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Sentinel Node Mapping in Ovarian Tumors: A Study Using Lymphoscintigraphy and SPECT/CT 卵巢肿瘤的前哨节点图:使用淋巴管造影和 SPECT/CT 的研究
4区 医学 Q3 Medicine Pub Date : 2024-02-23 DOI: 10.1155/2024/5453692
Saeideh Ataei Nakhaei, Ramin Sadeghi, Sayyed Mostafa Mostafavi, Giorgio Treglia, Malihe Hassanzadeh, Maryam Esmaeilpour, Negar Sadat Taheri, Marjaneh Farazestanian

Purpose. Ovarian cancer in the early stage requires a complete surgical staging, including radical lymphadenectomy, implying subsequent risk of morbidity and complications. Sentinel lymph node (SLN) mapping is a procedure that attempts to reduce radical lymphadenectomy-related complications and morbidities. Our study evaluates the feasibility of SLN mapping in patients with ovarian tumors by the use of intraoperative Technetium-99m-Phytate (Tc-99m-Phytate) and postoperative lymphoscintigraphy using tomographic (single-photon emission computed tomography/computed tomography (SPECT/CT)) acquisition. Materials and Methods. Thirty-two patients with ovarian mass participated in this study. Intraoperative injection of the radiopharmaceutical was performed just after laparotomy and before the removal of tumor in utero-ovarian and suspensory ligaments of the ovary just beneath the peritoneum. Subsequently, pelvic and para-aortic lymphadenectomy was performed for malignant masses, and the presence of tumor in the lymph nodes was assessed through histopathological examination. Conversely, lymphadenectomy was not performed in patients with benign lesions or borderline ovarian tumors. Lymphoscintigraphy was performed within 24 hr using tomographic acquisition (SPECT/CT) of the abdomen and pelvis. Results. Final pathological examination showed 19 patients with benign pathology, 5 with borderline tumors, and 6 with malignant ovarian tumors. SPECT/CT identified SLNs in para-aortic-only areas in 6 (20%), pelvic/para-aortic areas in 14 (47%), and pelvic-only areas in 7 (23%) cases. Notably, additional unusual SLN locations were revealed in perirenal, intergluteal, and posterior to psoas muscle regions in three patients. We were not able to calculate the false negative rate due to the absence of patients with involved lymph nodes. Conclusion. SLN mapping using intraoperative injection of radiotracers is safe and feasible. Larger studies with more malignant cases are needed to better evaluate the sensitivity of this method for lymphatic staging of ovarian malignancies.

目的。卵巢癌早期需要进行全面的手术分期,包括根治性淋巴结切除术,这意味着随后会有发病率和并发症的风险。前哨淋巴结(SLN)绘图是一种试图减少根治性淋巴结切除术相关并发症和发病率的手术。我们的研究通过术中使用锝-99m-hytate(Tc-99m-Phytate)和术后使用断层扫描(单光子发射计算机断层扫描/计算机断层扫描(SPECT/CT))采集淋巴管造影,评估了卵巢肿瘤患者前哨淋巴结造影的可行性。材料与方法。32名卵巢肿块患者参与了这项研究。术中注射放射性药物是在开腹手术后、腹膜下子宫卵巢和卵巢悬韧带肿瘤切除前进行的。随后,对恶性肿块进行盆腔和主动脉旁淋巴结切除,并通过组织病理学检查评估淋巴结中是否存在肿瘤。相反,良性病变或边缘性卵巢肿瘤患者则不进行淋巴结切除术。利用腹部和盆腔的断层扫描(SPECT/CT)在 24 小时内进行淋巴管造影。结果显示最终病理检查结果显示,19 例患者为良性病变,5 例为边缘性肿瘤,6 例为恶性卵巢肿瘤。SPECT/CT 在 6 例(20%)患者的主动脉旁区域、14 例(47%)患者的盆腔/主动脉旁区域和 7 例(23%)患者的盆腔区域发现了 SLN。值得注意的是,3 名患者的脐周、臀间和腰肌后区域还发现了其他不寻常的 SLN 位置。由于没有淋巴结受累的患者,我们无法计算假阴性率。结论利用术中注射放射性核素绘制SLN图谱是安全可行的。需要对更多的恶性病例进行更大规模的研究,以更好地评估这种方法对卵巢恶性肿瘤淋巴分期的敏感性。
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引用次数: 0
Retracted: Characteristics Scanning of Brain Structure and Function Changes in Patients with Different Degrees of Alzheimer's Disease. 撤回:不同程度阿尔茨海默病患者大脑结构和功能变化的特征扫描。
4区 医学 Q3 Medicine Pub Date : 2023-12-13 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9830349
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/5238941.].

