Department of Nuclear Medicine, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands.
J Surg Oncol. 2010 Feb 1;101(2):184-90. doi: 10.1002/jso.21439.
The value of SPECT/CT for detection and localization of sentinel nodes is reviewed. SPECT/CT depicts extra sentinel nodes and identifies non-nodal tracer accumulation. SPECT/CT is indicated in patients with complex lymphatic drainage as often present in patients with head, neck and scapular melanoma, breast cancer patients with extra-axillary sentinel nodes and patients with tumors draining to pelvic nodes. SPECT/CT also clarifies the drainage pattern of inconclusive conventional images (non-visualization or unclear location of the nodes).
本文回顾了 SPECT/CT 探测和定位前哨淋巴结的价值。SPECT/CT 可显示额外的前哨淋巴结并识别非淋巴结示踪剂积聚。SPECT/CT 适用于具有复杂淋巴引流的患者,这些患者通常存在于头部、颈部和肩胛部黑色素瘤、腋窝外前哨淋巴结的乳腺癌患者以及引流至盆腔淋巴结的肿瘤患者。SPECT/CT 还可阐明常规图像不明确(节点未显示或位置不明确)的引流模式。