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恶性肿瘤患者脊柱病变的SPECT/CT诊断价值
引用本文:毛新远,陈燕,蒲朝煜,张驰. 恶性肿瘤患者脊柱病变的SPECT/CT诊断价值[J]. 中国医学影像学杂志, 2010, 18(2): 140-143
作者姓名:毛新远  陈燕  蒲朝煜  张驰
作者单位:武警总医院核医学科,北京,100039
摘    要:目的: 探讨99mTc-MDP SPECT/CT骨显像诊断恶性肿瘤患者脊柱病灶的价值.材料和方法: 回顾性分析72例恶性肿瘤患者113个脊柱放射性浓聚灶的全身骨平面像、局部SPECT与SPECT/CT融合图像的代谢及CT表现.结果: 113个脊柱病灶按颈椎、胸椎、腰椎、骶椎分布分别为12个、40个、52个、9个,最后诊断良性灶73个(64.6%),恶性灶40个(35.4%).平面像、SPECT、SPECT/CT诊断符合率分别为45.1%、83.2%、94.7%,差异显著(P<0.001).结论: 99mTc-MDP SPECT/CT骨显像对恶性肿瘤患者脊柱病灶的诊断具有很高的价值.

关 键 词:体层摄影术,发射型计算机,单光子  脊柱  肿瘤转移  99m锝美罗酸盐

Diagnostic Value of SPECT/CT Fusion Imaging of Spinal Lesions on Patients with Malignancy
Mao,Xinyuan,Chen,Yan,Pu,Chaoyu,Zhang,Chi. Diagnostic Value of SPECT/CT Fusion Imaging of Spinal Lesions on Patients with Malignancy[J]. Chinese Journal of Medical Imaging, 2010, 18(2): 140-143
Authors:Mao  Xinyuan  Chen  Yan  Pu  Chaoyu  Zhang  Chi
Abstract:Purpose To evaluate the diagnostic performance of SPECT/CT fusion imaging in differentiating malignant from benign spinal lesions in patients with malignant tumors. Materials and Methods Seventy-two patients with histologically confirmed malignancy underwent99mTc-MDP whole-body planar bone scintigraphy (WS),regional SPECT and SPECT/CT fusion imaging scan. All the imaging findings were retrospectively analyzed.Results One hundred and thirteen foci showing increased uptake were detected on cervical (12),thora...
Keywords:tomography,emission-computed,single-photon  spine  neoplasm metastasis  technetium 99mTc medronate
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