Oyamada H, Terui S, Makuuchi M, Yamazaki S, Hasegawa H, Okazaki N
Eur J Nucl Med. 1984;9(4):161-7. doi: 10.1007/BF00251464.
By examining the area of defect elucidated on the scintigrams and SPECT (single photon emission computed tomography) images, the extension of the tumor into segments was assessed in cases where the SOL (space-occupying lesion) was determined by other methods. In this study, we followed the Couinaud 's segmentation. As a result, it was found that the segment with a SOL could be diagnosed fairly well on radionuclide images. Some incorrect assumptions were also found about the segments on ordinary scintigrams in previously published articles. These incorrect assumptions have been accepted for a long time. Although we do not deny that TCT (transmission X-ray computed tomography), echography, angiography, etc. are necessary for a precise judgment on liver segment and also that there are some cases in which the segmental assessment of these radionuclide images is impossible, we do believe that this kind of effort will improve the diagnostic capability of the radionuclide images.
通过检查闪烁扫描图和单光子发射计算机断层扫描（SPECT）图像上显示的缺损区域，在通过其他方法确定存在占位性病变（SOL）的病例中，评估肿瘤向肝段的扩展情况。在本研究中，我们采用了库尼亚德（Couinaud）肝段划分法。结果发现，在放射性核素图像上可以较好地诊断出存在SOL的肝段。在以往发表的文章中，还发现了一些关于普通闪烁扫描图上肝段的错误假设。这些错误假设长期以来一直被接受。虽然我们并不否认X线计算机断层扫描（TCT）、超声检查、血管造影等对于精确判断肝段是必要的，而且在某些情况下对这些放射性核素图像进行肝段评估是不可能的，但我们确实认为这种努力将提高放射性核素图像的诊断能力。