[本文撤回了文章 DOI:10.1155/2022/5238941]。
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引用次数: 0
Retracted: Effects of Stress on Osteoblast Proliferation and Differentiation Based on Endoplasmic Reticulum Stress and Wntβ-Catenin Signaling Pathway. 撤回:基于内质网应激和 Wntβ-Catenin 信号通路的应激对成骨细胞增殖和分化的影响
4区 医学 Q3 Medicine Pub Date : 2023-12-13 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9791810
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/8521051.].

[本文撤回文章 DOI:10.1155/2022/8521051.]。
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引用次数: 0
Retracted: Analysis of the Performance of Gadoxetic Acid Disodium MRI in Predicting Microvascular Invasion of Hepatocellular Carcinoma. 撤回:钆醋酸二钠磁共振成像在预测肝细胞癌微血管侵犯方面的性能分析
4区 医学 Q3 Medicine Pub Date : 2023-12-13 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9761084
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/6128845.].

[本文撤消了文章 DOI:10.1155/2022/6128845]。
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引用次数: 0
Retracted: Bioinformatic Deconstruction of Differentially Expressed Sequence Tags in Hepatocellular Carcinoma Based on Artificial Neural Network. 撤回:基于人工神经网络的肝细胞癌差异表达序列标签的生物信息学解构
4区 医学 Q3 Medicine Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9797605
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/6716324.].

[此文撤稿,DOI: 10.1155/2022/6716324.]。
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引用次数: 0
Retracted: Clinical Value of PET.CT Based on Big Data in Colorectal and Peritoneal Metastatic Cancer. 撤回:基于大数据的 PET.CT 在结直肠癌和腹膜转移癌中的临床价值。
4区 医学 Q3 Medicine Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9795808
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/6120337.].

[本文撤回了文章 DOI:10.1155/2022/6120337]。
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引用次数: 0
Retracted: Deconstruction of Clinical Treatment of Pneumonia and Respiratory Tract Infection Based on MRI Molecular Imaging. 撤回:基于核磁共振成像分子影像的肺炎和呼吸道感染临床治疗解构。
4区 医学 Q3 Medicine Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9823903
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/7146978.].

[本文撤回文章 DOI:10.1155/2022/7146978]。
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引用次数: 0
Retracted: Analysis of Nursing Effect of Comprehensive Nursing Intervention on Hemodialysis Patients with Uremia. 撤稿:综合护理干预对尿毒症血液透析患者的护理效果分析
4区 医学 Q3 Medicine Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9754521
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/5820707.].

[本文撤回了文章 DOI:10.1155/2022/5820707]。
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引用次数: 0
Retracted: Automatic Detection and Classification of Epileptic Seizures in Patients with Liver Cirrhosis and Overlapping Hev Infection Based on Deep Multimodal Fusion Technology. 撤回:基于深度多模态融合技术的肝硬化合并黑热病患者癫痫发作的自动检测与分类
4区 医学 Q3 Medicine Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9847843
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/3176134.].

[本文撤回文章 DOI:10.1155/2022/3176134.]。
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引用次数: 0
Retracted: Mechanism of Anti-Inflammatory Drugs in the Early Treatment of Oral Gingival Mucosa and Soft Tissue Trauma. 撤回:抗炎药物在早期治疗口腔牙龈黏膜和软组织创伤中的作用机制。
4区 医学 Q3 Medicine Pub Date : 2023-11-29 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9793546
Contrast Media Molecular Imaging

[This retracts the article DOI: 10.1155/2022/5785025.].

[此文撤稿,DOI: 10.1155/2022/5785025.]。
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引用次数: 0
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Contrast media & molecular imaging
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