中华核医学杂志
中華覈醫學雜誌
중화핵의학잡지
CHINESE JOURNAL OF NUCLEAR MEDICINE
2009年
6期
410-413
,共4页
李现军%孙建梅%代学之%冯志徐%李凤岐%刘世娟%赵志华%宋振国
李現軍%孫建梅%代學之%馮誌徐%李鳳岐%劉世娟%趙誌華%宋振國
리현군%손건매%대학지%풍지서%리봉기%류세연%조지화%송진국
颈椎%肿瘤转移%体层摄影术%发射型计算机%单光子%MDP
頸椎%腫瘤轉移%體層攝影術%髮射型計算機%單光子%MDP
경추%종류전이%체층섭영술%발사형계산궤%단광자%MDP
Cervical vertebrae%Neoplasm metastasis%Tomography,emission-computed,single-photon%MDP
目的 探讨~(99)Tc~m-亚甲基二膦酸盐(MDP)全身及断层骨显像对颈椎良恶性病变的诊断价值.方法 回顾性分析随访资料完整且临床最终诊断明确的颈椎退行性变患者19例、转移瘤患者76例,以23名无颈椎及全身其他部位病变的健康者作为对照组,分析~(99)Tc~m-MDP全身骨显像及颈椎骨断层显像检查结果 及图像特点,用χ~2检验评价其诊断效能.结果 颈椎断层显像对颈椎退行性变的诊断灵敏度(73.7%,14/19)明显高于全身骨显像(36.8%,7/19;χ~2=5.216,P<0.05),颈椎断层显像诊断颈椎转移瘤的灵敏度和准确性分别为84.2%(64/76)和83.8%(83/99),明显高于全身骨显像[56.6%(43/76)和61.6%(61/99),χ~2=13.9和12.3,P均<0.01].结论 对临床怀疑颈椎病变的患者同时行全身骨显像及颈椎断层显像,可进一步提高颈椎病变的检出率,亦可为颈椎良恶性病变的鉴别提供更多的信息.
目的 探討~(99)Tc~m-亞甲基二膦痠鹽(MDP)全身及斷層骨顯像對頸椎良噁性病變的診斷價值.方法 迴顧性分析隨訪資料完整且臨床最終診斷明確的頸椎退行性變患者19例、轉移瘤患者76例,以23名無頸椎及全身其他部位病變的健康者作為對照組,分析~(99)Tc~m-MDP全身骨顯像及頸椎骨斷層顯像檢查結果 及圖像特點,用χ~2檢驗評價其診斷效能.結果 頸椎斷層顯像對頸椎退行性變的診斷靈敏度(73.7%,14/19)明顯高于全身骨顯像(36.8%,7/19;χ~2=5.216,P<0.05),頸椎斷層顯像診斷頸椎轉移瘤的靈敏度和準確性分彆為84.2%(64/76)和83.8%(83/99),明顯高于全身骨顯像[56.6%(43/76)和61.6%(61/99),χ~2=13.9和12.3,P均<0.01].結論 對臨床懷疑頸椎病變的患者同時行全身骨顯像及頸椎斷層顯像,可進一步提高頸椎病變的檢齣率,亦可為頸椎良噁性病變的鑒彆提供更多的信息.
목적 탐토~(99)Tc~m-아갑기이련산염(MDP)전신급단층골현상대경추량악성병변적진단개치.방법 회고성분석수방자료완정차림상최종진단명학적경추퇴행성변환자19례、전이류환자76례,이23명무경추급전신기타부위병변적건강자작위대조조,분석~(99)Tc~m-MDP전신골현상급경추골단층현상검사결과 급도상특점,용χ~2검험평개기진단효능.결과 경추단층현상대경추퇴행성변적진단령민도(73.7%,14/19)명현고우전신골현상(36.8%,7/19;χ~2=5.216,P<0.05),경추단층현상진단경추전이류적령민도화준학성분별위84.2%(64/76)화83.8%(83/99),명현고우전신골현상[56.6%(43/76)화61.6%(61/99),χ~2=13.9화12.3,P균<0.01].결론 대림상부의경추병변적환자동시행전신골현상급경추단층현상,가진일보제고경추병변적검출솔,역가위경추량악성병변적감별제공경다적신식.
Objective Cervical spine was one of the most important parts of the body.The aim of this study was to evaluate the clinical value of ~(99) Tc~m-methylene diphosphonate(MDP)whole body imaging and SPECT in detecting cervical vertebrae disease.Methods There were 95 patients including 19 with cervical vertebrae degeneration and 76 with cervical vertebrae metastasis.All patients and 23 normal con-trois underwent ~(99)Tc~m-MDP whole body imagin and cervical SPECT.The χ~2-test was used for data analysis.Results For detection of cervical vertebrae degeneration,the sensitivity of SPECT(73.7%,14/19)was significantly higher than that of ~(99)Tc~m-MDP whole body imaging(36.8%,7/19;χ~2=5.216,P<0.05).For the evaluation of cervical vertebrae metastases,the sensitivity and accuracy of cervical SPECT (84.2%,64/76;83.8%,83/99)were higher than those of ~(99)Tc~m-MDP whole body imaging(56.6%,43/76;61.6%,61/99;χ~2=13.9 and 12.3,all P<0.01).Conclusion Combined use of cervical SPECT and ~(99)Tc~m-MDP whole body imaging could improve the diagnostic value of cervical vertebrae disease.