| Japanese |
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| Title | 腹部限局性炎症巣に対する67Gaシンチグラフィの臨床的意義 |
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| Subtitle | 原著 |
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| Authors | 桑原康雄*, 鴛海良彦*, 一矢有一*, 和田誠*, 綾部善治*, 内野晃*, 安森弘太郎*, 松浦啓一* |
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| Authors(kana) | |
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| Organization | *九州大学医学部放射線科学教室 |
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| Journal | 核医学 |
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| Volume | 19 |
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| Number | 4 |
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| Page | 529-534 |
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| Year/Month | 1982/5 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」67Gaシンチグラフィの腹部限局性炎症巣に対する検出能および治療方針決定に果たす役割について検討した. 対象は腹部限局性炎症巣を疑い, 67Gaシンチグラフィを行った63例である. 腹部炎症巣のあった42例中67Gaシンチ陽性は36例 (Sensitivity 86%) であり, そのうち67Gaシンチ陽性の17例と陰性の2例に外科的治療が行われた. False negativeは6例で, 結核性腹膜炎の1例を除く5例はいずれも病巣の陳旧化がfalse positiveの原因と考えられた. 炎症のなかった21例中67Gaシンチ陰性は20例 (specificity 95%) で, false positiveは1例のみであった. 67Gaシンチ陰性の場合は, 外科的処置を必要とする炎症巣の存在をほぼ否定できるが, 67Gaシンチ陽性の場合でもほぼ半数は保存的治療で治癒しており, 外科的処置の適応に関しては臨床所見や他の検査を充分加味して検討する必要がある. |
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| Practice | 臨床医学：一般 |
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| Keywords | 67Ga-scintigraphy, abdominal inflammation, abscess |
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| English |
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| Title | Clinical Evaluation of 67Ga-scintigraphy in Suspected Localized Abdominal Inflammations |
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| Subtitle | Original Articles |
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| Authors | Yasuo KUWABARA, Yoshihiko OSHIUMI, Yuichi ICHIYA, Makoto WADA, Zenji AYABE, Akira UCHINO, Kotaro YASUMORI, Keiichi MATSUURA |
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| Authors(kana) | |
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| Organization | Department of Radiology, Faculty of Medicine, Kyusyu University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 19 |
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| Number | 4 |
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| Page | 529-534 |
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| Year/Month | 1982/5 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] Clinical significance of 67Ga-scintigraphy was evaluated in 63 cases with suspected localized abdominal inflammations. Among them, 42 cases were finally diagnosed to have focal inflammations ; 19 of which were treated surgically. Twenty of the remainder were clinically not thought to have focal inflammation and one did not have inflammatory focus at autopsy. The sensitivity of 67Ga-scintigraphy for localized abdominal inflammation was 86% (36/42), and the specificity was 95% (20/21). False negative scans were obtained in 5 healing abdominal abscesses and one case with tuberculous peritonitis. There was a false positive scan in one case with retro-peritoneal hematoma. 67Ga-scintigraphy showed excellent sensitivity and specificity in the detection of abdominal inflammatory foci. In cases with a negative scan, it is possible to deny a presence of inflammation requiring surgical treatment. However, in cases with a positive scan, presence of inflammation is definitely suspected. And clinical findings and other examinations besides 67Ga-scintigraphy should be considered in the decision of surgical therapy for them. |
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| Practice | Clinical medicine |
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| Keywords | 67Ga-scintigraphy, abdominal inflammation, abscess |
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