Diagnosis of Hepatic Hemangioma with $^{99m}Tc-Labeled$ Red Cells and Single Photon Emission Computed Tomography (SPECT)

$^{99m}Tc-RBC$ SPECT를 이용한 간혈관종의 진단

  • Moon, Dae-Hyuk (Department of Nuclear Medicine, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Cho, Shee-Man (Department of Nuclear Medicine, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Lee, Myung-Hae (Department of Nuclear Medicine, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Yang, Suck-Kyun (Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Chung, Young-Hwa (Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Lee, Yung-Sang (Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Shin, Sung-Hae (Department of Internal Medicine, Seoul Medical Hospital) ;
  • Hong, Kee-Suk (Department of Internal Medicine, Seoul Medical Hospital)
  • 문대혁 (울산대학교 의과대학 서울중앙병원 핵의학과) ;
  • 조시만 (울산대학교 의과대학 서울중앙병원 핵의학과) ;
  • 이명혜 (울산대학교 의과대학 서울중앙병원 핵의학과) ;
  • 양석균 (울산대학교 의과대학 서울중앙병원 내과) ;
  • 정영화 (울산대학교 의과대학 서울중앙병원 내과) ;
  • 이영상 (울산대학교 의과대학 서울중앙병원 내과) ;
  • 신성해 (서울내과병원) ;
  • 홍기석 (서울내과병원)
  • Published : 1991.05.31

Abstract

The value of $^{99}Tc-RBC$ scintigraphy and SPECT in the diagnosis of hepatic hemangioma was evaluated in 27 patients with 38 hemangiomas and 13 patients with 15 nonhemangiomas. Twenty four (63.2%) of 38 hemangiomas were detected by planar delayed RBC imaging, whereas 30 (78.9%) hemangiomas were detected by the delayed RBC SPECT. Increase in sensitivity was noted in nodules less than 2 cm in diameter. The smallest hemangioma shown by delayed RBC SPECT was 0.9 cm in diameter. All of nonhemangiomatous lesions show normal or decreased activity in delayed blood pool images. We concluded that $^{99m}Tc-RBC$ SPECT is an accurate method for the detection of hepatic hemangioma and is more sensitive than planar imaging in depicting small lesions.

Keywords