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^18F-FDG PET/CT在脑转移瘤诊断中的局限性
引用本文:李奕钊,肖勇,郭晓君. ^18F-FDG PET/CT在脑转移瘤诊断中的局限性[J]. 海南医学, 2009, 20(6): 11-13
作者姓名:李奕钊  肖勇  郭晓君
作者单位:武警广东边防总队医院深圳PET/CT中心,广东,深圳,518029
摘    要:
目的比较脑转移瘤PET/CT、CT增强及MRI三种影像检查方法的优势及不足,从而更好的提高脑转移瘤的检出率。方法回顾性分析PET、CT、CT增强及MRI检查诊断为脑转移瘤并经临床放疗或化疗后证实的患者共18例,对PET/CT检查中出现误诊和漏诊的原因进行综合分析评价。结果18例经临床治疗后证实为脑转移瘤的病例,共发现脑转移病灶51个,PET/CT与增强扫描及MRI结果一致的病灶共42个,PET/CT检查误诊为其他病灶2个,误诊病灶数达3.9%(2/51),漏诊病灶7个,漏诊病灶数达13.7%(7/51),总共误诊及漏诊病灶数为9个,占所发现脑转移灶总数的17.6%。结论受大脑皮层基础代谢较高、PET分辩率及转移瘤病灶性质等因素的影响,PET/CT检查在诊断脑转移瘤方面存在一定的误诊及漏诊,如果联合CT增强及MRI检查,则可以明显降低脑转移瘤病灶的误诊及漏诊。

关 键 词:PET/CT  脑转移瘤  误诊  漏诊

Limitations of 18F-FDG PET/CT in the diagnosis of Cerebral Metastases
LI yi-zhao,XIAO yong,GUO Xiao-jun. Limitations of 18F-FDG PET/CT in the diagnosis of Cerebral Metastases[J]. Hainan Medical Journal, 2009, 20(6): 11-13
Authors:LI yi-zhao  XIAO yong  GUO Xiao-jun
Affiliation:LI yi-zhao,XIAO yong,GUO Xiao-jun. PET/CT Center,Shenzhen Hospital of Armed Police Corps of Frontier Defence,Shenzhen 518029,Guangdong,P.R.CHINA
Abstract:
Objective To compare the advantage and disadvantage of PET/CT,CT enhancement and MRI in the diagnosis of cerebral metastases. Methods 18 patients with cerebral metastases confirmed by radiotherapy or chemotherapy and initially diagnosed by PEC/CT,CT enhancement and MRI were analysed retrospectively. And then the reasons of misdiagnosis and missed diagonsis of PET/CT in the diagnosis of cerebral metastases were evaluated. Results 51 lesions of cerebral metastases were comfirmed in 18 cases,42 lesions(42/51)w...
Keywords:PET/CT
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