Friman L, Persson U, Udén R
Acta Radiol Diagn (Stockh). 1984;25(6):477-80. doi: 10.1177/028418518402500605.
The bone marrow activity in the liver-spleen (RES) scintigraphy has been difficult to estimate correctly. If the activity of the bone marrow is to be decided as counts/time unit it is of importance that structures with a high activity as the liver and spleen are excluded from the registration. A dorsal registration of the pelvis during 180 s will give a rather correct information of bone marrow activity and besides an image of the pelvic bone marrow is obtained. Using 270 to 280 MBq 99Tcm-Albures all 45 normal cases had values below 150 KCNT (1 KCNT = 1 000 counts). All cases with cirrhosis (n = 15) or metastases in the liver (n = 14) had values over 150 KCNT. Values over 150 KCNT were also found in 29 of 34 patients with an increase in ASAT and ALAT (GOT, GPT) as the only pathologic finding and in 12 of 21 patients with a carcinoma but without metastases in the liver.
肝脏-脾脏（RES）闪烁扫描中的骨髓活性一直难以正确估计。如果将骨髓活性确定为计数/时间单位，那么在记录时排除肝脏和脾脏等高活性结构就很重要。在180秒内对骨盆进行背部记录将给出相当准确的骨髓活性信息，此外还能获得骨盆骨髓的图像。使用270至280MBq的99Tcm-白蛋白，所有45例正常病例的值均低于150KCNT（1KCNT = 1000计数）。所有肝硬化病例（n = 15）或肝脏转移病例（n = 14）的值均超过150KCNT。在34例仅以ASAT和ALAT（GOT，GPT）升高为唯一病理发现的患者中，有29例以及在21例患有癌症但肝脏无转移的患者中，有12例的值也超过150KCNT。
