Suga K, Kawamura M, Nishigauchi K, Yoneshiro S, Fujita T, Ohno Y, Matsumoto T, Nakanishi T, Utsumi H, Yamada N
Department of Radiology, Yamaguchi University School of Medicine.
Kaku Igaku. 1992 Sep;29(9):1143-9.
99mTc-hexamethylpropylene amineoxime (99mTc-HMPAO) scintigraphy was performed in 15 malignant tumors in 11 patients and a patient with bronchopneumonia. A high 99mTc-HMPAO affinity for the tumors was observed on SPECT, however, the mean tumor/contralateral normal lung ratios of 99mTc-HMPAO activity (1.26) was lower than that of 201Tl-chloride (2.29). 99mTc-HMPAO uptake was seen not only in the tumors but also in the bronchopneumonia, atelectasis, and irradiated lung (containing radiation fibrosis). Moreover, a diffuse uptake in the lung was seen in a patient received repeated chemotherapy. Therefore, it is emphasized that there is a non-specific 99mTc-HMPAO uptake in those various pulmonary conditions.
对11例患者的15个恶性肿瘤以及1例支气管肺炎患者进行了99m锝-六甲基丙烯胺肟(99mTc-HMPAO)闪烁扫描。在单光子发射计算机断层扫描(SPECT)上观察到肿瘤对99mTc-HMPAO具有高亲和力,然而,99mTc-HMPAO活性的平均肿瘤/对侧正常肺比值(1.26)低于氯化铊(2.29)。99mTc-HMPAO摄取不仅见于肿瘤,还见于支气管肺炎、肺不张和照射肺(含放射性纤维化)。此外,1例接受重复化疗的患者肺部出现弥漫性摄取。因此,强调在这些各种肺部疾病中存在非特异性的99mTc-HMPAO摄取。