全身骨显像诊断恶性肿瘤骨转移结果分析

对经病理学确诊为恶性肿瘤病人１９７例进行全身骨显像，检出骨转移８６例。骨转移灶的分布显示，鼻咽癌的肢体骨转移率与脊柱转移率桢，为２６％；肺癌的肢体骨转移率为２５．６％，胸部骨为２９．５％，脊柱为２３．１％，骨盆为１５．４％。说明肺癌和鼻咽癌的骨转移部分分布无明显规律。同期接受骨显像和Ｘ线摄片检查，两种结果均呈阳性者１２例，Ｘ线摄惩检出病灶１６个，骨显像检出病灶４２个。显然，骨显像诊断恶性肿瘤骨转移     

核素骨显像在肿瘤临床中的应用

随着医学科学的发展,核医学与肿瘤学的交叉与互补已逐步形成一门相对独立的系统。核医学在肿瘤基础研究及肿瘤临床诊断与治疗方面越来越受到医学科研工作者和临床医生的高度重视。本文介绍正常骨影像,转移性骨肿瘤的骨显像表现,骨转移瘤诊断与鉴别诊断,原发性骨肿瘤等内容。放射性核素骨骼显像检查,不仅能显示骨骼形态,还能反映骨组织代谢和血供情况,对骨转移癌的探测非常灵敏。因此骨显像对恶性肿瘤骨转移的诊断、治疗方案、治疗后疗效评价和随访均有重要的意义,核素骨显像的适应证正在不断的扩展。     

核素骨显像在恶性肿瘤骨转移中的应用

<正>核素骨显像是临床上诊断恶性肿瘤骨转移常用方法,在比X线提前6～18个月发现骨转移的同时,还可一次成像了解全身骨骼的情况,及时发现X线等检查范围以外的病灶。我们回顾性地复习了胜利油田中心医院2004至2008年2118例癌症患者的临床表现和99Tcm-MDP骨显像结果,分析骨转移阳性率与患者年龄、性别、病程、原发灶、病理类     

215例乳腺癌全身骨ECT显像分析

乳腺癌是女性最常见的恶性肿瘤之一 ,也是最易发生骨转移的肿瘤之一 ,常较肺转移发生的多且早 ,在所有乳癌中约有30 %～ 45 %的病人出现骨转移 [1 ]。我们对 1998年 11月至 2 0 0 1年 3月 ,2 15例经病理证实的乳腺癌患者的全身 ECT骨显像结果进行回顾性分析 ,试图探讨乳腺癌骨转移与不同临床分期及病理类型的关系。1　资料与方法1.1　临床资料 :本文 2 15例均为女性 ,年龄 2 2～ 73岁 ,平均47.6岁。双侧乳癌 4例 (其中 1例左侧为浸润性导管癌、右侧为浸润性腺癌 ) ,副乳腺癌 1例。双侧卵巢切除 2 2例 (其中浸润性导管癌 2 1例 ,浸润性腺癌…     

182例肺癌患者核素骨显像结果分析

目的：探讨182例肺癌骨转移发病特点及核素骨显像对诊断的价值。方法：对182例肺癌疑有骨转移的患者全身骨显像进行回顾分析。结果：182例肺癌患者中,108例为骨转移,其中多发骨转移者88例（81.48%）,单发转移者20例（18.52%）。骨转移灶的分布以胸部最为多见,达87.96%,其次为脊柱（68.52%）,骨盆（33.33%）,肢体（25.93%）,颅骨（11.11%）。结论：全身骨显像灵敏度高,适于对肺癌骨转移癌进行定期筛查。     

全身骨显像与X线诊断骨转移瘤的对比研究

骨显像是放射性核素显像的主要项目之一，骨显像显示病变是基于局部骨骼血流和骨盐代谢的情况。在病变的早期多有明显的改变，资料显示，通常较X线提早3-6个月出现．现就此进行讨论。     

