CAJ | 학술논문

目的分析脊椎 MRI 检查与放射性核素骨显像(简称骨显像)对乳腺癌脊椎转移灶的诊断价值.方法对比分析41例乳腺癌合并脊椎转移患者的脊柱 MRI 与骨显像对转移脊椎个数的检出结果,比较 MRI 与骨显像对脊椎骨转移灶的检出能力.结果经临床及病理证实,41例患者共205个椎体和(或)其附件有转移灶,脊柱 MRI 检出197个,占96%,骨显像检出168个,占82%,MRI 的检出率高于骨显像的检出率,二者差异有统计学意义(χ2=8.214,P=0.004).结论 MRI 对乳腺癌脊椎转移诊断的敏感性及特异性均高于骨显像,对早期诊断脊椎骨转移有重要价值.
목적분석척추 MRI 검사여방사성핵소골현상(간칭골현상)대유선암척추전이조적진단개치.방법대비분석41례유선암합병척추전이환자적척주 MRI 여골현상대전이척추개수적검출결과,비교 MRI 여골현상대척추골전이조적검출능력.결과경림상급병리증실,41례환자공205개추체화(혹)기부건유전이조,척주 MRI 검출197개,점96%,골현상검출168개,점82%,MRI 적검출솔고우골현상적검출솔,이자차이유통계학의의(χ2=8.214,P=0.004).결론 MRI 대유선암척추전이진단적민감성급특이성균고우골현상,대조기진단척추골전이유중요개치.
Objective To compare the diagnostic efficacy of MRI and bone scintigraphy on vertebral metastases in patients with breast cancer. Methods 41 patients of breast cancer and clinically confirmed metastatic disease in spine underwent MRI and bone scintigraphy examination. The number of involved vertebri diagnosed with two methods were calculated and compared retrospectively. Results A total of 205 vertebral metastases were found in 41 patients, among which 197 (96%, 197/205) were detected with MRI and168 (82%, 168/205) with bone scintigarphy. Conclusion Compared with bone scintigraphy, MRI is superior in detecting vertebral metastases from breast cancer, and plays an important role in the early diagnosis of spinal metastases from breast cancer.