Arbizu J, Varela J I, García M J, Domper M, Ramírez J C, Richter J
Servicio de Medicina Nuclear, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra.
Rev Esp Enferm Dig. 1991 Sep;80(3):173-7.
By means of ultrasonography it is possible to detect hepatic lesions of few millimeters, however, it doesn't give a precise diagnosis. The role of planar scintigraphy in the diagnosis of hepatic hemangioma has already been established, although it has limitations which are partially solved by means of SPECT. 46 patients with different pathologies and 9 healthy volunteers have been studied. In the 19 confirmed hemangiomas, planar scintigraphy showed a sensitivity of 73.6% versus 84.2% for SPECT, mostly due to lesions less than 2.5 cm. Besides that, SPECT allowed a correct visualization of abdominal and intrahepatic major vessels, although lesions less than 1.5 cm are difficult to evaluate.
通过超声检查能够检测出几毫米大小的肝脏病变,然而,它无法做出精确诊断。平面闪烁扫描术在肝血管瘤诊断中的作用已经得到确立,尽管它存在局限性,而单光子发射计算机断层扫描(SPECT)在一定程度上解决了这些局限性。对46例患有不同病症的患者和9名健康志愿者进行了研究。在19例确诊的血管瘤病例中,平面闪烁扫描术的灵敏度为73.6%,而SPECT的灵敏度为84.2%,这主要是因为小于2.5厘米的病变。除此之外,SPECT能够正确显示腹部和肝内主要血管,尽管小于1.5厘米的病变难以评估。