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获得性免疫缺陷综合征:枸橼酸镓-67显像

Acquired immunodeficiency syndrome: Ga-67 citrate imaging.

作者信息

Woolfenden J M, Carrasquillo J A, Larson S M, Simmons J T, Masur H, Smith P D, Shelhamer J H, Ognibene F P

出版信息

Radiology. 1987 Feb;162(2):383-7. doi: 10.1148/radiology.162.2.3492009.

DOI:10.1148/radiology.162.2.3492009
PMID:3492009
Abstract

All gallium-67 citrate scans obtained in patients with acquired immunodeficiency syndrome (AIDS) at the Clinical Center, National Institutes of Health (Bethesda, Md.) were retrospectively analyzed and correlated with the results of bronchoscopy, chest radiography, and endoscopy. There were 164 scans of 95 patients. Twenty scans were from patients with Pneumocystis carinii pneumonia; 19 were abnormal, for a sensitivity of 95%. Ga-67 uptake tended to be less in patients receiving therapy for P. carinii pneumonia. Chest radiographs were normal at least initially in three patients with abnormal scans and P. carinii pneumonia. Unusually prominent colonic activity was associated with infection in some patients. No lesions of Kaposi sarcoma showed tracer uptake. Gallium scanning is useful for detecting P. carinii pneumonia and other opportunistic infections in patients with AIDS, but it is not useful for localizing Kaposi sarcoma.

摘要

对美国国立卫生研究院临床中心(马里兰州贝塞斯达)获得性免疫缺陷综合征(AIDS)患者进行的所有枸橼酸镓-67扫描进行了回顾性分析,并与支气管镜检查、胸部X线摄影和内镜检查结果进行了关联。共对95例患者进行了164次扫描。20次扫描来自卡氏肺孢子虫肺炎患者;19次扫描结果异常,敏感性为95%。接受卡氏肺孢子虫肺炎治疗的患者镓-67摄取往往较少。在3例扫描结果异常且患有卡氏肺孢子虫肺炎的患者中,胸部X线摄影至少在最初是正常的。在一些患者中,结肠异常显著的活动与感染有关。卡波西肉瘤病灶未显示示踪剂摄取。镓扫描有助于检测AIDS患者的卡氏肺孢子虫肺炎和其他机会性感染,但对卡波西肉瘤的定位没有帮助。

相似文献

1
Acquired immunodeficiency syndrome: Ga-67 citrate imaging.获得性免疫缺陷综合征:枸橼酸镓-67显像
Radiology. 1987 Feb;162(2):383-7. doi: 10.1148/radiology.162.2.3492009.
2
Gallium-67 scans of the chest in patients with acquired immunodeficiency syndrome.
J Nucl Med. 1987 Jul;28(7):1107-14.
3
Pneumocystis carinii pneumonia studied by gallium-67 scanning.用镓-67扫描研究卡氏肺孢子虫肺炎。
Radiology. 1985 Mar;154(3):791-3. doi: 10.1148/radiology.154.3.3871532.
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Evaluation of sequential thallium and gallium scans of the chest in AIDS patients.艾滋病患者胸部连续铊和镓扫描的评估。
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Correlation between gallium lung scans and fiberoptic bronchoscopy in patients with suspected Pneumocystis carinii pneumonia and the acquired immune deficiency syndrome.疑似卡氏肺孢子虫肺炎和获得性免疫缺陷综合征患者的镓肺扫描与纤维支气管镜检查之间的相关性
Am Rev Respir Dis. 1984 Dec;130(6):1166-9. doi: 10.1164/arrd.1984.130.6.1166.
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Focal lung uptake of gallium-67 in patients with acquired immunodeficiency syndrome secondary to pneumocystis carinii pneumonia.继发于卡氏肺孢子虫肺炎的获得性免疫缺陷综合征患者肺部镓-67的局灶性摄取。
Eur J Nucl Med. 1988;14(7-8):424-6. doi: 10.1007/BF00254399.
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Patterns of gallium-67 scintigraphy in patients with acquired immunodeficiency syndrome and the AIDS related complex.获得性免疫缺陷综合征及艾滋病相关综合征患者的镓-67闪烁扫描模式。
J Nucl Med. 1987 Jul;28(7):1103-6.
8
[67Ga citrate imaging in AIDS-related Pneumocystis carinii pneumonia in Japan].
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Gallium-67 lung scintigraphy in patients with acquired immune deficiency syndrome (AIDS).获得性免疫缺陷综合征(艾滋病)患者的镓-67肺闪烁扫描
Eur J Respir Dis. 1986 May;68(5):313-8.
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Pulmonary Kaposi sarcoma in patients with AIDS: scintigraphic diagnosis with sequential thallium and gallium scanning.艾滋病患者的肺卡波西肉瘤:用铊和镓序列扫描进行闪烁扫描诊断。
Radiology. 1991 Aug;180(2):409-12. doi: 10.1148/radiology.180.2.2068302.

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Imaging of infection: a correlative and algorithmic approach.感染的影像学检查:一种相关且基于算法的方法。
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Gallium Studies in Patients With the Acquired Immunodeficiency Syndrome (AIDS) and the AIDS-Related Complex.获得性免疫缺陷综合征(艾滋病)及艾滋病相关综合征患者的镓研究
West J Med. 1988 Apr;148(4):451-2.
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Ann Nucl Med. 1996 Nov;10(4):369-73. doi: 10.1007/BF03164796.
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Focal lung uptake of gallium-67 in patients with acquired immunodeficiency syndrome secondary to pneumocystis carinii pneumonia.继发于卡氏肺孢子虫肺炎的获得性免疫缺陷综合征患者肺部镓-67的局灶性摄取。
Eur J Nucl Med. 1988;14(7-8):424-6. doi: 10.1007/BF00254399.
6
Value of 67gallium scintigraphy in primary diagnosis and follow-up of opportunistic pneumonia in patients with AIDS.
Lung. 1990;168 Suppl:692-703. doi: 10.1007/BF02718196.
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Pneumocystis carinii, an opportunist in immunocompromised patients.卡氏肺孢子菌,一种免疫功能低下患者体内的机会致病菌。
Clin Microbiol Rev. 1991 Apr;4(2):137-49. doi: 10.1128/CMR.4.2.137.
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Optimal management strategies for HIV-infected patients who present with cough or dyspnea: a cost-effective analysis.出现咳嗽或呼吸困难的HIV感染患者的最佳管理策略:一项成本效益分析。
J Gen Intern Med. 1992 May-Jun;7(3):261-72. doi: 10.1007/BF02598081.