中国保健营养(下旬刊)
中國保健營養(下旬刊)
중국보건영양(하순간)
CHINA HEALTH CARE & NUTRITION
2013年
9期
5467-5467,5468
,共2页
杨俊%施宏萍%杨增旭%龙鑫
楊俊%施宏萍%楊增旭%龍鑫
양준%시굉평%양증욱%룡흠
肿瘤%肿瘤转移%骨骼%放射性核素显像%发射型计算机%单光子%全身骨%断层%MDP
腫瘤%腫瘤轉移%骨骼%放射性覈素顯像%髮射型計算機%單光子%全身骨%斷層%MDP
종류%종류전이%골격%방사성핵소현상%발사형계산궤%단광자%전신골%단층%MDP
the tumor%Tumor metastasis%Bone%Radionuclide imaging%launch type computer%single photon%The whole body bone%Fault%MDP
目的探讨SPECT断层显像对肿瘤骨转移的增益价值。方法对179例已确诊的恶性肿瘤患者先行全身骨显像再对病灶感兴区域行断层显像。由2位核医学医生对全身骨显像及断层影像依次进行诊断。根据病理或随访获得正确诊断进行统计学处理,率的比较采用X2检验。结果全身骨显像正确诊断84例,46.9%(84/179);不能正确诊断95例,53.1%(95/179),95%可信区间为45.6%-60.6%;骨转移诊断符合率70.3%(38/54)。断层显像正确诊断162例,90.5%(162/179);不正确诊断17例,9.5%(17/179),95%可信区间5.1%-13.9%;骨转移诊断符合率98.2%(53/54)。断层显像的正确诊断率、骨转移诊断符合率、无骨转移诊断符合率均高于全身骨显像(X2=76.05,X2=12.3,X2=61.1,P<0。05)。结论 SPECT断层显像在骨转移诊断中较全身骨显像有增益价值,能提供更多讯息值得推广。
目的探討SPECT斷層顯像對腫瘤骨轉移的增益價值。方法對179例已確診的噁性腫瘤患者先行全身骨顯像再對病竈感興區域行斷層顯像。由2位覈醫學醫生對全身骨顯像及斷層影像依次進行診斷。根據病理或隨訪穫得正確診斷進行統計學處理,率的比較採用X2檢驗。結果全身骨顯像正確診斷84例,46.9%(84/179);不能正確診斷95例,53.1%(95/179),95%可信區間為45.6%-60.6%;骨轉移診斷符閤率70.3%(38/54)。斷層顯像正確診斷162例,90.5%(162/179);不正確診斷17例,9.5%(17/179),95%可信區間5.1%-13.9%;骨轉移診斷符閤率98.2%(53/54)。斷層顯像的正確診斷率、骨轉移診斷符閤率、無骨轉移診斷符閤率均高于全身骨顯像(X2=76.05,X2=12.3,X2=61.1,P<0。05)。結論 SPECT斷層顯像在骨轉移診斷中較全身骨顯像有增益價值,能提供更多訊息值得推廣。
목적탐토SPECT단층현상대종류골전이적증익개치。방법대179례이학진적악성종류환자선행전신골현상재대병조감흥구역행단층현상。유2위핵의학의생대전신골현상급단층영상의차진행진단。근거병리혹수방획득정학진단진행통계학처리,솔적비교채용X2검험。결과전신골현상정학진단84례,46.9%(84/179);불능정학진단95례,53.1%(95/179),95%가신구간위45.6%-60.6%;골전이진단부합솔70.3%(38/54)。단층현상정학진단162례,90.5%(162/179);불정학진단17례,9.5%(17/179),95%가신구간5.1%-13.9%;골전이진단부합솔98.2%(53/54)。단층현상적정학진단솔、골전이진단부합솔、무골전이진단부합솔균고우전신골현상(X2=76.05,X2=12.3,X2=61.1,P<0。05)。결론 SPECT단층현상재골전이진단중교전신골현상유증익개치,능제공경다신식치득추엄。
Objective to explore SPECT tomography imaging of tumor bone metastases gain value .Methods of 179 patients with malignant tumour of the confirmed ahead of the whole body bone imaging of lesions are xing area row ct imaging .By two nuclear medicine physicians for the whole body bone imaging and ct imaging diagno-sis in turn.According to pathology or acquire correct diagnosis for statistical treatment,follow-up rate compared with X2 test.Results 84 cases of the whole body bone imaging diagnosis,46.9%(84/179);Can't correct diagnosis in 95 cases,53.1%(95/179),95% confidence interval of 45.6% to 45.6%;Bone metastases diagnosis coincidence rate 70.3%(38/54).Correct fault imaging diagnosis in 162 cases,90.5%(162/179);Incorrect diagnosis of 17 cases,9.5%(17/179)and 95% confi-dence interval 5.1% to 13.9%;Bone metastases diagnosis coincidence rate 98.2%(53/54).Tomography(ct)imaging of the correct diagnostic rate,bone metastasis di-agnosis coincidence rate,without the diagnosis coincidence rate were higher than the whole body bone imaging for bone metastases(X2 =76.05,X2 =76.05,X2 =61. 1,P<0.05).Conclusion SPECT tomography in the diagnosis of bone metastases has the gain value,the whole body bone imaging can provide more information is worthy of promotion.