中国中西医结合影像学杂志
中國中西醫結閤影像學雜誌
중국중서의결합영상학잡지
CHINESE IMAGING JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
3期
263-265
,共3页
张斌青%张敏%刘玉珂%郭会利
張斌青%張敏%劉玉珂%郭會利
장빈청%장민%류옥가%곽회리
体层摄影术,发射型计算机,单光子%体层摄影术,X线计算机%数字透视摄影术%图像处理,计算机辅助%骨疾病%关节疾病%辐射剂量
體層攝影術,髮射型計算機,單光子%體層攝影術,X線計算機%數字透視攝影術%圖像處理,計算機輔助%骨疾病%關節疾病%輻射劑量
체층섭영술,발사형계산궤,단광자%체층섭영술,X선계산궤%수자투시섭영술%도상처리,계산궤보조%골질병%관절질병%복사제량
Tomography,emission-computed,single photon%Tomography,X-ray computed%Digital fluoroscopy photography%Image processing,computer-assisted%Bone diseases%Joint diseases%Radiation dosage
目的：对比SPECT-DR、SPECT-CT 2种图像融合技术在骨关节系统疾病诊断中的差异。方法：回顾性分析280例均行SPECT-DR、SPECT-CT检查的骨骼系统疾病患者的临床及影像资料，168例发生于四肢骨，112例发生于躯干骨；以临床随访诊断为金标准，由3名专家评价2种检查方法的图像，对评价结果进行统计学分析。结果：280例患者，SPECT-DR融合图像的诊断符合率为70.36%，SPECT-CT为90.36%，差异有统计学意义（P=0.00），两者一致性较差（K=0.38）。168例发生于四肢骨骼， SPECT-DR融合图像的诊断符合率88.69%，SPECT-CT为91.07%，差异无统计学意义（P=0.13），两者一致性较好（K=0.77）。112例病变发生于躯干骨骼，SPECT-DR融合图像的诊断符合率42.86%，SPECT-CT为88.39%，差异有统计学意义（P=0.00），两者一致性较差（K=0.18）。结论：对四肢骨关节系统疾病患者如有必要进行图像融合检查时，应首选SPECT-DR，其诊断效能同SPECT-CT相当，且可适当减少辐射剂量。
目的：對比SPECT-DR、SPECT-CT 2種圖像融閤技術在骨關節繫統疾病診斷中的差異。方法：迴顧性分析280例均行SPECT-DR、SPECT-CT檢查的骨骼繫統疾病患者的臨床及影像資料，168例髮生于四肢骨，112例髮生于軀榦骨；以臨床隨訪診斷為金標準，由3名專傢評價2種檢查方法的圖像，對評價結果進行統計學分析。結果：280例患者，SPECT-DR融閤圖像的診斷符閤率為70.36%，SPECT-CT為90.36%，差異有統計學意義（P=0.00），兩者一緻性較差（K=0.38）。168例髮生于四肢骨骼， SPECT-DR融閤圖像的診斷符閤率88.69%，SPECT-CT為91.07%，差異無統計學意義（P=0.13），兩者一緻性較好（K=0.77）。112例病變髮生于軀榦骨骼，SPECT-DR融閤圖像的診斷符閤率42.86%，SPECT-CT為88.39%，差異有統計學意義（P=0.00），兩者一緻性較差（K=0.18）。結論：對四肢骨關節繫統疾病患者如有必要進行圖像融閤檢查時，應首選SPECT-DR，其診斷效能同SPECT-CT相噹，且可適噹減少輻射劑量。
목적：대비SPECT-DR、SPECT-CT 2충도상융합기술재골관절계통질병진단중적차이。방법：회고성분석280례균행SPECT-DR、SPECT-CT검사적골격계통질병환자적림상급영상자료，168례발생우사지골，112례발생우구간골；이림상수방진단위금표준，유3명전가평개2충검사방법적도상，대평개결과진행통계학분석。결과：280례환자，SPECT-DR융합도상적진단부합솔위70.36%，SPECT-CT위90.36%，차이유통계학의의（P=0.00），량자일치성교차（K=0.38）。168례발생우사지골격， SPECT-DR융합도상적진단부합솔88.69%，SPECT-CT위91.07%，차이무통계학의의（P=0.13），량자일치성교호（K=0.77）。112례병변발생우구간골격，SPECT-DR융합도상적진단부합솔42.86%，SPECT-CT위88.39%，차이유통계학의의（P=0.00），량자일치성교차（K=0.18）。결론：대사지골관절계통질병환자여유필요진행도상융합검사시，응수선SPECT-DR，기진단효능동SPECT-CT상당，차가괄당감소복사제량。
Objective:To investigate the clinical value of SPECT/DR and SPECT/CT in diagnosis of skeletal system disease. Methods:All 280 patients with skeletal system disease were examined with SPECT/DR and SPECT/CT image fusion,168 cases in the limbs,112 cases in the trunk bone. The complete information including SPECT/DR,SPECT/CT data and final clinical di-agnosis were collected. Three experienced experts evaluated the image of two examinations and made judgments. Results:For the 280 patients,the accuracy of SPECT/DR,SPECT/CT were 70.36%,90.36% respectively. The difference among the two groups was analyzed (P=0.00) and had statistically significant,consistency poor (K=0.38). 168 cases with limb bones lesions,the accura-cy of SPECT/DR,SPECT/CT were 88.70%,91.07% respectively. The difference among the two groups was analyzed (P=0.13) and had no statistically significant,consistency good (K=0.77). 112 cases with bone lesions occur on the trunk,the accuracy of SPECT/DR,SPECT/CT were 42.86%,88.39%,respectively. The difference among the two groups was analyzed (P=0.00) and had statistically significant,consistency poor (K=0.18). Conclusion:If the patient with limbs joint disease is necessary to check with image fusion,SPECT/DR should be first recommended modality,which has the same diagnostic efficiency with SPECT/CT.
