| ^18F-FDG SPECT／CT同机融合显像在原发灶不明转移癌中的临床应用 |
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| 引用本文： | 林小敏,蔡志华,唐明灯,倪雷春,林端瑜.^18F-FDG SPECT／CT同机融合显像在原发灶不明转移癌中的临床应用[J].福建医药杂志,2009,31(3):106-108. |
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| 作者姓名： | 林小敏 蔡志华 唐明灯 倪雷春 林端瑜 |
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| 作者单位： | 福建省肿瘤医院核医学科,350014 |
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| 摘 要： | 目的探讨^18F-FDG SPECT／CT同机融合显像在原发灶不明转移癌中的应用价值。方法对51例行^18F-FDG SPECT／CT同机融合显像，同时获得SPECT、CT及两者的融合图像，至少由2名核医学科主治以上医师对图像进行双盲阅片诊断，结果与病理或随访结论相比较。结果^18F-FDG SPECT／CT融合显像、单独SPECT显像及单独CT显像对原发灶的检出率分别为43.13％（22／51）、31.37％（16／51）、21.57％（11／51），差别有统计学意义（P〈0.05）。^18F-FDG SPECT／CT同机融合显像灵敏度为88.00％，特异性为84.62％，准确度为86.27％，阳性预测值为84.62％，阴性预测值为88.00％。经SPECT／CT同机融合显像检查后32例原发灶不明转移癌的临床治疗方案得以确定或调整，其中10例临床分期得以提高。结论^18F-FDG SPECT／CT同机融合显像对原发不明转移癌的诊断、再分期和治疗有重要临床价值。
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| 关 键 词： | SPECT/CT融合显像 原发灶 转移癌 脱氧葡萄糖 |
Clinical application of the ~(18)F-FDG SPECT/CT fusion imaging in detecting carcinoma of unknown primary site |
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| Lin Xiaomin,Cai Zhihua,Tang Mingdeng,Ni Leichun,Lin Duanyu.Clinical application of the ~(18)F-FDG SPECT/CT fusion imaging in detecting carcinoma of unknown primary site[J].Fujian Medical Journal,2009,31(3):106-108. |
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| Authors: | Lin Xiaomin Cai Zhihua Tang Mingdeng Ni Leichun Lin Duanyu |
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| Institution: | Lin Xiaomin,Cai Zhihua,Tang Mingdeng,Ni Leichun,Lin Duanyu.Department of Nuclear Medicine,Fujian Provincial Tumor Hospital,Fuzhou 350014,China |
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| Abstract: | Objective To investigate the role of 18F-FDG SPECT/CT fusion imaging in detecting carcinoma of unknown primary site(CUP).Methods Fifty-one with CUP syndrome were examined by the 18F-FDG SPECT/CT fusion imaging.The images of SPECT alone,CT alone and SPECT/CT were blindly interpreted by more than two experienced nuclear medicine specialist.The results of images were compared to the conclusion of pathology or follow-up.Results The detection rate of SPECT/CT fusion imaging(43.13%,22/51)was higher than that of S... |
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| Keywords: | SPECT/CT fusion imaging Primary lesion Metastases Deoxyglucose |
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