Broderick T W, Gosink B, Menuck L, Harris R, Wilcox J
Radiology. 1980 Apr;135(1):149-51. doi: 10.1148/radiology.135.1.6244606.
The clinical, echographic, radionuclide and CT studies of 19 patients with tissue-proved hepatoma were reviewed retrospectively. All patients had undergone ultrasound examination while 18 also had 99mTc-sulfur colloid studies, and 11 had gallium scans. Ultrasonically, the lesions were classified as discrete, sonodense (six cases), discrete sonolucent (five cases), disorganized hepatic parenchyma (six cases), and normal parenchyma (two cases). All sulfur colloid studies showed areas of decreased uptake, while all gallium scans showed relative increased uptake in the area of decreased sulfur colloid activity. It was concluded that radionuclide imaging is more accurate than ultrasound in the diagnosis of hepatome.
回顾性分析了19例经组织学证实为肝癌患者的临床、超声、放射性核素及CT研究。所有患者均接受了超声检查，18例还进行了99mTc-硫胶体研究，11例进行了镓扫描。超声检查时，病变分为离散型、声致密型（6例）、离散型无回声型（5例）、肝实质紊乱型（6例）和实质正常型（2例）。所有硫胶体研究均显示摄取减少区域，而所有镓扫描均显示硫胶体活性降低区域摄取相对增加。得出结论，放射性核素成像在肝癌诊断中比超声更准确。
