Investigation of focal hepatic lesions: is tomographic red blood cell imaging useful?

Abstract:

:Noninvasive diagnosis of cavernous hemangioma of the liver is an important step in the investigation of patients with focal hepatic lesions since biopsy may result in life-threatening hemorrhage. To determine the diagnostic accuracy of 99m-technetium red blood cell (99mTc-RBC) imaging with tomography, 50 patients with various types of focal liver lesions were studied. Thirty-two patients had 45 hemangiomas and 7 other benign lesions while 18 patients had either primary (n = 8) or secondary (n = 10) hepatic malignancies. Tomographic imaging identified 12 more hemangiomas than planar imaging, improving sensitivity from 53% to 80%, and was found most useful for detection of smaller lesions (mean size, 2.1 cm). Specificity for hemangiomas was 100% with all lesions greater than 1.9 cm showing the characteristic scintigraphic pattern of blood-pooling on delayed images. There was excellent agreement between 2 independent observers concerning interpretation of tomographic images (89% for the hemangioma group and 100% for other patients). Therefore 99mTc-RBC scintigraphy with tomography is an accurate diagnostic technique in the investigation of cavernous hemangiomas. Its major value resides in its ability to distinguish hemangiomas from other types of hepatic pathology.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Farlow DC,Chapman PR,Gruenewald SM,Antico VF,Farrell GC,Little JM

doi

10.1007/BF01658668

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

463-7

issue

4

eissn

0364-2313

issn

1432-2323

journal_volume

14

pub_type

杂志文章
  • Nonoperative Management of Blunt Splenic Trauma in Patients with Traumatic Brain Injury: Feasibility and Outcomes.

    abstract:INTRODUCTION:Preventing secondary insult to the brain is imperative following traumatic brain injury (TBI). Although TBI does not preclude nonoperative management (NOM) of splenic injuries, development of hypotension in this setting may be detrimental and could therefore lead trauma surgeons to a lower threshold for op...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4494-0

    authors: Dhillon NK,Barmparas G,Thomsen GM,Patel KA,Linaval NT,Gillette E,Margulies DR,Ley EJ

    更新日期:2018-08-01 00:00:00

  • Cardiopulmonary assessment: is improvement needed?

    abstract::Clinical parameters alone have repeatedly been proven unreliable in assessing cardiopulmonary status, especially in hemodynamically unstable patients. To learn if we had a diagnostic problem in our hospital, we compared physician assessment of cardiac index (CI) and thoracic fluid content (TFC) to values obtained usin...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00268-004-2073-z

    authors: Van De Water JM,Dalton ML,Parish DC,Vogel RL,Beatty JC,Adeniyi SO

    更新日期:2005-01-01 00:00:00

  • Options and strategies for the management of choledocholithiasis.

    abstract::The introduction of laparoscopic techniques for the management of biliary stone disease has expanded the therapeutic choices for surgeons confronted with choledocholithiasis. As new strategies emerge, the treatment of cholelithiasis and choledocholithiasis remains controversial. This paper discusses the options availa...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s002689900531

    authors: Rosenthal RJ,Rossi RL,Martin RF

    更新日期:1998-11-01 00:00:00

  • Changes in Emergency General Surgery During Covid-19 in Scotland: A Prospective Cohort Study.

    abstract:INTRODUCTION:Covid-19 has had a significant impact on all aspects of health care. We aimed to characterise the trends in emergency general surgery at a district general hospital in Scotland. METHODS:A prospective cohort study was performed from 23/03/20 to 07/05/20. All emergency general surgery patients were included...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-020-05760-3

    authors: Dick L,Green J,Brown J,Kennedy E,Cassidy R,Othman S,Berlansky M

    更新日期:2020-11-01 00:00:00

  • The incidence of bilateral well-differentiated thyroid cancer found at completion thyroidectomy.

    abstract::The purpose of this study was to evaluate the surgical outcome of completion thyroidectomy in patients with presumed unilateral well-differentiated thyroid cancer (WDTC). The medical records of all patients having had unilateral thyroid lobectomy for WDTC, who subsequently underwent completion thyroidectomy, were revi...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF02067365

    authors: Pasieka JL,Thompson NW,McLeod MK,Burney RE,Macha M

    更新日期:1992-07-01 00:00:00

  • Effective of pneumoperitoneum induced by carbon dioxide and air on tumor load in a rat model.

