Approach to Diagnosis of Salivary Gland Disease from Nuclear Medicine Images

M. Nakayama, A. Okizaki, K. Nakajima, Koji Takahashi
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引用次数: 5

Abstract

Nuclear medicine images can help in the diagnosis and assessment of some salivary dis- orders. 99mTcO4−, gallium-67-citrate scintigraphy will be an indication of the function of salivary gland together and it will be used for the diffuse diseases such as sialad - enitis, Sjögren’s syndrome, sarcoidosis, glossopharyngeal paralysis, and irradiation. It is also effective for distinguishing benign tumor legion with Warthin’s tumor and others. Moreover, fluorodeoxyglucose positron emission tomography (FDG-PET) is an indis pensable modality for determining the localization, focal lesions, and staging of many malignant tumors, the fluorodeoxyglucose (FDG) accumulation is visually and semi-quantitatively assessed using the standardized uptake value (SUV), which is the ratio of uptake to the injected dose per unit body weight. Also for radioactive iodine therapy, attention should be paid to adverse reactions. It is important to note that acute/chronic salivary gland disorders are associated with radioiodine therapy for the treatment of postoperative thyroid cancer. Coordination among healthcare providers including nurses, radiological technologists, and doctors of all departments involved in treatment is important for achieving effective outcomes.
利用核医学影像诊断唾液腺疾病的方法
核医学图像可以帮助诊断和评估一些唾液疾病。99mTcO4−,67-柠檬酸镓显像将作为唾液腺功能的指示,并将用于弥漫性疾病,如涎腺炎,Sjögren综合征,结节病,舌咽炎,照射等。对良性肿瘤群与沃辛氏瘤等有较好的鉴别效果。此外,氟脱氧葡萄糖正电子发射断层扫描(FDG- pet)是确定许多恶性肿瘤的定位、局灶性病变和分期的一种不可替代的方式,氟脱氧葡萄糖(FDG)的积累是通过标准化摄取值(SUV)进行视觉和半定量评估的,标准化摄取值是每单位体重的摄取与注射剂量的比值。放射性碘治疗也应注意不良反应。值得注意的是,急性/慢性唾液腺疾病与放射性碘治疗甲状腺癌术后治疗有关。医疗服务提供者(包括护士、放射技术人员和参与治疗的所有部门的医生)之间的协调对于取得有效的结果非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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