全身骨显像图像质量影响因素分析

目的分析影响全身骨显像图像的质量的常见因素。方法对本科近4年574份全身骨显像图像进行分析,总结出影响全身骨显像图像质量的常见因素,并提出改进措施,提高图像质量。结果与分析影响全身骨显像图像的质量的常见因素有：肥胖、静脉注射质量、膀胱内尿液过多、放疗、年龄与性别等。     

核素骨显像诊断骨转移癌

恶性肿瘤骨转移颅为常见,本文对71例经病理学检查确诊为恶性肿瘤的患者,行~(99m)Tc—MDP骨显像检查,骨转移阳性检出率为85.9％。核素骨显像可作为骨转移癌的首选检查方法,在肿瘤的临床分期、治疗方案的制定、疗效评价和预后的判断等方面均有重要的参考价值。     

放射性核素骨显像中软组织异常摄取骨显像剂的临床意义

目的 探讨放射性核索骨显像中软组织异常摄取骨显像剂的临床意义。方法 受检者常规行^99Tc^m-亚甲基二膦酸盐（MDP）骨显像,对1173例骨显像中软组织异常摄取骨显像荆进行分析。结果 1173例骨显像中软组织异常摄取骨显像剂39例（3．32％）。其中肺摄取10例;肝摄取9例;乳腺摄取7例;肌肉软组织及皮下摄取4例;胸膜摄取3例;腹膜摄取2例;脾摄取2例;胃癌术后残余灶及结肠癌摄取各1例。结论 多种原因均可致骨外软组织异常摄取骨显像剂．应结合临床及其他检查综合判断。     

单光子发射计算机断层扫描仪核素骨显像联合血清Ⅰ型胶原羧基端肽、抗酒石酸酸性磷酸酶5b诊断乳腺癌骨转移194例分析

目的 分析单光子发射计算机断层扫描仪(SPECT)核素骨显像联合血清Ⅰ型胶原羧基端肽(ⅠCTP)、抗酒石酸酸性磷酸酶5b(TRACP5b)诊断乳腺癌骨转移的临床价值.方法 选取2016年1月至2019年1月驻马店市中心医院确诊的乳腺癌病人194例,采用SPECT对入组病人进行全身显像检查,按Soloway骨显像分级标准...     

核素骨显像操作技术对肿瘤患者骨病灶探测结果的影响

目的探讨核素骨显像操作技术对肿瘤患者骨病灶探测结果的影响。方法收集本院1998年10月至2006年9月间16331例次肿瘤患者骨显像病例进行分析。经静脉注射99mTc-亚甲基二膦酸盐(MDP)555～925MBq后2.5～6小时行全身骨显像检查,部分病例加局部静态显像。结果本组病例在全身骨显像检查中视不同情况加扫不同体位、不同角度的局部静态显像,为正确的读片及临床分析提供尽可能多的有用信息。结论掌握并应用核医学全身骨显像及局部显像的方法,发挥不同体位、不同角度采集条件的优势,对肿瘤患者骨转移灶的探测及骨病灶的定位、定性有重要作用。     

恶性黑色素瘤178例临床病例分析

目的探讨汉族，维吾尔族，哈萨克族，蒙古族等恶性黑色素瘤患者的临床特征。方法回顾性分析2004年至2011年收治的178例经病理证实的恶性黑色素瘤，运用SPSSl7．0统计软件，对患者基本情况，肿瘤特征等进行分析。结果汉族患者所占比例最大，锡伯族所占比例最小。患者中男性明显多于女性（95／83）。农民明显多于其他职业劳动者。已婚和未婚之比为88：1。结论农民患者比较多，男性患者多于女性。加深对恶性黑色素瘤的认识，做到早发现、早诊治。     

放射治疗骨转移癌42例临床分析

Objective To analyze the effect of pain control with radiotherapy in bone metastases from malig-nancies. Methods A total of 72 lesions in forty-two cases with bone mestastases were received 6my X ray. The con-ventional radiotherapy was performed in 28 lesions in the way of 200cGy/fraction,5 fracties/week,total dose of 3000 ～5000cGy. The hypofractionation radiotherapy was.performed in 44 lesions in the way of 400cGy/fracfion,3 frac-tions/week,total dose of 2400～3600cGy. Results Overal pain relief rate was 90.28%, there were no significant differences between the two groups(P 0.05). The pain relief of hypofractionation radiotherapy was faster than anoth-er. Conclusion Radiotherapy is a very effective way to relieve pain in bone metastases from malignacies.     