    abstract::Laparoscopic surgery for malignant disease is highly controversial mainly due to the large number of abdominal wall metastases being reported. Previous experimental studies have particularly studied CO2 pneumoperitoneum and its effect on tumor development. The purpose of this study was to compare CO2- and air-induced ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900418

    authors: Lundberg O,Kristoffersson A

    更新日期:1998-05-01 00:00:00

  • Changes in quality of life after lung surgery in old and young patients: are they similar?

    abstract:BACKGROUND:The aim of the study was to compare the changes in health-related quality of life (QOL) after lung surgery between young and old patients. METHODS:We performed a prospective, population-based, cohort study to investigate health-related QOL before and 6 months after lung surgery. We used the validated instru...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-010-0430-7

    authors: Möller A,Sartipy U

    更新日期:2010-04-01 00:00:00

  • Cost-effectiveness of surgery in low- and middle-income countries: a systematic review.

    abstract:BACKGROUND:There is increasing interest in provision of essential surgical care as part of public health policy in low- and middle-income countries (LMIC). Relatively simple interventions have been shown to prevent death and disability. We reviewed the published literature to examine the cost-effectiveness of simple su...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-013-2243-y

    authors: Grimes CE,Henry JA,Maraka J,Mkandawire NC,Cotton M

    更新日期:2014-01-01 00:00:00

  • Specific targeting of pancreatic islet cells in vivo by insulin-promoter-driven adenoviral conjugated reporter genes.

    abstract:BACKGROUND:The objective of this study was to determine whether rat insulin promoter (RIP) could, in a mouse model, direct expression of an adenovirus-mediated reporter gene specifically into pancreatic islets via systemic delivery. METHODS:Five hundred and eight base pairs of the RIP DNA sequence were constructed int...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0688-3

    authors: Wang X,Olmsted-Davis E,Davis A,Liu S,Li Z,Yang J,Brunicardi FC

    更新日期:2006-08-01 00:00:00

  • Gunshot injuries in the elderly: patterns and outcomes. A national trauma databank analysis.

    abstract:BACKGROUND:Trauma in the elderly (≥ 55 years) accounts for a significant proportion of admissions to trauma centers. Our understanding of the epidemiology and outcomes associated with penetrating injury in this age segment of the population, however, is severely limited. The aim of the present study therefore was to in...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-010-0920-7

    authors: Lustenberger T,Inaba K,Schnüriger B,Barmparas G,Eberle BM,Lam L,Talving P,Demetriades D

    更新日期:2011-03-01 00:00:00

  • Progress in the treatment of acute gastroduodenal mucosal lesions (AGML).

    abstract::This article presents an analysis of acute gastroduodenal mucosal lesions (AGML) based on a review of current literature and the personal experience of the authors. The pathology of AGML involes two distinct types of lesions, namely, superficial erosions confined to the acid-secreting gastric mucosa and presenting as ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01654729

    authors: Speranza V,Basso N

    更新日期:1977-01-01 00:00:00

  • Total thyroidectomy for amiodarone-associated thyrotoxicosis in patients with severe cardiac disease.

    abstract:BACKGROUND:Surgical treatment of amiodarone-associated thyrotoxicosis (AAT) is effective although fewer than 100 cases have been reported world wide. MATERIALS AND METHODS:We reviewed 14 patients treated with total thyroidectomy by a single surgeon from 1998 to 2005. RESULTS:There were 11 male and 3 female patients w...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-005-0673-x

    authors: Gough J,Gough IR

    更新日期:2006-11-01 00:00:00

  • Surgical outcomes after resection of both hepatic and pulmonary metastases from colorectal cancer.

    abstract:BACKGROUND:The efficacy and the indications of resection of synchronous or metachronous hepatic and pulmonary metastases from colorectal cancer (CRC) are controversial. This study retrospectively reviewed the cases of CRC patients who underwent both liver and lung resection to define the appropriate indications for sur...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-012-1708-8

    authors: Sakamoto Y,Sakaguchi Y,Oki E,Minami K,Toh Y,Okamura T

    更新日期:2012-11-01 00:00:00

  • The SIARI Score: A Novel Decision Support Tool Outperforms LRINEC Score in Necrotizing Fasciitis.

    abstract:BACKGROUND:The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) scoring system was developed to aid the diagnosis of necrotizing fasciitis and guide management [1]. AIM:To validate the LRINEC score and identify clinical predictors to develop a refined diagnostic scoring tool for the diagnosis of necrotizin...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05061-4

    authors: Cribb BI,Wang MTM,Kulasegaran S,Gamble GD,MacCormick AD

    更新日期:2019-10-01 00:00:00

  • Risk Factors for Postoperative Ascites in Patients Undergoing Liver Resection for Hepatocellular Carcinoma.

