| 99Tcm-MIBI SPECT/CT双时相显像对原发性甲状旁腺功能亢进症的诊断价值 |
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| 引用本文： | 汪太松,赵晋华,邢岩. 99Tcm-MIBI SPECT/CT双时相显像对原发性甲状旁腺功能亢进症的诊断价值[J]. 中国医学影像学杂志, 2012, 0(11): 855-857 |
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| 作者姓名： | 汪太松 赵晋华 邢岩 |
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| 作者单位： | 上海交通大学附属第一人民医院核医学科上海 200080 |
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| 摘 要： | 目的探讨99Tcm-MIBI SPECT/CT双时相显像在诊断原发性甲状旁腺功能亢进症(pHPT)中的价值。资料与方法 52例血清甲状旁腺激素(PTH)升高患者行99Tcm-MIBI SPECT/CT双时相显像,并按照PTH及血钙水平分为A、B、C组[A组(PTH≤130pg/ml、血钙<2.7mmol/L),B组(PTH>130pg/ml、血钙<2.7mmol/L),C组(PTH>130pg/ml、血钙≥2.7mmol/L)],比较其对不同PTH、血钙水平患者显像的阳性率,并以手术病理及随访结果作为参考,评价其对甲状旁腺疾病的诊断准确性。结果 A、B、C组SPECT/CT阳性率分别为3.23%、46.15%、75.00%,准确性分别为3.70%、60.00%、85.71%;B、C组阳性率、准确性均明显高于A组(P<0.001)。结论 99Tcm-MIBI SPECT/CT双时相显像对于PTH>130pg/ml、血钙≥2.7mmol/L的pHPT患者具有较高的诊断价值,对于PTH≤130pg/ml、血钙正常的患者诊断价值较低,需结合临床资料进行诊断。
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| 关 键 词： | 甲状旁腺功能亢进,原发性 体层摄影术,发射型计算机,单光子 99m锝甲氧基异丁基异腈 |
99Tcm-MIBI SPECT/CT Dual-phase Imaging in Diagnosing Primary Hyperparathyroidism |
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| WANG Taisong,ZHAO Jinhua,XING Yan. 99Tcm-MIBI SPECT/CT Dual-phase Imaging in Diagnosing Primary Hyperparathyroidism[J]. Chinese Journal of Medical Imaging, 2012, 0(11): 855-857 |
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| Authors: | WANG Taisong ZHAO Jinhua XING Yan |
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| Affiliation: | Department of Nuclear Medicine, Shanghai First People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200080, China |
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| Abstract: | |
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| Keywords: | Hyperparathyroidism, primary Tomography, emission-computed, single-photon Technetium tc 99m sestamibi |
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