Pretorius D, Taylor A
Head Neck Surg. 1982 May-Jun;4(5):427-32. doi: 10.1002/hed.2890040511.
A number of procedures in nuclear medicine are available to assist the surgeon in evaluating pathologic conditions of the head and neck. Gallium-67 citrate scanning is occasionally useful in determining the extent of head and neck tumors but rarely can it detect an occult tumor and it cannot distinguish between an infection and a tumor. Technetium-99m pertechnetate can be used to evaluate diseases of the salivary glands including 123 and technetium-99m pertechnetate are commonly used to obtain images of the thyroid, but some malignant thyroid nodules will accumulate technetium-99m pertechnetate and the suspicious character of the nodule may be only appreciated by iodine scanning. The use of iodine 131 is generally limited to the detection of a substernal thyroid, therapeutic thyroid ablation, and the treatment of hyperthyroidism and thyroid cancer. Bone scanning has been used experimentally to evaluate the healing of mandibular bone grafts and to detect local extension of primary head and neck tumors to skull and facial bones.
核医学中有许多程序可协助外科医生评估头颈部的病理状况。枸橼酸镓-67扫描偶尔有助于确定头颈部肿瘤的范围，但很少能检测出隐匿性肿瘤，也无法区分感染和肿瘤。锝-99m高锝酸盐可用于评估唾液腺疾病，包括123碘和锝-99m高锝酸盐常用于获取甲状腺图像，但一些恶性甲状腺结节会摄取锝-99m高锝酸盐，结节的可疑特征可能只能通过碘扫描来识别。碘131的使用一般限于检测胸骨后甲状腺、治疗性甲状腺消融以及治疗甲状腺功能亢进和甲状腺癌。骨扫描已被用于实验性评估下颌骨移植的愈合情况，并检测原发性头颈部肿瘤向颅骨和面部骨骼的局部扩展。
