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镓-67单光子发射计算机断层扫描与计算机断层扫描在纵隔霍奇金病中的比较

A comparison of gallium-67 single photon emission computed tomography and computed tomography in mediastinal Hodgkin's disease.

作者信息

Karimjee S, Brada M, Husband J, McCready V R

机构信息

North Middlesex Hospital, London, U.K.

出版信息

Eur J Cancer. 1992;28A(11):1856-7. doi: 10.1016/0959-8049(92)90021-s.

DOI:10.1016/0959-8049(92)90021-s
PMID:1389526
Abstract

The role of gallium-67 single photon emission computed tomography (Ga-67 SPECT) in the assessment of mediastinal Hodgkin's disease was evaluated prospectively. Ga-67 SPECT and computed tomography (CT) were compared and correlated with clinical findings at initial presentation in 30 patients, 6 weeks after treatment, and 6 months later in 20 of the 30 patients. At initial presentation, active disease was detected on both imaging modalities on all occasions. 6 weeks after treatment CT showed residual mediastinal abnormality in 7 patients, whereas Ga-67 SPECT showed abnormal mediastinal tracer uptake in 3 patients. 6 months later CT showed residual mediastinal abnormality in 5 patients whereas all the Ga-67 SPECT studies were negative. Ga-67 SPECT imaging is a useful tool in assessing response to therapy in mediastinal Hodgkin's disease.

摘要

前瞻性评估了镓-67单光子发射计算机断层扫描(Ga-67 SPECT)在纵隔霍奇金病评估中的作用。对30例患者在初次就诊时、治疗6周后以及30例患者中的20例在6个月后的Ga-67 SPECT和计算机断层扫描(CT)进行了比较,并与临床表现进行了关联。初次就诊时,在所有情况下两种成像方式均检测到活动性疾病。治疗6周后,CT显示7例患者纵隔残留异常,而Ga-67 SPECT显示3例患者纵隔示踪剂摄取异常。6个月后,CT显示5例患者纵隔残留异常,而所有Ga-67 SPECT检查均为阴性。Ga-67 SPECT成像在评估纵隔霍奇金病的治疗反应中是一种有用的工具。

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