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[肝脏单光子发射计算机断层扫描(SPECT)临床疗效的分组研究结果]

[Results obtained from the group study on the clinical efficacy of SPECT of the liver].

作者信息

Oyamada H, Machida K, Matsumoto T

机构信息

National Cancer Center, Tokyo.

出版信息

Radioisotopes. 1987 Jul;36(7):340-6. doi: 10.3769/radioisotopes.36.7_340.

Abstract

The influence of SPECT over the detectability of SOL in the liver was evaluated by the Subcommittee on Efficacy Study, which belongs to Medical and Pharmaceutical Committee of Japan Radioisotope Association, under the participation of 9 hospitals including some university hospitals. In this study segmental reading of the SOL was requested. The film reading was performed twice on the different patient-groups and the results from well-experienced doctors (11 doctors) were summarized, indicating a slight increase in sensitivity as a whole although there were some doctors showing a reverse effect in each performance. Sensitivity was determined in the patient-group without SOL, which showed a slight decrease as a whole, indicating that SPECT had some possibility of increasing false positive cases. In the study of SOL detectability based on its segmental location, a marked positive effect of SPECT was noted in the right anterior and right posterior segments whereas a marked negative effect in the left lateral segment. The left medial segment also showed a slight decrease in the detectability of SOL.

摘要

日本放射性同位素协会医学与药学委员会下属的疗效研究小组委员会,在包括一些大学医院在内的9家医院参与下,评估了单光子发射计算机断层扫描(SPECT)对肝脏实性占位性病变(SOL)可检测性的影响。在本研究中,要求对SOL进行分段阅片。在不同患者组上对胶片进行了两次阅片,并汇总了经验丰富的医生(11名医生)的结果,结果表明总体敏感性略有提高,尽管在每次阅片时有一些医生显示出相反的结果。在无SOL的患者组中确定了敏感性,该组总体上略有下降,这表明SPECT有增加假阳性病例的可能性。在基于SOL分段位置的可检测性研究中,SPECT在右前叶和右后叶显示出明显的积极效果,而在左外叶则显示出明显的消极效果。左内侧叶的SOL可检测性也略有下降。

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