CAJ | 학술논문

目的比较放射性核素骨显像(简称骨显像)与脊柱MR检查对鼻咽癌脊柱转移瘤的检出能力.方法回顾性分析47例鼻咽癌伴有脊柱转移患者的骨显像和脊柱MR检查结果 ,以累及椎体个数为单位,比较两种检查方法对脊柱转移瘤的检出能力.结果随访证实47例患者共187个椎体有转移灶.骨显像检出153个(153/187,81.82%),脊柱MR检出182个椎体(182/187,97.33%),二者差异有统计学意义(χ~2＝23.758,P＝0.000).结论脊柱MR比骨显像更能有效地检出鼻咽癌的脊柱骨转移灶,可作为早期诊断脊柱骨转移的首选方法.
목적 비교방사성핵소골현상(간칭골현상)여척주MR검사대비인암척주전이류적검출능력.방법 회고성분석47례비인암반유척주전이환자적골현상화척주MR검사결과 ,이루급추체개수위단위,비교량충검사방법 대척주전이류적검출능력.결과 수방증실47례환자공187개추체유전이조.골현상검출153개(153/187,81.82%),척주MR검출182개추체(182/187,97.33%),이자차이유통계학의의(χ~2＝23.758,P＝0.000).결론 척주MR비골현상경능유효지검출비인암적척주골전이조,가작위조기진단척주골전이적수선방법.
Objective To compare the diagnostic efficacy of bone scintigraphy and MRI on vertebral metastases in patients with nasopharyngeal cancer (NPC). Methods Forty-seven patients of NPC and clinically confirmed metastatic disease in spine underwent bone scintigraphy and MR examination. The number of involved vertebri diagnosed with two methods were calculated and compared retrospectively. Results A total of 187 vertebral metastases were found in 47 patients, among which 153 (81.82%) were detected with bone scintigarphy and 182 (97.33%) were diagnosed with MRI (χ~2＝23.758, P＝0.000). Conclusion Compared with bone scintigraphy, MRI is superior in detecting vertebral metastases from NPC, and can be used as the first choice for the early diagnosis of spinal metastases from NPC.