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Current aspects of nuclear imaging in clinical oncology
Author(s) -
Zeman Robert K.,
Gottschalk Alexander
Publication year - 1981
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19810301)47:5+<1154::aid-cncr2820471316>3.0.co;2-r
Subject(s) - medicine , scintigraphy , medical physics , nuclear imaging , radiology , mediastinoscopy , gold standard (test) , nuclear medicine , mediastinum
This presentation will focus on the recent developments in nuclear medicine that relate to diagnosis and staging in the cancer patient. The commercial availability of new Anger cameras as well as longitudinal tomographic scanning devices has improved gallium imaging significantly. This has enhanced tumor detection and resulted in better use of gallium scanning in the cancer patient. Areas of controversy have also developed. In particular, the question of whether or not the gallium scan can be used to avoid mediastinoscopy in some cases of bronchogenic carcinoma will be detailed. Techniques in nuclear medicine must be carefully integrated with other noninvasive investigation such as CT and ultrasound. At Yale, the authors have gathered considerable data indicating the best way to interact nuclear medicine radionuclide scintigraphy of the liver with the ultrasound examination. Our approach to this problem for the detection of focal disease in the liver will be discussed. 99m Tc‐HIDA has proven useful in a wide variety of biliary disorders. Use of scintigraphy in the evaluation of cholangio‐enteric bypass procedures in the cancer patient will be reviewed. Cancer 47:1154–1158, 1981.