par Fruehling, J.;Balikdjian, Daniel
Référence Acta gastro-enterologica Belgica (Ed. multilingue), 37, 10-11, page (488-502)
Publication Publié, 1974
Article révisé par les pairs
Résumé : A method for radionuclide study of the pancreas and the results obtained with this technique on 300 patients are described. The detector apparatus used, a Gamma camera connected to a multi channel analyser and also to a middle capacity computer, allows for pancreatic scintigraphy under the best technical conditions. Classical digital data storage and processing techniques were used for liver subtraction, GI tract image is eliminated after vizualization of stomach, duodenum and jejunum by 99Tc(m) pertechnetate and subtraction of the 99Tc(m) from the 75Se image, preceding the liver subtraction. This special technique should be used in 18.2% of all studies in order to obtain a clinically useful image. Anatomical correlation was obtained by autopsy or surgery in 80 cases. According to these results, if there is a normal scintigraphic image of the pancreas, there will be no pancreatic pathology. This technique gives a good evaluation of the pancreatic function in the case of pancreatic function in the case of a pancreatitis. In spite of a certain percentage of false positive scans (16.8% of all analyzed cases), the method gives satisfactory results for the diagnosis of space occupying lesions. In order to give optimal results, scintigraphic technique should be the first technique applied for complex pancreatic investigation, followed by radiological or functional examinations in case of a pathologic scintigraphic image.