86例肺结节病^(67)Ga显像分析  

The diagnostic value of untypical panda sign in ^(67)Ga citrate scintigraphy for sarcoidosis

作　　者：石洪成[1] 顾宇参[1] 陈绍亮[1] 李蓓蕾[1] 刘文官[1] 姚之丰[1] 朱玮珉[1] 陈曙光[1] 

机构地区：[1]复旦大学附属中山医院核医学科,上海200032

出　　处：《中华核医学杂志》2004年第5期292-293,共2页Chinese Journal of Nuclear Medicine

摘　　要：目的探讨67Ga显像非典型或典型“熊猫脸”征象对肺结节病的诊断价值。方法回顾性分析86例经病理检查证实为肺结节病患者的67Ga全身显像资料,与185例非结节病患者67Ga显像结果对照。结果86例肺结节病患者中表现为泪腺和腮腺摄取放射性,呈典型“熊猫脸”征象并伴有纵隔和(或)肺门淋巴结肿大者39例,占453%;表现为泪腺或腮腺摄取放射性,呈非典型“熊猫脸”征象并伴有纵隔和(或)肺门淋巴结肿大者18例,占209%。所有表现为泪腺和(或)腮腺有放射性摄取、伴有纵隔和(或)肺门淋巴结肿大者均经病理检查确诊为结节病。在非结节病患者中未出现该征象。结论67Ga显像非典型与典型“熊猫脸”征象有同样的诊断价值,在伴有纵隔和(或)肺门淋巴结肿大时是诊断结节病的可靠征象。Objective To evaluate the diagnostic value of untypical or typical panda sign in ~67 Ga-citrate imaging for sarcoidosis. Methods ~67 Ga images of 86 cases suffered from sarcoidosis were analyzed retrospectively. All the cases were diagnosed by pathological examination data. ~67 Ga imaging findings were compaired with the findings of 185 cases suffered from the diseases other than sarcoidosis. Results ~67 Ga planar imaging showed that 66.3%(57 of 86) had radionuclide uptake in bilateral lacrimal and (or) parotid gland. 45.3%(39 of 86) manifested typical panda sign. The presence of perihilar adenopathy adding the ‘λ’ or ‘八’ distribution of increased uptake in the chest was also found in those patients. Those signs were not found in the 185 cases suffered from the diseases other than sarcoidosis. Conclusions ~67 Ga imaging is useful for evaluating the extent and relative activity of pulmonary sarcoidosis. And furthermore bilateral lacrimal and(or) parotid gland uptake of radionuclide with the ‘λ’ or ‘八’ distribution in chest is a very significant sign for diagnosis of pulmonary sarcoidosis.

关 键 词：肺结节病 ^67GA显像 诊断 放射性核素显像 

分 类 号：R817.4[医药卫生—影像医学与核医学]