[恶性胸膜间皮瘤。与计算机断层扫描相比，67镓闪烁扫描的价值]

[Malignant pleural mesothelioma. Value of 67Ga scintigraphy compared to computerized tomography].

作者信息

Wentz K U, Irngartinger G, Georgi P, van Kaick G, Kleckow M, Vollhaber H H

出版信息

Rofo. 1986 Jul;145(1):61-6. doi: 10.1055/s-2008-1048887.

DOI:10.1055/s-2008-1048887

Abstract

In 34 patients with suspected malignant pleural mesothelioma the results of computed tomography are compared with the findings of 67Ga-scintigraphy. The differential diagnosis of 14 pleural mesotheliomas, 7 pleural carcinoses, 10 inflammatory and 3 other pleural diseases is performed more accurately by CT than by scintigraphy. 67Ga uptake depends on the thickness of inflammatory as well as malignant lesions. Thus, numerous pleural processes that can be localised by CT escape scintigraphic detection. CT is indicated if there is clinical and radiological suspicion of pleural mesothelioma; in that case, there is hardly any indication for 67Ga scintigraphy.

摘要

在34例疑似恶性胸膜间皮瘤患者中，将计算机断层扫描（CT）结果与67Ga闪烁扫描结果进行了比较。对于14例胸膜间皮瘤、7例胸膜癌、10例炎症性疾病和3例其他胸膜疾病的鉴别诊断，CT比闪烁扫描更准确。67Ga摄取取决于炎症性病变以及恶性病变的厚度。因此，许多可通过CT定位的胸膜病变无法通过闪烁扫描检测到。如果临床和影像学怀疑为胸膜间皮瘤，则应进行CT检查；在这种情况下，几乎没有67Ga闪烁扫描的指征。