Adám E, Kuba A, Bali I, Kalmár Nagy K, Csernay L
Orv Hetil. 1989 Feb 19;130(8):401-3.
The hemangioma cavernosum is a frequent, benign tumor of the liver. Generally the hemangioma becomes suspected during the US examination as a secondary result. From the point of view of the differential diagnostics the three-phase blood-pool scintigraphy, a new very sensitive isotope diagnostic method, has a great importance in these cases. The images taken at the beginning, the early and the late-phase show the kind of alteration unambiguously. Since the conventional planar scintigraphy is not always able to detect the small (1-2 cm in diameter) lesions and the lesions surrounded by intact parenchyma, the SPECT has big advantage increasing the resolution of images and introducing the three-dimensional imaging. The authors illustrate the possibility of specific detection of liver hemangioma in a case by SPECT.
海绵状血管瘤是肝脏常见的良性肿瘤。通常,在超声检查时作为次要结果而怀疑患有海绵状血管瘤。从鉴别诊断的角度来看,三相血池闪烁扫描作为一种新型的非常敏感的同位素诊断方法,在这些病例中具有重要意义。在开始期、早期和晚期拍摄的图像能够明确显示病变的类型。由于传统的平面闪烁扫描并不总能检测到小的(直径1 - 2厘米)病变以及被完整实质组织包围的病变,单光子发射计算机断层扫描(SPECT)在提高图像分辨率和引入三维成像方面具有很大优势。作者通过一个病例说明了利用SPECT特异性检测肝脏海绵状血管瘤的可能性。