    abstract:BACKGROUND:Postoperative ascites is a common complication after liver resection. This study aimed to identify the risk factors for ascites in patients after liver resection and the relationship between postoperative ascites and other complications. METHODS:We retrospectively analyzed data that were obtained from 266 p...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4003-x

    authors: Yoshikawa T,Nomi T,Hokuto D,Yasuda S,Kawaguchi C,Yamada T,Kanehiro H,Nakajima Y

    更新日期:2017-08-01 00:00:00

  • Vascular endothelial growth factor expression and neovascularization in Barrett's carcinoma.

    abstract::Angiogenesis is essential for tumor growth and metastasis. An association between microvessel density, a measure of tumor angiogenesis, and conventional prognostic variables has been shown for many tumor entities. For Barrett's carcinoma, the results are controversial. Immature vessels formed in tumors are structurall...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-004-7286-7

    authors: Möbius C,Stein HJ,Becker I,Feith M,Theisen J,Gais P,Jütting U,Siewert JR

    更新日期:2004-07-01 00:00:00

  • Oxalate and urinary stones.

    abstract::Calcium oxalate is a major component of renal stones, and its urinary concentration plays an important role in stone formation. Even a small increase in urinary oxalate has a significant impact on calcium oxalate saturation. Although primary hyperoxaluria is relatively uncommon, patients with calcium oxalate stones ha...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s002680010193

    authors: Ogawa Y,Miyazato T,Hatano T

    更新日期:2000-10-01 00:00:00

  • Bloodless liver resection using the monopolar floating ball plus ligasure diathermy: preliminary results of 16 liver resections.

    abstract::Blood loss during liver transection and ischemia-reperfusion injury associated with hepatic inflow occlusion are significant drawbacks during liver surgery. Sixteen patients underwent liver resection using the Monopolar Floating Ball (FB) plus LigaSure (LS) diathermy without occlusion of the hepatoduodenal ligament (g...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-003-7167-5

    authors: Sakamoto Y,Yamamoto J,Kokudo N,Seki M,Kosuge T,Yamaguchi T,Muto T,Makuuchi M

    更新日期:2004-02-01 00:00:00

  • Adverse outcomes in patients with postoperative ascites after liver resection for hepatocellular carcinoma.

    abstract:BACKGROUND:Postoperative ascites (POA) is a common complication after liver resection (LR). The aim of the present study was to identify the risk factors for developing POA and to evaluate its clinical significance in the prognosis of patients with hepatocellular carcinoma (HCC). METHODS:We performed a retrospective a...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-011-1367-1

    authors: Chan KM,Lee CF,Wu TJ,Chou HS,Yu MC,Lee WC,Chen MF

    更新日期:2012-02-01 00:00:00

  • Partial pathologic response and nodal status as most significant prognostic factors for advanced rectal cancer treated with preoperative chemoradiotherapy.

    abstract:BACKGROUND:This study evaluated the impact of tumor regression grading (TRG) and other pathologic variates in a cohort of rectal carcinoma patients treated with neoadjuvant chemoradiotherapy (CRT). The value of a grading less than pCR for predicting survival is unknown. Tumor budding has not been systematically studied...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-011-1409-8

    authors: Huebner M,Wolff BG,Smyrk TC,Aakre J,Larson DW

    更新日期:2012-03-01 00:00:00

  • Recurrent inguinal hernia: disease of the collagen matrix?

    abstract::The aim of this study was to investigate the collagen matrix in recurrent inguinal hernias. Total ribonucleic acid (RNA) was extracted from skin fibroblasts of three groups (control group I = healthy skin; control group II = plain skin scar; recurrent inguinal hernia group = skin of recurrent inguinal hernias; each n ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-001-0239-5

    authors: Zheng H,Si Z,Kasperk R,Bhardwaj RS,Schumpelick V,Klinge U,Klosterhalfen B

    更新日期:2002-04-01 00:00:00

  • Disparities in oncologic surgery.

    abstract::Surgical oncology is one of the most frequently studied surgical specialties with regard to disparities in quality of care. There is variation in the care received according to nonclinical factors such as age, race and ethnicity, education, income, and even geographic region. Differences exist with regard to who gets ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-007-9383-x

    authors: Greenberg CC,Weeks JC,Stain SC

    更新日期:2008-04-01 00:00:00

  • Impact of recent advances in hepatobiliary imaging techniques on the preoperative diagnosis of carcinoma of the gallbladder.