放射治疗骨转移癌42例临床分析

Objective To analyze the effect of pain control with radiotherapy in bone metastases from malig-nancies. Methods A total of 72 lesions in forty-two cases with bone mestastases were received 6my X ray. The con-ventional radiotherapy was performed in 28 lesions in the way of 200cGy/fraction,5 fracties/week,total dose of 3000 ～5000cGy. The hypofractionation radiotherapy was.performed in 44 lesions in the way of 400cGy/fracfion,3 frac-tions/week,total dose of 2400～3600cGy. Results Overal pain relief rate was 90.28%, there were no significant differences between the two groups(P 0.05). The pain relief of hypofractionation radiotherapy was faster than anoth-er. Conclusion Radiotherapy is a very effective way to relieve pain in bone metastases from malignacies.     

放射治疗骨转移癌42例临床分析

Objective To analyze the effect of pain control with radiotherapy in bone metastases from malig-nancies. Methods A total of 72 lesions in forty-two cases with bone mestastases were received 6my X ray. The con-ventional radiotherapy was performed in 28 lesions in the way of 200cGy/fraction,5 fracties/week,total dose of 3000 ～5000cGy. The hypofractionation radiotherapy was.performed in 44 lesions in the way of 400cGy/fracfion,3 frac-tions/week,total dose of 2400～3600cGy. Results Overal pain relief rate was 90.28%, there were no significant differences between the two groups(P 0.05). The pain relief of hypofractionation radiotherapy was faster than anoth-er. Conclusion Radiotherapy is a very effective way to relieve pain in bone metastases from malignacies.     

放射治疗骨转移癌42例临床分析

Objective To analyze the effect of pain control with radiotherapy in bone metastases from malig-nancies. Methods A total of 72 lesions in forty-two cases with bone mestastases were received 6my X ray. The con-ventional radiotherapy was performed in 28 lesions in the way of 200cGy/fraction,5 fracties/week,total dose of 3000 ～5000cGy. The hypofractionation radiotherapy was.performed in 44 lesions in the way of 400cGy/fracfion,3 frac-tions/week,total dose of 2400～3600cGy. Results Overal pain relief rate was 90.28%, there were no significant differences between the two groups(P 0.05). The pain relief of hypofractionation radiotherapy was faster than anoth-er. Conclusion Radiotherapy is a very effective way to relieve pain in bone metastases from malignacies.     

放射治疗骨转移癌42例临床分析

目的分析42例骨转移癌放射治疗止痛效果。方法采用6MV-X线照射骨转移癌42例共72处病灶,常规分割组：28处病灶,200cGy／次,5次／周,总剂量3000～5000cGy;低分割组：44处病灶,400cGy／次,隔日1次,3次／周,总剂量2400—3600cGy。结果放疗止痛总有效率为90．28％,常规分割组与低分割组有效率差异无统计学意义（P〉0．05）;低分割组止痛起效快于常规分割组。结论放射治疗是骨转移癌止痛的一种非常有效的手段。     

放射治疗骨转移癌42例临床分析

Objective To analyze the effect of pain control with radiotherapy in bone metastases from malig-nancies. Methods A total of 72 lesions in forty-two cases with bone mestastases were received 6my X ray. The con-ventional radiotherapy was performed in 28 lesions in the way of 200cGy/fraction,5 fracties/week,total dose of 3000 ～5000cGy. The hypofractionation radiotherapy was.performed in 44 lesions in the way of 400cGy/fracfion,3 frac-tions/week,total dose of 2400～3600cGy. Results Overal pain relief rate was 90.28%, there were no significant differences between the two groups(P 0.05). The pain relief of hypofractionation radiotherapy was faster than anoth-er. Conclusion Radiotherapy is a very effective way to relieve pain in bone metastases from malignacies.