Imanaga H, Yamamoto M, Kadowaki H, Takeyama E, Kagawa M
No Shinkei Geka. 1977 May;5(5):429-36.
The purpose of this study is to investigate salient diagnostic features of the brain abscess in RI brain scanning. In 27 patients with brain abscess, 37 scannings were performed in the various stages of their clinical courses. The results were positive in all cases. Among 27 cases, ten cases were investigated by means of the ISOCOUNT SCANNING SYSTEM, the technical detail of which was reported previously. It was proved that the isocount scanning method combined with the multilevel analysis was more sensitive diagnostic aid than the conventional RI scintigraphy. Using the newly developed method, it was not difficult to diagnose the brain abscess in its early stage, even in the stage of presuppurative cerebritis. Doughnut sign was seemed to be more frequently visualized by this method. Surgical indication of the brain abscess was discussed from nucleomedical view point, and it was emphasized that so-called doughnut sign in brain scanning would indicate the appropriate stage of the brain abscess to be operated on.
本研究的目的是探讨脑部脓肿在放射性核素脑扫描中的显著诊断特征。27例脑脓肿患者在其临床病程的不同阶段进行了37次扫描。所有病例结果均为阳性。27例中,10例采用ISOCOUNT扫描系统进行检查,其技术细节此前已有报道。结果证明,等计数扫描法结合多级分析比传统的放射性核素闪烁扫描法是更敏感的诊断辅助手段。采用新开发的方法,即使在化脓前期脑炎阶段,也不难在早期诊断出脑脓肿。通过这种方法似乎更常出现“甜甜圈征”。从核医学角度讨论了脑脓肿的手术指征,并强调脑扫描中所谓的“甜甜圈征”将提示脑脓肿适合手术的阶段。