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SPECT及CT对首诊肺癌患者骨转移的诊断价值
引用本文:于树鹏,刘军,辛军,徐微娜,王晓明,张彩霞.SPECT及CT对首诊肺癌患者骨转移的诊断价值[J].中国医学影像技术,2011,27(4):822-825.
作者姓名:于树鹏  刘军  辛军  徐微娜  王晓明  张彩霞
作者单位:1. 中国医科大学附属盛京医院核医学科,辽宁,沈阳,110004
2. 中国医科大学附属盛京医院胸外科,辽宁,沈阳,110004
3. 中国医科大学附属盛京医院放射科,辽宁,沈阳,110004
摘    要:目的 探讨SPECT全身骨静态显像、胸部CT及二者联合对首诊肺癌患者骨转移的诊断价值。 方法 回顾性分析236例肺癌患者首诊时的SPECT全身骨静态显像及胸部CT资料,比较各自及两者联合对骨转移瘤的诊断价值。 结果 SPECT确诊骨转移38例,CT确诊32例,两者差异无统计学意义;综合分析确诊44例,显著减少了不确定病例数。经综合分析,共确诊172处转移病灶,128处(128/172,74.42%)位于CT扫描范围内,44处(44/172,25.58%)位于CT扫描范围外;CT扫描范围内的128处病灶中SPECT显示阳性123处(123/128,96.09%),CT显示阳性106处(106/128,82.81%),两者差异有统计学意义。 结论 SPECT全身骨静态显像及胸部CT均为诊断肺癌骨转移的有效方法,综合分析两种影像检查结果可有效提高诊断效能。

关 键 词:肺肿瘤  肿瘤转移  体层摄影术  X线计算机  体层摄影术  发射型计算机  单光子
收稿时间:2010/9/17 0:00:00
修稿时间:2010/11/15 0:00:00

Value of SPECT and CT in detecting bone metastases in patients with newly diagnosed lung cancer
YU Shu-peng,LIU Jun,XIN Jun,XU Wei-n,WANG Xiao-ming and ZHANG Cai-xia.Value of SPECT and CT in detecting bone metastases in patients with newly diagnosed lung cancer[J].Chinese Journal of Medical Imaging Technology,2011,27(4):822-825.
Authors:YU Shu-peng  LIU Jun  XIN Jun  XU Wei-n  WANG Xiao-ming and ZHANG Cai-xia
Institution:Department of Nuclear Medicine, Shenjing Hospital of China Medical University, Shenyang 110004, China;Department of Thoracic Surgery, Shenjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shenjing Hospital of China Medical University, Shenyang 110004, China;Department of Nuclear Medicine, Shenjing Hospital of China Medical University, Shenyang 110004, China;Department of Radiology, Shenjing Hospital of China Medical University, Shenyang 110004, China;Department of Nuclear Medicine, Shenjing Hospital of China Medical University, Shenyang 110004, China
Abstract:Objective To explore the diagnostic value of SPECT bone scintigraphy,thoracic CT and comprehensive analysis of these two examinations in detecting bone metastases in patients with newly diagnosed lung cancer.Methods Initial images of SPECT bone scintigraphy and thoracic CT of 236 patients with newly diagnosed lung cancer were analyzed retrospectively.SPECT bone scintigraphy,thoracic CT and comprehensive analysis of these two examinations in diagnosis of bone metastases were compared.Results Thirty-eight pat...
Keywords:Lung neoplasms  Neoplasm metastasis  Tomography  X-ray computed  Tomography  emission-computed  single-photon
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