Watanabe K, Kawahira K, Matsuura K
Am J Roentgenol Radium Ther Nucl Med. 1974 Aug;121(4):720-7. doi: 10.2214/ajr.121.4.720.
The surgical and liver scintigraphic findings were compared for evaluation of preoperative diagnostic value in 150 cases of gastric carcinoma with extension to the muscularis and serosa. There was correlation in 90 per cent of the cases, with a false negative rate of 16 per cent, and a false positive rate of 6.6 per cent. Liver metastases were detected in 89 per cent, when the liver was palpable, compared to 75 per cent in those with nonpalpable livers. Four of the 150 cases had small scintigraphically undetectable metastatic foci. Although search for liver metastases at laparotomy may be inconclusive in confirming the presence of metastases, our scintigraphic detection rate correlated closely with the surgical findings. Preoperative liver scintigraphy is therefore considered to be of great diagnostic value.
对150例侵犯肌层和浆膜的胃癌患者，比较手术及肝脏闪烁扫描结果，以评估术前诊断价值。90%的病例结果具有相关性，假阴性率为16%，假阳性率为6.6%。肝脏可触及者中，89%检测到肝转移，肝脏不可触及者中这一比例为75%。150例中有4例存在闪烁扫描难以检测到的微小转移灶。尽管剖腹手术时查找肝转移对确认转移灶的存在可能并无定论，但我们的闪烁扫描检测率与手术结果密切相关。因此，术前肝脏闪烁扫描具有很大的诊断价值。
