67Ga scintigrams were taken of the head and neck of a normal control group (20 patients)of which the into 11 regions. Film density was measured to determine
67Ga citrate accumulation, and this data was used to create a quantitative standard of positivity for each region.
67Ga scintigrams were also taken of 131 patients with head and neck lesions (77 mal ignant tumor,33 benign tumor,21 inflammatory diease; 181 lesions in total). Positivity was then diagnosed quantitatively using the standard derived from the normal control group and the clinical applicability of this technique was investigated.
Result showed a clear significant diffe rence in
67Ga citrate accumulation between the malignant tumor group and the control group with the malignant tumor group accumulation higher in all regions. The benign tumor group showed a tendency towards no significant difference outside of the parotid region. The inflammatory disease group showed a wide range in accumulation with no tendency in common regions. The positive ratios were: malignant tumor group,81%; benign tumor group,47%; and inflammatory disease group,68%. Among positive cases, however the accumulation of benign tumor group was significantly lower than that of malignant tumor group. Sensitivity of the malignant tumor group was 81%; specificity,47%; and accuracy,70%.
The quantitative measurement of
67Ga citrate accumulaion was useful in the determination of positivity, indicating the possibility of positivity determination via automatic scintigram analysis.
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