CAJ | 학술논문

目的：探讨SPECT/CT融合显像在99Tcm-甲氧基异丁基异腈（MIBI）甲状腺亲肿瘤显像中的临床价值。方法103例甲状腺冷结节患者先行99Tcm-MIBI双时相（15 min与2 h）显像，后行SPECT/CT同机断层融合，结果与病理检查结果进行比较。结果99Tcm-MIBI双时相法对甲状腺结节性质良恶性鉴别的灵敏度、特异度和准确性分别为59.1%、49.4%、51.4%，SPECT/CT融合显像诊断的灵敏度、特异度和准确性分别为81.8%、76.5%、77.7%。结论 SPECT/CT融合显像在甲状腺99Tcm-MIBI亲肿瘤显像中可提高诊断准确性，为临床提供可靠信息。
목적：탐토SPECT/CT융합현상재99Tcm-갑양기이정기이정（MIBI）갑상선친종류현상중적림상개치。방법103례갑상선랭결절환자선행99Tcm-MIBI쌍시상（15 min여2 h）현상，후행SPECT/CT동궤단층융합，결과여병리검사결과진행비교。결과99Tcm-MIBI쌍시상법대갑상선결절성질량악성감별적령민도、특이도화준학성분별위59.1%、49.4%、51.4%，SPECT/CT융합현상진단적령민도、특이도화준학성분별위81.8%、76.5%、77.7%。결론 SPECT/CT융합현상재갑상선99Tcm-MIBI친종류현상중가제고진단준학성，위림상제공가고신식。
Objective To explore the clinical value of SPECT-CT fusion imaging in 99Tcm-methoxy isobutyl isonitrile (MIBI) thyroid scintigraphy. Methods 103 patients with nonfunctional thyroid nodules were examined by using dual-phase 99Tcm-MIBI thyroid scintigraphy (15min and 2h) and then examined by using SPECT-CT fusion imaging. The results of 103 patients achieved through dual-phase 99Tcm-MIBI thyroid scintigraphy and SPECT-CT fusion imaging were compared with those of pathological examination. Results The sensitivity, speciifcity and accuracy of dual-phase 99Tcm-MIBI thyroid scintigraphy in diagnosing benign and malignant of nonfunctional thyroid nodules were 59.1%, 49.4%and 51.4%, respectively while those of SPECT-CT fusion imaging were 81.8%, 76.5%and 77.7%, respectively. Conclusion The diagnosis accuracy of 99Tcm-MIBI thyroid scintigraphy in nonfunctional thyroid nodules can be improved with the application of SPECT-CT fusion imaging, who can provide reliable information for clinical diagnosis.