ; ISHII, MASAO ; YOSHIZUMI, MASAYUKI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3567-17ec4758c8d2cea0dabd150c81b4357b3ce4b4a6e09553aa32a60b0ac93af9743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>550601 - Medicine- Unsealed Radionuclides in Diagnostics</topic><topic>Abscess - diagnostic imaging</topic><topic>ACCURACY</topic><topic>Adult</topic><topic>Aged</topic><topic>BETA DECAY RADIOISOTOPES</topic><topic>BETA-MINUS DECAY RADIOISOTOPES</topic><topic>BIOLOGICAL LOCALIZATION</topic><topic>CARBOXYLIC ACID SALTS</topic><topic>CARBOXYLIC ACIDS</topic><topic>CITRATES</topic><topic>COMPARATIVE EVALUATIONS</topic><topic>COUNTING TECHNIQUES</topic><topic>DAYS LIVING RADIOISOTOPES</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>DICARBOXYLIC ACIDS</topic><topic>DISEASES</topic><topic>ELECTRON CAPTURE RADIOISOTOPES</topic><topic>False Negative Reactions</topic><topic>False Positive Reactions</topic><topic>Female</topic><topic>Fibroma - diagnostic imaging</topic><topic>GALLIUM 67</topic><topic>GALLIUM ISOTOPES</topic><topic>Gallium Radioisotopes</topic><topic>Histiocytoma, Benign Fibrous - diagnostic imaging</topic><topic>HOURS LIVING RADIOISOTOPES</topic><topic>Humans</topic><topic>INTERMEDIATE MASS NUCLEI</topic><topic>ISOMERIC NUCLEI</topic><topic>ISOMERIC TRANSITION ISOTOPES</topic><topic>ISOTOPE APPLICATIONS</topic><topic>ISOTOPES</topic><topic>LABELLED COMPOUNDS</topic><topic>Lipoma - diagnostic imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>NEOPLASMS</topic><topic>Neurilemmoma - diagnostic imaging</topic><topic>Neuroectodermal Tumors, Primitive, Peripheral - diagnostic imaging</topic><topic>NUCLEI</topic><topic>ODD-EVEN NUCLEI</topic><topic>ORGANIC ACIDS</topic><topic>ORGANIC COMPOUNDS</topic><topic>PATIENTS</topic><topic>RADIOISOTOPE SCANNING</topic><topic>RADIOISOTOPES</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Radionuclide Imaging</topic><topic>SCINTISCANNING</topic><topic>Soft Tissue Neoplasms - diagnostic imaging</topic><topic>SPECIFICITY</topic><topic>Succimer</topic><topic>SUCCINIC ACID</topic><topic>Sulfhydryl Compounds</topic><topic>Synovitis - diagnostic imaging</topic><topic>Technetium</topic><topic>TECHNETIUM 99</topic><topic>TECHNETIUM ISOTOPES</topic><topic>Technetium Tc 99m Dimercaptosuccinic Acid</topic><topic>TRACER TECHNIQUES</topic><topic>UPTAKE</topic><topic>YEARS LIVING RADIOISOTOPES</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OHTA, HITOYA</creatorcontrib><creatorcontrib>ENDO, KEIGO</creatorcontrib><creatorcontrib>FUJITA, TORU</creatorcontrib><creatorcontrib>NAKAJIMA, TETSUO</creatorcontrib><creatorcontrib>SAKAHARA, HARUMI</creatorcontrib><creatorcontrib>TORIZUKA, KANJI</creatorcontrib><creatorcontrib>SHIMIZU, YASUTOMO</creatorcontrib><creatorcontrib>HATA, NAOTAKA</creatorcontrib><creatorcontrib>MASUDA, HIDESUKE</creatorcontrib><creatorcontrib>HORIUCHI, KAZUKO</creatorcontrib><creatorcontrib>YOKOYAMA, AKIRA</creatorcontrib><creatorcontrib>IKEKUBO, KATSUJI</creatorcontrib><creatorcontrib>INOUE, NORIHIKO</creatorcontrib><creatorcontrib>TAMURA, KIYOSHI</creatorcontrib><creatorcontrib>KOTOURA, YOSHIHIKO</creatorcontrib><creatorcontrib>ISHII, MASAO</creatorcontrib><creatorcontrib>YOSHIZUMI, MASAYUKI</creatorcontrib><creatorcontrib>Kyoto Univ., Japan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Clin. 