Summary
To determine the accuracy of planar scintimammography versus SPECT scintimammography 18 patients with 21 fibroadenomas and 21 patients with 24 breast cancer sites were investigated. The sensitivity and specificity reached 79% and 95% with the planar technique and 96% and 76% with SPECT scintimammography, respectively. Metastatic axillary lymph nodes were found in one of 4 cases in planar scans but in 3 of 4 by SPECT. Whereas 5 of 17 fibroadenomas were false positive in SPECT in patients under 40 years there were no false positives above 40 years. We conclude that particularly in the higher age group SPECT scintimammography is the method with the best diagnostic accuracy.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Khalkhali I, Mena I, Jouanne E, et al: Prone scintimammography in patients with suspicion of carcinoma of the breast. J Am Coll Surg 1994; 178: 491–497
Kao CH, Wang SJ, Liu TJ: The use of technetium-99m-methoxyisobutylnitrile breast scintigraphy to evaluate palpable breast masses. Eur J Nucl Med 1994; 21: 432–436
Burak Z, Argon M, Memis A, et al: Evaluation of palpable breast masses with Tc-99mMIBI: A comparative study with mammography and ultrasonography. Nucl Med Commun 1994; 15: 604–612
Khalkhali I, Cutrone J, Mena I, et al: Scintimammography: The complementary role of Tc-99m sestamibi prone breast imaging for the diagnosis of breast carcinoma. Radiology 1995; 196: 421–426
Taillefer R, Robidoux, A, Lambert R, Turpin S, Laperrière J: Technetium-99m-sestamibi prone scintimammography to detect primary breast cancer and axillary lymph node involvement. J Nucl Med 1995; 36: 1758–1765
Bassett LW, Liu T-H, Giuliano AE, Gold RH: The prevalence of carcinoma in palpable vs impalpable, mammographically detected lesions. AJR 1991; 157: 21–24
Thurfjell EL, Lindgren JAA: Population-based mammography screening in Swedish clinical practice: prevalence and incidence screening in Uppsala county. Radiology 1994; 193: 35 1357
Gilles R, Gamier C, Meingan P, et al: Fibroadenomas of the breast: histopathological/dynamic contrast-enhanced MR correlation. Eur Radio! 1995; 5, 511–517
Scopinaro F, Schillaci O, Scarpini M et al: Technetium-99m-MIBI: An indicator of breast cancer invasiveness. Eur J Nucl Med 1994; 21: 984–987
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer Basel AG
About this chapter
Cite this chapter
Becherer, A., Helbich, T., Staudenherz, A., Leitha, T. (1997). Scintimammography with Technetium-99m-Sestamibi: Planar Scanning vs SPECT. In: Bergmann, H., Kroiss, A., Sinzinger, H. (eds) Radioactive Isotopes in Clinical Medicine and Research. Advances in Pharmacological Sciences. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-7772-5_4
Download citation
DOI: https://doi.org/10.1007/978-3-0348-7772-5_4
Publisher Name: Birkhäuser, Basel
Print ISBN: 978-3-0348-7774-9
Online ISBN: 978-3-0348-7772-5
eBook Packages: Springer Book Archive