Bell E, Breuel H P, Wuttke H, Sürgers P, Hofmann S, Knopp R
Nuklearmedizin. 1979 Oct;18(4):209-14.
In 104 patients without liver disease, liver spleen scintigrams were analysed according to uniform criteria. The scintigrams were taken after application of 99mTc-sulfur colloid in at least six projections with the gamma camera and coupled data processing. As a significant difference compared to scanner scintigraphy, a non-homogeneous storage pattern is frequently also found in the healthy liver, especially in the ventral projection. Superimpositions or impressions caused by extra- or intrahepatic structures were also more frequent and more pronounced than with scanner scintigraphy. As expected, there were no appreciable differences with regard to the liver forms. The following quantitative parameters were determined (mean +/- SD): maximum vertical diameter of the liver: 199 +/- 20.0 mm, maximum horizontal diameter: 219 +/- 19.8 mm; liver area (ventral projection): 187 +/- 27.3 cm2; spleen area (dorsal projection): 55.3 +/- 15.9 cm2; index of liver size (liver area divided by the normal weight of the patient as determined from a given table): mean +/- SD = 2.69 +/- 0.58 (ventral projection); spleen area index (spleen area divded by body surface): mean = 3.03 +/- 0.81 (dorsal projection). The choice of projection did not have any appreciable effect on the area dimensions and indices, so that with super-imposition of organs these values can be determined with sufficient accuracy even from oblique projections.
对104例无肝脏疾病的患者，按照统一标准分析肝脾闪烁扫描图。在应用99mTc-硫胶体后，用γ相机至少从六个投影方向进行闪烁扫描，并结合数据处理。与扫描闪烁摄影相比，健康肝脏中也经常发现不均匀的储存模式，尤其是在前位投影中。肝内或肝外结构引起的重叠或压迹也比扫描闪烁摄影更频繁、更明显。正如预期的那样，肝脏形态方面没有明显差异。测定了以下定量参数（平均值±标准差）：肝脏最大垂直直径：199±20.0mm，最大水平直径：219±19.8mm；肝脏面积（前位投影）：187±27.3cm²；脾脏面积（后位投影）：55.3±15.9cm²；肝脏大小指数（肝脏面积除以根据给定表格确定的患者正常体重）：平均值±标准差=2.69±0.58（前位投影）；脾脏面积指数（脾脏面积除以体表面积）：平均值=3.03±0.81（后位投影）。投影方向的选择对面积尺寸和指数没有任何明显影响，因此即使从斜位投影叠加器官时，这些值也能以足够的精度确定。
