中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2015年
8期
1164-1166,1169
,共4页
氟脱氧葡萄糖F18%体层摄影术,发射型计算机,单光子%体层摄影术,螺旋计算机%乳腺肿瘤/放射摄影术%肿瘤转移/放射摄影术
氟脫氧葡萄糖F18%體層攝影術,髮射型計算機,單光子%體層攝影術,螺鏇計算機%乳腺腫瘤/放射攝影術%腫瘤轉移/放射攝影術
불탈양포도당F18%체층섭영술,발사형계산궤,단광자%체층섭영술,라선계산궤%유선종류/방사섭영술%종류전이/방사섭영술
Fluorodeoxyglucose F18%Tomography,emission-computed,single-photon%Tomography,spiral computed%Breast neoplasms/RA%Neoplasm metastasis/RA
目的 比较18F-脱氧葡萄糖(18F-FDG)符合线路单光子发射计算机断层成像(SPECT)显像与螺旋CT在乳腺癌术后转移中的诊断价值.方法 选择乳腺癌术后患者94例为研究对象,术后均随访2年,随访期间均接受1s F-FDG符合线路SPECT显像与螺旋CT检查,并对怀疑术后转移的淋巴结进行活组织病理学检查.比较两种影像学检查对乳腺癌术后转移的诊断价值.结果 18F-FDG-SPECT检查的灵敏度、特异度、阳性预测值、阴性预测值以及阳性似然比高于螺旋CT检查,而阴性似然比低于螺旋CT检查,差异均有统计学意义(P＜0.05).结论 18F-FDG符合线路SPECT显像比螺旋CT能更加有效诊断乳腺癌的术后转移.
目的 比較18F-脫氧葡萄糖(18F-FDG)符閤線路單光子髮射計算機斷層成像(SPECT)顯像與螺鏇CT在乳腺癌術後轉移中的診斷價值.方法 選擇乳腺癌術後患者94例為研究對象,術後均隨訪2年,隨訪期間均接受1s F-FDG符閤線路SPECT顯像與螺鏇CT檢查,併對懷疑術後轉移的淋巴結進行活組織病理學檢查.比較兩種影像學檢查對乳腺癌術後轉移的診斷價值.結果 18F-FDG-SPECT檢查的靈敏度、特異度、暘性預測值、陰性預測值以及暘性似然比高于螺鏇CT檢查,而陰性似然比低于螺鏇CT檢查,差異均有統計學意義(P＜0.05).結論 18F-FDG符閤線路SPECT顯像比螺鏇CT能更加有效診斷乳腺癌的術後轉移.
목적 비교18F-탈양포도당(18F-FDG)부합선로단광자발사계산궤단층성상(SPECT)현상여라선CT재유선암술후전이중적진단개치.방법 선택유선암술후환자94례위연구대상,술후균수방2년,수방기간균접수1s F-FDG부합선로SPECT현상여라선CT검사,병대부의술후전이적림파결진행활조직병이학검사.비교량충영상학검사대유선암술후전이적진단개치.결과 18F-FDG-SPECT검사적령민도、특이도、양성예측치、음성예측치이급양성사연비고우라선CT검사,이음성사연비저우라선CT검사,차이균유통계학의의(P＜0.05).결론 18F-FDG부합선로SPECT현상비라선CT능경가유효진단유선암적술후전이.
Objective To compare the diagnostic values of 18F-fluorodeoxyglucose-single photon emission computed tomography (18F-FDG-SPECT) and helical CT in the detection of the metastasis of postoperative breast cancer.Methods A total of 94 patients with postoperative breast cancer were chosen as research objects.The follow-up duration of post-operation was 2 years.All patients were received by 18F-FDG-SPECT and helical CT during follow-up.Lymph nodes that were suspected to the postoperative metastasis were taken for histological procedure.The diagnostic values of 18F-FDG-SPECT and helical CT to the metastasis of postoperative breast cancer were compared.Results Compared to helical CT,the sensitivity,specificity,positive predictive value,negative predictive value,and positive likelihood ratio of 18F-FDG-SPECT were higher (P ＜ 0.05);however,the negative likelihood ratio of 1s F-FDG-SPECT were lower (P ＜ 0.05).Conclusions 18F-FDG-SPECT has more important clinical value in the detection of metastasis of postoperative breast cancer relative to helical CT.
