| 张雪辉,肖国有,孔 飚.SPECT/CT同机融合显像对脊柱单发病变的鉴别诊断价值[J].肿瘤学杂志,2017,23(10):890-894. |
| SPECT/CT同机融合显像对脊柱单发病变的鉴别诊断价值 |
| Clinical Value of SPECT/CT Fusion Imaging in Differential Diagnosis of Solitary Spinal Lesion |
| 投稿时间：2016-12-05 |
| DOI：10.11735/j.issn.1671-170X.2017.10.B011 |
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| 中文关键词: 同机融合 脊柱病变 发射型计算机断层 单光子 |
| 英文关键词:image fusion spinal diseases emission computed tomography single-photon |
| 基金项目:广西壮族自治区卫生厅课题（Z2012016，Z2016498）；广西医科大学青年基金课题(GXMUYSF201408)；广西教育厅中青年教师基础能力提升项目(KY2016LX025)；广西高等教育本科教学改革工程立项项目（2016JGB186）；广西医科大学教育教学改革课题（2015XJGB23） |
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| 中文摘要: |
| 摘 要：［目的］ 探讨99mTc-MDP SPECT/CT融合显像对脊柱单发阳性病灶的鉴别诊断价值。［方法］对109例常规99mTc-MDP全身骨显像时脊柱单发阳性病灶同时行SPECT/CT融合显像。由2名核医学科医生共同阅片，作出最终诊断。［结果］ 颈椎占6.4%(7/109)，胸椎占36.7％(43/109)，腰椎占56.9％(59/109)；良性病变占52.3%(57/109)，骨转移病灶占47.7%(52/109)。全身骨显像确诊率为24.8%(27/109)，SPECT/CT显像确诊率为88.99％(97/109)，两者差异有统计学意义（χ2=91.644，P＜0.001)。［结论］ SPECT/CT同机融合降低了骨显像诊断骨转移的假阳性率，对诊断骨转移的类型也有一定的价值。 |
| 英文摘要: |
| Abstract：［Objective］ To evaluate the clinical value of 99mTc-MDP SPECT/CT fusion imaging in differential diagnosis of single positive spinal solitary lesion. ［Methods］ There were 109 patients underwent routine 99mTc-MDP whole body bone scan(WBS)，single positive lesion，SPECT/CT fusion imaging was performed simultaneously. The final diagnosis was made by two nuclear medicine doctors. ［Results］ The result showed cervical vertebrae accounted for 6.4%(7/109)，thoracic vertebrae accounted for 36.7%(43/109) and lumbar vertebrae accounted for 56.9%(59/109). Benign lesions accounted for 52.3%(57/109)，bone metastases accounted for 47.7%(52/109). The diagnostic accuracy of WBS and the SPECT/CT was 24.8%(27/109) and 88.9%(97/109)，the difference was statistically significant(χ2=91.644，P<0.001). ［Conclusion］ SPECT/CT fusion imaging significantly reduced the false-positive rate of bone scan in diagnosis of bone metastases，and was valuable in the diagnosis of bone metastases types as well． |
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