    abstract::Among 26 patients with gallbladder carcinoma, 11 resected cases were studied retrospectively with respect to the preoperative imaging techniques and the operative procedures employed. Ultrasonography, endoscopic ultrasonography, and computed tomography were valuable in detecting gallbladder carcinoma preoperatively wh...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01658723

    authors: Chijiiwa K,Sumiyoshi K,Nakayama F

    更新日期:1991-05-01 00:00:00

  • Limited tumor involvement found at multiple endocrine neoplasia type I pancreatic exploration: can it be predicted by preoperative tumor localization?

    abstract::Radiologically demonstrable pancreatic endocrine tumors are a frequent requirement for exploration in patients with multiple endocrine neoplasia type I (MEN-I). Such delayed intervention is accompanied by a 30% to 50% incidence of pancreatic endocrine metastases. This study explores biochemical tumor markers and opera...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900451

    authors: Skogseid B,Oberg K,Akerström G,Eriksson B,Westlin JE,Janson ET,Eklöf H,Elvin A,Juhlin C,Rastad J

    更新日期:1998-07-01 00:00:00

  • Oncologic outcomes of self-expanding metallic stent insertion as a bridge to surgery in the management of left-sided colon cancer obstruction: comparison with nonobstructing elective surgery.

    abstract:BACKGROUND:Self-expanding metallic stents (SEMS) have been used as a bridge to surgery in patients with obstruction by colorectal cancer, but the oncologic safety of this technique has not yet been established. The aim of the present study was to compare the outcomes of bridge to surgery after SEMS insertion and nonobs...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-009-0007-5

    authors: Kim JS,Hur H,Min BS,Sohn SK,Cho CH,Kim NK

    更新日期:2009-06-01 00:00:00

  • Stapler and nonstapler closure of the pancreatic remnant after distal pancreatectomy: multicenter retrospective analysis of 388 patients.

    abstract:BACKGROUND:The pancreatic fistula rate following distal pancreatectomy ranges widely, from 13.3 to 64.0 %. The optimal closure method of the pancreatic remnant remains controversial, especially regarding whether to use a stapler. METHODS:All patients who underwent distal pancreatectomy in five Japanese hospitals from ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00268-012-1595-z

    authors: Ban D,Shimada K,Konishi M,Saiura A,Hashimoto M,Uesaka K

    更新日期:2012-08-01 00:00:00

  • Groin hernia repair: postherniorrhaphy pain.

    abstract::Persistent pain after hernia repair is common, although it is usually mild. In 3% of patients it is severe, however, and has significant effects on work and social activities. The purpose of this review was to examine factors that affect pain after hernia repair. Although the type of anaesthetic used, local or general...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-005-7903-0

    authors: O'Dwyer PJ,Alani A,McConnachie A

    更新日期:2005-08-01 00:00:00

  • Immunohistochemical expression of P53 and oncogenes in ulcerative colitis-associated colorectal carcinoma.

    abstract::The role of the tumor suppressor gene p53 and proto-oncogenes mdm-2, waf-1,and bcl-2 in sporadic colorectal carcinoma (CRC) has been well investigated. However, little is known about the role of these genes in the development of ulcerative colitis-associated colorectal carcinoma (CAC). Colectomy specimens from patient...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-001-0237-7

    authors: Brüwer M,Schmid KW,Senninger N,Schürmann G

    更新日期:2002-03-01 00:00:00

  • Micropuncture Access Set Use During Implantation of Totally Implantable Venous Access Device May Reduce Upper Extremity DVT Incidence Among Patients Undergoing Chemotherapy for Colorectal Cancer.

    abstract:BACKGROUND:The aim of this study was to compare the perioperative outcomes when using a micropuncture access set (MS) to those when using a conventional puncture set (CS) for implantation of totally implantable venous access device (TAVID). METHODS:A total of 314 patients undergoing chemotherapy for colorectal cancer ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05336-w

    authors: Lee CS,Yoon SH,Lee SM,Lee IK,Kim JY,Cho HM,Kim MK

    更新日期:2020-04-01 00:00:00

  • Pylorus-preserving pancreaticoduodenectomy in the treatment of chronic pancreatitis.

    abstract::The pylorus-preserving pancreaticoduodenectomy (PPPD) is an alternative to the standard Whipple resection in the treatment of chronic pancreatitis. The operation is safe and can be performed with a low mortality rate. The most common early complication is delayed gastric emptying, which occurs in 25% to 30% of patient...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-003-7240-0

    authors: Jimenez RE,Fernandez-Del Castillo C,Rattner DW,Warshaw AL

    更新日期:2003-11-01 00:00:00