MEDIASTINAL LYMPH-NODE METASTASIS FROM LUNG-CANCER - EVALUATION WITH TL-201 SPECT - COMPARISON WITH CT

被引：41

作者：

YOKOI, K ^{[1
]}

OKUYAMA, A ^{[1
]}

MORI, K ^{[1
]}

TOMINAGA, K ^{[1
]}

MIYAZAWA, N ^{[1
]}

TAKIZAWA, I ^{[1
]}

SASAGAWA, M ^{[1
]}

机构：

[1] TOCHIGI CANC CTR,DIV DIAGNOST IMAGING,UTSUNOMIYA,TOCHIGI 320,JAPAN

来源：

RADIOLOGY | 1994年 / 192卷 / 03期

关键词：

COMPUTED TOMOGRAPHY (CT); COMPARATIVE STUDIES; EMISSION CT (ECT); LUNG NEOPLASMS; METASTASES; MEDIASTINUM; NEOPLASMS; RADIONUCLIDE STUDIES; RADIONUCLIDES;

D O I：

10.1148/radiology.192.3.8058953

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

PURPOSE: To assess the usefulness of thallium-201 single photon emission computed tomography (SPECT) in detection of mediastinal lymph node metastasis from lung cancer. MATERIALS AND METHODS: Computed tomography (CT) and T1-201 SPECT were performed in 113 patients with lung cancer. Surgical staging was performed in all patients, and the results of the two modalities were compared with the pathologic findings in 364 node stations. RESULTS: Cancerous nodes were found in 32.7% of the patients. The sensitivity of CT in detecting mediastinal node metastasis was 62%; specificity was 80%. These rates were higher for T1-201 SPECT (76% and 92%, respectively). Furthermore, these rates were excellent in patients with enlarged mediastinal nodes at CT (87% and 93%, respectively). However, T1-201 SPECT had more limited spatial resolution than did CT. CONCLUSION: T1-201 SPECT is useful in evaluation of mediastinal node metastasis in lung cancer, especially for patients with enlarged nodes at CT.

引用

页码：813 / 817

页数：5

共 32 条

[1]

ARMITAGE P, 1987, STATISTICAL METHODS, P120

[2]

ARONCHICK JM, 1990, RADIOL CLIN N AM, V28, P573

[3] INDUCTION CHEMOTHERAPY WITH MITOMYCIN, VINDESINE, AND CISPLATIN FOR STAGE-III UNRESECTABLE NON-SMALL-CELL LUNG-CANCER - RESULTS OF THE TORONTO PHASE-II TRIAL [J].

BURKES, RL ;

GINSBERG, RJ ;

SHEPHERD, FA ;

BLACKSTEIN, ME ;

GOLDBERG, ME ;

WATERS, PF ;

PATTERSON, GA ;

TODD, T ;

PEARSON, FG ;

COOPER, JD ;

JONES, D ;

LOCKWOOD, G .

JOURNAL OF CLINICAL ONCOLOGY, 1992, 10 (04) :580-586

[4] ROLE OF MEDIASTINOSCOPY IN PRETREATMENT STAGING OF PATIENTS WITH PRIMARY LUNG-CANCER [J].

COUGHLIN, M ;

DESLAURIERS, J ;

BEAULIEU, M ;

FOURNIER, B ;

PIRAUX, M ;

ROULEAU, J ;

TARDIF, A .

ANNALS OF THORACIC SURGERY, 1985, 40 (06) :556-560

[5] THALLIUM-201 CHLORIDE UPTAKE IN TUMORS, A POSSIBLE COMPLICATION IN HEART SCINTIGRAPHY [J].

COX, PH ;

BELFER, AJ ;

VANDERPOMPE, WB .

BRITISH JOURNAL OF RADIOLOGY, 1976, 49 (585) :767-768

[6] PROGNOSTIC-SIGNIFICANCE OF COMPUTED-TOMOGRAPHY IN RESECTED N2 LUNG-CANCER [J].

CYBULSKY, IJ ;

LANZA, LA ;

RYAN, MB ;

PUTNAM, JB ;

MCMURTREY, MM ;

ROTH, JA .

ANNALS OF THORACIC SURGERY, 1992, 54 (03) :533-537

[7] VALUE OF CT IN THE PREOPERATIVE ASSESSMENT OF LUNG-CANCER - A SURVEY OF THORACIC SURGEONS [J].

EPSTEIN, DM ;

STEPHENSON, LW ;

GEFTER, WB ;

VANDERVOORDE, F ;

ARONCHIK, JM ;

MILLER, WT .

RADIOLOGY, 1986, 161 (02) :423-427

[8] PREOPERATIVE STAGING OF LUNG-CANCER - ACCURACY OF COMPUTED-TOMOGRAPHY VERSUS MEDIASTINOSCOPY [J].

GOLDSTRAW, P ;

KURZER, M ;

EDWARDS, D .

THORAX, 1983, 38 (01) :10-15

[9] CLINICAL EVALUATION OF TUMOR IMAGING WITH TL-201 CHLORIDE [J].

HISADA, K ;

TONAMI, N ;

MIYAMAE, T ;

HIRAKI, Y ;

YAMAZAKI, T ;

MAEDA, T ;

NAKAJO, M .

RADIOLOGY, 1978, 129 (02) :497-500

[10]

LUKE WP, 1986, J THORAC CARDIOV SUR, V91, P53

← 1 2 3 4 →