WHOLE-BODY SCINTIGRAPHY WITH RADIOIODINE-131 - A COMPREHENSIVE LIST OF FALSE-POSITIVES WITH SOME EXAMPLES

WHOLE-BODY SCINTIGRAPHY WITH RADIOIODINE-131 - A COMPREHENSIVE LIST OF FALSE-POSITIVES WITH SOME EXAMPLES
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DOI:
10.1097/00003072-199510000-00002
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发表时间:
1995-10-01
影响因子:
10.6
通讯作者:
MCDOUGALL, IR
MCDOUGALL, IR
中科院分区:
医学3区
文献类型:
--
作者:
MCDOUGALL, IR

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放射性碘 131 全身闪烁扫描是治疗接受手术治疗的分化型甲状腺癌患者的重要诊断测试。扫描可以证明淋巴结或远处部位是否存在残留甲状腺或功能性转移。然而,这种扫描的解释存在许多潜在的缺陷,可能导致癌症的假阳性诊断。对五名患者进行了闪烁扫描,这些患者的甲状腺外摄取并非由于功能性转移所致。其中一些异常是生理性的,例如胃肠道中碘的吸收。列出了假阳性结果的综合列表。
Whole-body scintigraphy with radioiodine-131 is an important diagnostic test in the management of patients with differentiated thyroid cancer who have undergone surgical treatment. The scan can demonstrate the presence of residual thyroid or functioning metastases in lymph nodes or distant sites. However, there are a number of potential pitfalls in the interpretation of this scan that could lead to a false-positive diagnosis of cancer. The scintiscans are presented for five patients in whom uptake outside of the thyroid was not due to functioning metastases. Some of these abnormalities are physiologic, such as uptake of iodine in the gastrointestinal tract. A comprehensive list of false-positive results are tabulated.