Waxman A D
Crit Rev Diagn Imaging. 1980;13(2):89-110.
Gallium scanning of cranial and cerebral abnormalities is a complex topic in which neither the mechanism of gallium accumulation or the clinical utility can be clearly defined. In the tests available to the neurologist, neurosurgeon, or practitioner, the gallium brain scan, computed tomographic brain scan, or other noninvasive studies are inconclusive. Its use as a primary localization test for CNS tumors does not appear to be warranted in view of the high sensitivity reported for conventional nuclide brain scanning, as well as computed tomography. In selected cases, the use of a gallium brain scan has been helpful in the differentiation of CNS lesions, as well as the early detection of intracerebral infection. New techniques involving 67Ga may eventually prove useful in the evaluation of CNS disorders, especially in the area of quantitating the amount of abnormal brain tissue removed following craniotomy.
镓扫描用于检测颅骨和脑部异常是一个复杂的话题，其中镓的积聚机制和临床效用都无法明确界定。在神经科医生、神经外科医生或从业者可采用的检测方法中，镓脑扫描、计算机断层扫描脑扫描或其他非侵入性研究都没有定论。鉴于传统核素脑扫描以及计算机断层扫描所报告的高灵敏度，将其用作中枢神经系统肿瘤的主要定位检测似乎并不合理。在某些特定病例中，镓脑扫描有助于鉴别中枢神经系统病变以及早期发现脑内感染。涉及67Ga的新技术最终可能在评估中枢神经系统疾病方面证明有用，特别是在定量开颅术后切除的异常脑组织量的领域。
