肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2009年
7期
455-457
,共3页
丁明辉%崔红燕%刘炯%张宝牛
丁明輝%崔紅燕%劉炯%張寶牛
정명휘%최홍연%류형%장보우
乳腺肿瘤%99m锝-甲氧基异丁基异腈%放射性核素显像%正电子发射断层显像术%图像处理,计算机辅助
乳腺腫瘤%99m锝-甲氧基異丁基異腈%放射性覈素顯像%正電子髮射斷層顯像術%圖像處理,計算機輔助
유선종류%99m득-갑양기이정기이정%방사성핵소현상%정전자발사단층현상술%도상처리,계산궤보조
Breast neoplasms%Technetium-99Tcm-sestamibi%Ridionuclide imaging%Positron-emission tomography%Image processing,computer assisted
目的 探讨99Tcm-MIBI SPECT-CT同机图像融合技术对于乳腺肿瘤显像及淋巴结转移判断的临床应用价值.方法 对80例女性乳腺肿块患者行99Tcm-MlBI乳腺及腋窝淋巴结平面显像及99Tcm-MIBI SPECT-CT显像.所有患者均有手术后病理检查结果做对照.结果 80例患者中SPECT-CT融合图像对乳腺癌诊断的灵敏度88.2%(45/51),高于平面显像的82.4%(42/51).两者差异有统计学意义(P<0.05).SPECT-CT融合图像对原发性乳腺癌诊断的特异度、准确度分别为93.1%(26/29)、90%(71/80),均高于平面显像的79.3%(23/29)、81.3%(65/80).平面显像检测腋淋巴结的灵敏度77.2%(17/22),特异度86.2%(25/29),准确度82.4%(42/51),SPECT-CT融合图像检测腋淋巴结的灵敏度81.8%(18/22),特异度89.7%(26/29),准确度86.3%(44/51).两者比较差异无统计学意义(P0.05).结论 SPECT-CT图像融合显像技术在乳腺癌诊断的灵敏度、特异度和准确度均高于平面显像.在乳腺癌腋窝淋巴结转移探测方面SPECT/CT图像融合与平面显像相似.
目的 探討99Tcm-MIBI SPECT-CT同機圖像融閤技術對于乳腺腫瘤顯像及淋巴結轉移判斷的臨床應用價值.方法 對80例女性乳腺腫塊患者行99Tcm-MlBI乳腺及腋窩淋巴結平麵顯像及99Tcm-MIBI SPECT-CT顯像.所有患者均有手術後病理檢查結果做對照.結果 80例患者中SPECT-CT融閤圖像對乳腺癌診斷的靈敏度88.2%(45/51),高于平麵顯像的82.4%(42/51).兩者差異有統計學意義(P<0.05).SPECT-CT融閤圖像對原髮性乳腺癌診斷的特異度、準確度分彆為93.1%(26/29)、90%(71/80),均高于平麵顯像的79.3%(23/29)、81.3%(65/80).平麵顯像檢測腋淋巴結的靈敏度77.2%(17/22),特異度86.2%(25/29),準確度82.4%(42/51),SPECT-CT融閤圖像檢測腋淋巴結的靈敏度81.8%(18/22),特異度89.7%(26/29),準確度86.3%(44/51).兩者比較差異無統計學意義(P0.05).結論 SPECT-CT圖像融閤顯像技術在乳腺癌診斷的靈敏度、特異度和準確度均高于平麵顯像.在乳腺癌腋窩淋巴結轉移探測方麵SPECT/CT圖像融閤與平麵顯像相似.
목적 탐토99Tcm-MIBI SPECT-CT동궤도상융합기술대우유선종류현상급림파결전이판단적림상응용개치.방법 대80례녀성유선종괴환자행99Tcm-MlBI유선급액와림파결평면현상급99Tcm-MIBI SPECT-CT현상.소유환자균유수술후병리검사결과주대조.결과 80례환자중SPECT-CT융합도상대유선암진단적령민도88.2%(45/51),고우평면현상적82.4%(42/51).량자차이유통계학의의(P<0.05).SPECT-CT융합도상대원발성유선암진단적특이도、준학도분별위93.1%(26/29)、90%(71/80),균고우평면현상적79.3%(23/29)、81.3%(65/80).평면현상검측액림파결적령민도77.2%(17/22),특이도86.2%(25/29),준학도82.4%(42/51),SPECT-CT융합도상검측액림파결적령민도81.8%(18/22),특이도89.7%(26/29),준학도86.3%(44/51).량자비교차이무통계학의의(P0.05).결론 SPECT-CT도상융합현상기술재유선암진단적령민도、특이도화준학도균고우평면현상.재유선암액와림파결전이탐측방면SPECT/CT도상융합여평면현상상사.
Objective To investigate the clinical value of 99Tcm-MIBI SPECT-CT image fusion technology for diagnosing breast tumor and detecting axiiiary lymph node metastasis. Methods 99Tcm-MiBI breast and axillary lymph node planar and SPECT-CT imaging in 80 female breast tumor patients were done. All patients had pathological examination results after surgery as control. Results SPECT-CT fusion images sensitivity for breast cancer diagnosis, specificity and accuracy rates were 88.2 % (45/51), 93.1% (26/29) and 90 % (71/80). Planar imaging sensitivity, specificity and accuracy rate were 82.4 % (42/51), 79.3 %(23/29) and 81.3 %(65/80). SPECT-CT fusion images were higher than planar imaging (P <0.05). SPECT-CT fusion images sensitivity, specificity and accuracy for detecting axillary lymph node metastasis were 81.8 %(18/22), 89.7 % (26/29) and 86.3 % (44/51). Planar imaging sensitivity, specificity and accuracy were 77.2 % (17/22), 86.2 % (25/29) and 82.4 %(42/51). There was no significant difference between them (P0.05). Conclusion SPECT-CT image fusion technology in the diagnosis of breast cancer is better than planar imaging. SPECT-CT image fusion in detecting axillary lymph node metastasis of breast cancer is similar to planar imaging.
