中华核医学与分子影像杂志
中華覈醫學與分子影像雜誌
중화핵의학여분자영상잡지
Chinese Journal of Nuclear Medicine and Molecular Imaging
2013年
5期
321-323
,共3页
魏玲格%陈敏%张芳%郭艾楠%解朋%黄建敏%刘晓梅
魏玲格%陳敏%張芳%郭艾楠%解朋%黃建敏%劉曉梅
위령격%진민%장방%곽애남%해붕%황건민%류효매
骨肿瘤%纤维瘤%放射性核素显像%MDP
骨腫瘤%纖維瘤%放射性覈素顯像%MDP
골종류%섬유류%방사성핵소현상%MDP
Bone neoplasms%Fibroma%Radionuclide imaging%MDP
目的 分析骨恶性纤维组织细胞瘤(BMFH)99Tcm-MDP全身骨显像的影像特点,评价其对BMFH的诊断价值.方法 回顾性分析经手术病理证实的BMFH患者15例[男11例,女4例,年龄23～60(50.4±12.8)岁].所有患者术前均行99Tcm-MDP全身骨显像及X线检查,其中12例行CT检查,7例行MRI检查.以骨骼出现放射性异常浓聚灶或稀疏、缺损区为阳性.总结BMFH全身骨显像特点,并将显像结果与其他影像学结果进行比较.结果 15例BMFH患者全身骨显像结果均阳性,股骨阳性占66.7％(10/15),其中股骨下段占46.7％(7/15),骶骨、胫骨、肱骨、桡骨各占6.7％(1/15),多骨多发病灶占6.7％(1/15)；15例患者共发现病灶27处,其中63.0％ (17/27)表现为放射性浓聚伴稀疏、缺损区,37.0％(10/27)仅见放射性浓聚.15例患者X线检查发现病灶20处；12例行CT检查,7例行MRI检查,CT及MRI所示异常部位在全身骨显像中均呈阳性.结论 99Tcm-MDP全身骨显像示:BMFH好发于股骨,以股骨下段多见,病灶呈异常放射性浓聚,其内或伴有放射性分布稀疏、缺损区；该方法可作为BMFH的辅助诊断检查,有助于了解有无多骨病变及有无转移.
目的 分析骨噁性纖維組織細胞瘤(BMFH)99Tcm-MDP全身骨顯像的影像特點,評價其對BMFH的診斷價值.方法 迴顧性分析經手術病理證實的BMFH患者15例[男11例,女4例,年齡23～60(50.4±12.8)歲].所有患者術前均行99Tcm-MDP全身骨顯像及X線檢查,其中12例行CT檢查,7例行MRI檢查.以骨骼齣現放射性異常濃聚竈或稀疏、缺損區為暘性.總結BMFH全身骨顯像特點,併將顯像結果與其他影像學結果進行比較.結果 15例BMFH患者全身骨顯像結果均暘性,股骨暘性佔66.7％(10/15),其中股骨下段佔46.7％(7/15),骶骨、脛骨、肱骨、橈骨各佔6.7％(1/15),多骨多髮病竈佔6.7％(1/15)；15例患者共髮現病竈27處,其中63.0％ (17/27)錶現為放射性濃聚伴稀疏、缺損區,37.0％(10/27)僅見放射性濃聚.15例患者X線檢查髮現病竈20處；12例行CT檢查,7例行MRI檢查,CT及MRI所示異常部位在全身骨顯像中均呈暘性.結論 99Tcm-MDP全身骨顯像示:BMFH好髮于股骨,以股骨下段多見,病竈呈異常放射性濃聚,其內或伴有放射性分佈稀疏、缺損區；該方法可作為BMFH的輔助診斷檢查,有助于瞭解有無多骨病變及有無轉移.
목적 분석골악성섬유조직세포류(BMFH)99Tcm-MDP전신골현상적영상특점,평개기대BMFH적진단개치.방법 회고성분석경수술병리증실적BMFH환자15례[남11례,녀4례,년령23～60(50.4±12.8)세].소유환자술전균행99Tcm-MDP전신골현상급X선검사,기중12례행CT검사,7례행MRI검사.이골격출현방사성이상농취조혹희소、결손구위양성.총결BMFH전신골현상특점,병장현상결과여기타영상학결과진행비교.결과 15례BMFH환자전신골현상결과균양성,고골양성점66.7％(10/15),기중고골하단점46.7％(7/15),저골、경골、굉골、뇨골각점6.7％(1/15),다골다발병조점6.7％(1/15)；15례환자공발현병조27처,기중63.0％ (17/27)표현위방사성농취반희소、결손구,37.0％(10/27)부견방사성농취.15례환자X선검사발현병조20처；12례행CT검사,7례행MRI검사,CT급MRI소시이상부위재전신골현상중균정양성.결론 99Tcm-MDP전신골현상시:BMFH호발우고골,이고골하단다견,병조정이상방사성농취,기내혹반유방사성분포희소、결손구；해방법가작위BMFH적보조진단검사,유조우료해유무다골병변급유무전이.
Objective To investigate the usefulness of 99Tcm-MDP whole body bone scan in bone malignant fibrous histiocytoma (BMFH).Methods Fifteen patients (11 males,4 females,age ranged from 23 to 60 years,average age (50.4±12.8) years) who had documented BMFH and underwent 99Tcm-MDP whole body bone scan were retrospectively analyzed.The appearance of increased uptake,decreased uptake or defect in radioactivity on bone was considered as positive.The typical scintigraphic manifestations of BMFH were summarized and compared to other radiological imaging data.Results All 15 patients showed positive results.The lesions involved femoral in 10 cases(66.7％),46.7％(7/15) of which was distal femur.The lesions also involved sacrum,tibia,humerus,radius each in 1 case and multiple lesions in 1 case.Among 27 lesions found,63.0％ (17/27) showed strong increased radioactivity together with reduced or defect area and 37.0％ (10/27) showed strong increased radioactivity only.X-ray found 20 lesions.Twelve cases underwent CT and 7 cases underwent MRI.Abnormal spots showed on CT and MRI were also positive on the whole body bone scan.Conclusions The most common site of BMFH is femur,especially distal femur.BMFH lesions are presented as strong increased radioactivity together with sparse and defect area on bone scan.The whole body bone scan may be an auxiliary examination to evaluate whether there are multiple bone lesions and bone metastasis.
