| Japanese |
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| Title | 原発性肝細胞癌の骨転移検出における骨, ガリウムおよび肝・胆道シンチグラフィの意義 |
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| Subtitle | 原著 |
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| Authors | 田原隆*, 一矢有一*, 桑原康雄*, 大塚誠*, 増田康治* |
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| Authors(kana) | |
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| Organization | *九州大学医学部放射線科 |
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| Journal | 核医学 |
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| Volume | 25 |
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| Number | 12 |
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| Page | 1337-1344 |
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| Year/Month | 1988/12 |
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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」 原発性肝細胞癌の骨転移15例33病巣を対象に, 骨転移の検出における骨, ガリウムならびに肝・胆道シンチグラフィの意義を検討した. 病巣別検出率は, 骨シンチグラフィ32/33(97%), ガリウムシンチグラフィ18/21(86%), 肝・胆道シンチグラフィ9/12(75%), 骨X線検査29/33(88%)であり, 骨シンチグラフィが最も優れていた. 原発性肝細胞癌の骨転移検出には, 他臓器悪性腫瘍の場合と同様, 骨シンチグラフィと, 臨床症状も加味して, 骨X線検査を組み合わせるのが有用であった. 骨シンチグラフィ所見の内訳についてみると, 病巣が欠損像あるいは混合像として描出されたものが, 13/33(39%)で高率にあり, 原発性肝細胞癌の骨転移の特徴と考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Hepatoma, Bone metastasis, Bone scintigraphy, Gallium scintigraphy, Hepatobiliary scintigraphy |
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| English |
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| Title | Comparison of Bone, Gallium and Hepatobiliary Scintigraphy in the Detection of Bone Metastases in Hepatoma |
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| Subtitle | |
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| Authors | Takashi TAHARA, Yuichi ICHIYA, Yasuo KUWABARA, Makoto OTSUKA, Kouji MASUDA |
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| Authors(kana) | |
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| Organization | Department of Radiology, Faculty of Medicine, Kyushu University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 25 |
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| Number | 12 |
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| Page | 1337-1344 |
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| Year/Month | 1988/12 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] Bone(BS), Gallium(GS) and hepatobiliary scintigraphy(HS), and bone X-ray(BX) were compared in the detection of bone metastases in hepatoma. In fifteen patients with hepatoma the 33 metastatic bone lesions were studied. BS, GS, HS and BX were performed in 15, 10, 6 and 15 patients, respectively. Sensitivity was 32/33(97%) on BS, 18/21(86%) on GS, 9/12(75%) on HS, and 29/33(88%) on BX ; BS had the highest sensitivity in the 4 modalities. A lesion missed by BS was in the rib with an expansile growth and clinically noted as a large mass on the chest wall, and was detected by BX and GS. Four lesions missed by BX were detected by BS. All lesions were detected by combination of BS and BX, and combination of these two were useful in the survey of bone metastases. As for the findings of BS, thirteen out of 33 lesions(39%) were demonstrated as cold or mixed lesions ; especially in the 15 lesions with expansile growth, fourteen were delineated as cold or mixed, and only one was delineated as hot. High incidence of cold or mixed lesions on BS was a characteristic finding in the metastases from hepatoma. |
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| Practice | Clinical medicine |
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| Keywords | Hepatoma, Bone metastasis, Bone scintigraphy, Gallium scintigraphy, Hepatobiliary scintigraphy |
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