Rudders R A, McCaffrey J A, Kahn P C
Cancer. 1977 Oct;40(4):1439-43. doi: 10.1002/1097-0142(197710)40:4<1439::aid-cncr2820400413>3.0.co;2-7.
The usefulness of gallium-67-citrate scanning and lymphangiography in the detection of iliac and paraaortic lymph node involvement was evaluated in 53 patients with Hodgkin's disease and non-Hodgkin's lymphomas who subsequently underwent laparotomy. Our data suggest that the overall accuracies of the two procedures in this regard are comparable. Although in this anatomic area the gallium scan tends to underestimate the presence of disease (higher false-negative rate), the false-negative rate is quite low. The false-negative rate with lymphangiography is lower than with scanning but it tends to overestimate the presence of disease (higher false-positive rate). It was concluded that gallium scanning should be an integral part of the staging of lymphomas and a schema for their clinical staging based on the use of gallium scanning early in the diagnostic sequence is proposed.
对53例霍奇金病和非霍奇金淋巴瘤患者进行了评估，这些患者随后接受了剖腹手术，以探讨枸橼酸镓-67扫描和淋巴管造影术在检测髂骨和腹主动脉旁淋巴结受累情况方面的效用。我们的数据表明，这两种检查在这方面的总体准确率相当。虽然在这个解剖区域，镓扫描往往会低估疾病的存在（假阴性率较高），但假阴性率相当低。淋巴管造影的假阴性率低于扫描，但它往往会高估疾病的存在（假阳性率较高）。得出的结论是，镓扫描应成为淋巴瘤分期的一个组成部分，并提出了一个基于在诊断序列早期使用镓扫描的淋巴瘤临床分期方案。
