Khanagova R G
Med Radiol (Mosk). 1990 May;35(5):24-7.
The paper is devoted to analysis of the potentialities of the combined use of thermographic and scintigraphic methods of investigation in differential diagnosis of malignant and benign soft tissue tumors in 51 children. Malignant tumors were diagnosed in 27 patients, benign tumors--in 13, pathological conditions of nontumorous etiology--in 11. Thermography revealed malignant tumors in 18 patients. The GTT based on V. S. Shapot's theory was used for the first time to increase the efficacy of thermography in differential diagnosis of malignant tumors in children. GTT sensitivity in the detection of malignant tumors was 100%. Positive scintigraphy with the tumoritropic agent 67Ga-citrate showing the highest specificity in the diagnosis of soft tissue tumors, was used in combination with thermographic methods. The combined use of the above three methods permitted differential diagnosis of malignant and benign soft tissue tumors in children with the accuracy of 90.1%.
本文致力于分析热成像和闪烁扫描检查方法联合应用于51例儿童恶性和良性软组织肿瘤鉴别诊断的潜力。27例患者被诊断为恶性肿瘤,13例为良性肿瘤,11例为非肿瘤病因的病理状况。热成像显示18例患者患有恶性肿瘤。首次使用基于V. S. 沙波特理论的GTT来提高热成像在儿童恶性肿瘤鉴别诊断中的功效。GTT检测恶性肿瘤的敏感性为100%。使用对肿瘤有亲和性的67Ga-柠檬酸盐进行阳性闪烁扫描,其在软组织肿瘤诊断中显示出最高的特异性,并与热成像方法联合使用。上述三种方法联合使用可使儿童恶性和良性软组织肿瘤的鉴别诊断准确率达到90.1%。