Diagnostic value of Tc-99m sulfur colloid imaging and comparative evaluation with ultrasonography in liver disease
10.3348/jkrs.1982.18.3.593
- Author:
Kyung Jin NAM
;
Sun Wha LEE
;
Ik Jae SUH
;
Ho Kyun KIM
;
Soon Yong KIM
- Publication Type:Original Article
- MeSH:
Fibrosis;
Humans;
Liver Diseases;
Liver;
Mass Screening;
Methods;
Radionuclide Imaging;
Sensitivity and Specificity;
Technetium Tc 99m Sulfur Colloid;
Ultrasonography
- From:Journal of the Korean Radiological Society
1982;18(3):593-604
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A Tc-99m sulfur colloid hepatic scintigraphy is often the first imaging modality empolyed in the evaluation ofthe patient with suspected liver disease,since the hepatic scintigraphy is not only highly sensitive, low expenseand easy of performance but also provides both structural and functional information of the liver. The authoranlayzed the scintigraphic findings in 304 patient proven various hepatic disease and 58 normal liver, and alsoretrospectively analyzed the result of hepatic scintigraphy and ultlrasonography of the liver in 117 patients. Theresults were as follows; 1. The overall sensitivity and specificity of hepatic scintigraphy in the liver diseaseis 91% and 67%, respectively. 2. On the evaluation of the diffuse parenchymal parenchymal disease of liver, thescintigiraphy was found to be highly sensitive (88%) and also specific image patterns were found in cirrhosis. 3.The hepatic scintigraphy was highly sensitive (92%) in the detection of the focal lesions of liver. 4. Theultrasonography was capable of differentiating solid and cystic masses which were detected on scintigraphy, whilescintigraphy was more sensitive in detection of hepatocellular disease. 5. Tc-99m sulfur colloid imaging reminedthe preferred inital screening method in patients with suspected liver disease, while ultrasonography should bedone for those patients with prior suspicious findings.
