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18F-FDG联合99mTc-MDP显像在乳腺癌术后随访中的应用
引用本文:张春燕,高树兴,刘晓杰,张志刚,丁育松,蒋灵军. 18F-FDG联合99mTc-MDP显像在乳腺癌术后随访中的应用[J]. 中国肿瘤临床, 2008, 35(18): 1032-1034
作者姓名:张春燕  高树兴  刘晓杰  张志刚  丁育松  蒋灵军
作者单位:1. 浙江省肿瘤医院核医学科,杭州市,310022
2. 浙江省嘉兴市第一医院核医学科
摘    要:目的:探讨^18F—FDG符合探测显像联合^99mTc—MDP骨显像在乳腺癌手术化疗后早期随访中,监测其复发及转移的临床应用价值。方法:81例乳腺癌患者手术化疗后3年内,分别行^18F—FDG符合探测显像、^99mTc—MDP骨显像、CT显像,计算灵敏度、特异性、准确性。结果:81例乳腺癌手术化疗后患者中,经病理检查或临床及其他影像学诊断转移31例,^18F—FDG符合探测显像对复发及转移患者监测的灵敏度、特异性、准确性分别为74.2%、92.0%、85.2%;CT显像对复发及转移患者监测的灵敏度、特异性、准确性分别为58.1%、88.0%、76.5%;^18F—FDG符合探测显像联合^99mTc—MDP骨显像诊断对复发及转移患者监测的灵敏度、特异性、准确性分别为93.5%、92.0%、92.6%。结论:^18F—FDG符合探测显像联合^99mTc—MDP骨显像对乳腺癌手术化疗后患者的早期随访中,灵敏度、特异性、准确性均较高。对监测其复发及转移具有重要的临床应用价值。

关 键 词:乳房癌  肿瘤转移  体层摄影术  发射型计算机  单光子  脱氧葡萄糖  MDP

Clinical Value of the Combination of ~(18)F-FDG SPECT and ~(99M)TC-MDP Bone Scan for Breast Cancer Patients Previously Treated with Both Mastectomy and Chemotherapy
ZHANG Chunyan,GAO Shuxing,LIU Xiaojie,ZHANG Zhigang,DING Yusong,JIANG Lingjun. Clinical Value of the Combination of ~(18)F-FDG SPECT and ~(99M)TC-MDP Bone Scan for Breast Cancer Patients Previously Treated with Both Mastectomy and Chemotherapy[J]. Chinese Journal of Clinical Oncology, 2008, 35(18): 1032-1034
Authors:ZHANG Chunyan  GAO Shuxing  LIU Xiaojie  ZHANG Zhigang  DING Yusong  JIANG Lingjun
Affiliation:ZHANG Chunyan1,GAO Shuxing2,LIU Xiaojie2,ZHANG Zhigang2,DING Yusong2,JIANG Lingjun21 Department of Nuclear Medicine,Zhejiang Provincial Cancer Hospital,Hangzhou 310022,China 2Department of Nuclear Medicine,The First Hospital of Jiaxing,Zhejiang 314000,China
Abstract:Objective: To evaluate the clinical value of the combination of 18F-FDG SPECT and 99MTC-MDP bone scan in the follow-up monitoring of cancer recurrences of breast cancer patients previously treated with both mastectomy and chemotherapy. Methods: A total of 81 female breast cancer patients who had received mastectomy and chemotherapy within the past three years were enrolled in this study. All of them underwent 18F-FDG SPECT, 99MTC-MDP bone scan and CT. The calculations of the sensitivity, specificity, and ac...
Keywords:MDP
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