CAJ | 학술논문

目的研究脊椎多发性骨髓瘤的平片、CT、MRI和核素扫描表现，比较各种检查方法的优点和缺点，以提高对脊椎多发性骨髓瘤的认识和诊断水平。方法分析40例经病理证实的脊椎多发性骨髓瘤影像学资料，全部病例均同期行X线平片、CT、MRI和核素扫描检查。由2位有经验的骨关节放射诊断医师和2名核医学医师采用双盲法独立阅片，观察、分析和记录各种检查征象。结果在40例病人169个病变椎骨中：X线发现25例65枚椎骨，31枚附件受累，50枚可见压缩骨折。CT发现32例118枚椎骨，MRI发现36例169枚椎骨，ETC发现34例113枚椎骨。对比四种检查方法，MRI对脊椎多发性骨髓瘤的显示敏感性和对病变特点的显示最好。结论 MRI具有较高的敏感性和特异性，可作为主要检查方法。
목적연구척추다발성골수류적평편、CT、MRI화핵소소묘표현，비교각충검사방법적우점화결점，이제고대척추다발성골수류적인식화진단수평。방법분석40례경병리증실적척추다발성골수류영상학자료，전부병례균동기행X선평편、CT、MRI화핵소소묘검사。유2위유경험적골관절방사진단의사화2명핵의학의사채용쌍맹법독립열편，관찰、분석화기록각충검사정상。결과재40례병인169개병변추골중：X선발현25례65매추골，31매부건수루，50매가견압축골절。CT발현32례118매추골，MRI발현36례169매추골，ETC발현34례113매추골。대비사충검사방법，MRI대척추다발성골수류적현시민감성화대병변특점적현시최호。결론 MRI구유교고적민감성화특이성，가작위주요검사방법。
Objective Through investigate X-ray, CT, MRI and SPECT imaging features of the spinal multiple myeloma (MM), compare the 4 examine methods with each other, in order to improve the diagnostic level of MM. Methods To analyze the imaging features of 40 patients conifrmed pathologically. All patients were examined by X-ray, CT, MRI and SPECT in the same period. Two salty bone-radiology doctors and two nuclear medicine doctor read the iflm all alone by double blind method, to observe、analyze and record various imaging features.Results 169 vertebrae were found in 40 patients. 65 vertebrae in 25 patients were found in X-ray. 31 vertebrae with appendix involvement, 50 vertebrae with compression fracture. 118 vertebrae in 32 patients were found in CT. 169 vertebrae in 36 patients were found in MR. In addition, normal type amounted to 4 patients. Comparing with the other methods, MRI has the highest sensitivity and accuracy. Conclusion MRI has the best sensitivity and accuracy for MM, so it may be the main diagnostic method.