Malik M H
Clin Nucl Med. 1987 Jul;12(7):543-7. doi: 10.1097/00003072-198707000-00012.
To determine the role of blood pool SPECT in hepatic hemangioma, 13 patients with suspected biliary disease but no prior history of neoplasm, in whom ultrasound examinations revealed one or more hepatic lesions, had blood pool SPECT followed by planar imaging of the liver. All 13 patients also had hepatic flow studies and early planar images. The 13 patients had 18 hemangiomas. The sensitivity for planar and SPECT for all hemangiomas was 12/18 (67%) and 17/18 (94%), respectively. All lesions greater than 3 cm were seen in the planar and SPECT images. For lesions 3 cm or smaller the sensitivity was 6/12 (50%) for planar and 11/12 (92%) for SPECT. This study suggests that blood pool SPECT of the liver may be the nuclear medicine study of choice in the diagnosis of hepatic hemangioma and that it has a considerably higher sensitivity than planar imaging in the detection of hemangiomas 3 cm or less in size.
为了确定血池单光子发射计算机断层扫描（SPECT）在肝血管瘤诊断中的作用，对13例疑似胆道疾病但无肿瘤病史的患者进行了研究，这些患者的超声检查显示肝脏有一个或多个病变，先进行了肝脏血池SPECT检查，随后进行肝脏平面显像。所有13例患者还进行了肝脏血流研究和早期平面图像检查。这13例患者共有18个血管瘤。平面显像和SPECT对所有血管瘤的敏感性分别为12/18（67%）和17/18（94%）。所有大于3cm的病变在平面显像和SPECT图像中均可见。对于3cm及以下的病变，平面显像的敏感性为6/12（50%），SPECT为11/12（92%）。本研究表明，肝脏血池SPECT可能是诊断肝血管瘤的首选核医学检查方法，并且在检测直径3cm及以下的血管瘤方面，其敏感性明显高于平面显像。