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Med.; (United States)</jtitle><addtitle>Clin Nucl Med</addtitle><date>1984-10</date><risdate>1984</risdate><volume>9</volume><issue>10</issue><spage>568</spage><epage>569</epage><pages>568-569</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>Tumor scintigraphy, using Tc(V)-99m dimercaptosuccinic acid (Tc(V)-DMS) was performed in 58 patients with soft tissue tumors, and the results were compared with that of Ga-67 citrate. Tc(V)-DMS was found to have a sensitivity of 90% for malignant tumors including aggressive fibromatosis compared to that of Ga-67 citrate, which was 56%. However, the specificity of Tc(V)-DMS for these tumors was 71% but with Ga-67 citrate the specificity was 80%. The imaging accuracy in soft tissue tumors with Tc(V)-DMS and Ga-67 citrate was 78% and 71%, respectively. Although the accumulation of Tc(V)-DMS has been detected in some benign soft tissue tumors, the reduced accumulation in inflammatory lesions compared to Ga-67 citrate was recognized, and Tc(V)-DMS could be of great use in the detection of extension or location of malignant soft tissue tumors.</abstract><cop>United States</cop><pub>Lippincott-Raven Publishers</pub><pmid>6091971</pmid><doi>10.1097/00003072-198410000-00007</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-9762 |
| ispartof | Clin. Nucl. Med.; (United States), 1984-10, Vol.9 (10), p.568-569 |
| issn | 0363-9762 1536-0229 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_81288773 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | 550601 - Medicine- Unsealed Radionuclides in Diagnostics Abscess - diagnostic imaging ACCURACY Adult Aged BETA DECAY RADIOISOTOPES BETA-MINUS DECAY RADIOISOTOPES BIOLOGICAL LOCALIZATION CARBOXYLIC ACID SALTS CARBOXYLIC ACIDS CITRATES COMPARATIVE EVALUATIONS COUNTING TECHNIQUES DAYS LIVING RADIOISOTOPES DIAGNOSIS DIAGNOSTIC TECHNIQUES DICARBOXYLIC ACIDS DISEASES ELECTRON CAPTURE RADIOISOTOPES False Negative Reactions False Positive Reactions Female Fibroma - diagnostic imaging GALLIUM 67 GALLIUM ISOTOPES Gallium Radioisotopes Histiocytoma, Benign Fibrous - diagnostic imaging HOURS LIVING RADIOISOTOPES Humans INTERMEDIATE MASS NUCLEI ISOMERIC NUCLEI ISOMERIC TRANSITION ISOTOPES ISOTOPE APPLICATIONS ISOTOPES LABELLED COMPOUNDS Lipoma - diagnostic imaging Male Middle Aged NEOPLASMS Neurilemmoma - diagnostic imaging Neuroectodermal Tumors, Primitive, Peripheral - diagnostic imaging NUCLEI ODD-EVEN NUCLEI ORGANIC ACIDS ORGANIC COMPOUNDS PATIENTS RADIOISOTOPE SCANNING RADIOISOTOPES RADIOLOGY AND NUCLEAR MEDICINE Radionuclide Imaging SCINTISCANNING Soft Tissue Neoplasms - diagnostic imaging SPECIFICITY Succimer SUCCINIC ACID Sulfhydryl Compounds Synovitis - diagnostic imaging Technetium TECHNETIUM 99 TECHNETIUM ISOTOPES Technetium Tc 99m Dimercaptosuccinic Acid TRACER TECHNIQUES UPTAKE YEARS LIVING RADIOISOTOPES |
| title | Imaging of Soft Tissue Tumors with Tc(V)-99m Dimercaptosuccinic Acid: A New Tumor-seeking Agent |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T08%3A37%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_osti_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Imaging%20of%20Soft%20Tissue%20Tumors%20with%20Tc(V)-99m%20Dimercaptosuccinic%20Acid:%20A%20New%20Tumor-seeking%20Agent&rft.jtitle=Clin.%20Nucl.%20Med.;%20(United%20States)&rft.au=OHTA,%20HITOYA&rft.aucorp=Kyoto%20Univ.,%20Japan&rft.date=1984-10&rft.volume=9&rft.issue=10&rft.spage=568&rft.epage=569&rft.pages=568-569&rft.issn=0363-9762&rft.eissn=1536-0229&rft_id=info:doi/10.1097/00003072-198410000-00007&rft_dat=%3Cproquest_osti_%3E81288773%3C/proquest_osti_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=81288773&rft_id=info:pmid/6091971&rfr_iscdi=true |