Japanese
Title肝細胞癌およびその転移巣における99mTc-HIDAシンチグラフィーの臨床的意義
Subtitle原著
Authors安永忠正*, 広田嘉久*, 上野助義*, 土亀直俊*, 高橋睦正*, 別府進**
Authors(kana)
Organization*熊本大学医学部放射線医学教室, **三井三池鉱業所病院放射線科
Journal核医学
Volume19
Number4
Page523-528
Year/Month1982/5
Article原著
Publisher日本核医学会
Abstract「要旨」胆道シンチ製剤99mTc-HIDAシンチグラフィーの肝細胞癌とその肝外転移巣における診断的意義を通常のコロイド肝シンチグラフィー, α-fetoprotein, 血管造影の所見と対比検討した. 肝細胞癌12例において, 肝病巣は異常集積を示した1例を除いてはコロイド肝シンチグラフィーとほぼ同様の欠損像を呈し, 他病変との鑑別診断的意義は乏しいと思われた. しかし, 肝外転移巣を有していた3例中2例には骨および肺に顕著な異常集積が認められ, 転移巣の検索や原発巣との関連性の追求に有力な検査法であると思われた. この場合, α-fetoprotein値や血管造影所見との相関は認められなかった.
Practice臨床医学：一般
Keywords99mTc-HIDA sintigraphy, functional hepatoma, metastatic lesion
English
TitleClinical Significance of 99mTc-HIDA Scintigraphy for Hepatomas and Detection of Their Distant Metastasis
SubtitleOriginal Articles
AuthorsT.YASUNAGA, Y.HIROTA, T.TSUCHIGAME, S.UENO, S.BEPPU, M.TAKAHASHI
Authors(kana)
OrganizationDepartment of Radiology, Kumamoto University Hospital
JournalThe Japanese Journal of nuclear medicine
Volume19
Number4
Page523-528
Year/Month1982/5
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] The clinical significance of 99mTc-HIDA scintigraphy for twelve hepatomas and detection of their distant metastases was studied in relation to 99mTc-phytate scientigraphy, AFP and angiography. In eleven patients with hepatoma, there was no marked difference in the distribution of 99mTc-HIDA and 99mTc-phytate within liver. But, in two of three patients with bone and lung metastases, 99mTc-HIDA concentrated remarkably in the metastatic lesions. Abnormal uptake of 99mTc-HIDA had no relation to AFP and findings of angiography. These results suggest that 99mTc-HIDA scintigraphy is useful for detection of distant metastases, and useful for diagnosis of hepatic lesions of hepatoma.
PracticeClinical medicine
Keywords99mTc-HIDA sintigraphy, functional hepatoma, metastatic lesion

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