›› 2014, Vol. 35 ›› Issue (10): 1156-1156.

• 论文 • 上一篇    下一篇

MRI与99 Tcm-MDP骨显像在骨转移瘤诊断中的应用比较

任燕双;洪洋;郎学森;高波   

  1. 中国中医科学院广安门医院放射科,北京,100053%中国中医科学院广安门医院核医学科,北京,100053
  • 发布日期:2014-10-25

SHEN Wei;LI Qinghuai;LI Xiaoyu;YAN Li;ZHANG Linlei

REN Yanshuang;HONG Yang;LANG Xuesen;GAO Bo   

  • Published:2014-10-25

摘要: 目的:比较 MRI与99 Tcm-MDP骨显像在骨转移瘤诊断中的价值。方法对15例骨转移瘤患者分别进行 MRI及99 Tcm-MDP骨显像检查,比较2种方法检出骨转移瘤病变的阳性率。结果15例骨转移瘤中,MRI检查阳性15例,阳性病灶95个,99 Tcm-MDP 骨显像检查阳性13例,阳性病灶61个,MRI 阳性病灶检出率高于99 Tcm-MDP骨显像,差异有统计学意义(χ2=23.684,P<0.01)。结论增强T1 WI及 DWI序列的应用,使得 MRI检查较99 Tcm-MDP骨显像具有更高的敏感度和特异度,MRI与核素骨显像二者应互相补充,合理应用于临床。

关键词: 骨肿瘤, 肿瘤转移, 磁共振成像, 放射性核素显像

Abstract: Objective To compare the diagnosis of MRI and 99 Tcm-MDP bone imaging in bone metastasis.Methods Fifteen patients of diagnosed bone metastatic tumor underwent MRI and 99 Tcm-MDP bone imaging,the positive rate was compared between the two methods.Results MRI showed positive examination in 15 cases,and a total 95 lesions.99 Tcm-MDP bone imaging showed positive examination in 1 3 cases and a total 6 1 lesions.The positive rate of MRI in detection lesions was higher than that of 99 Tcm-MDP bone imaging,the difference had statistical significance(χ2=23.684,P<0.01).Conclusion Post-contrasted T1 WI and DWI made MRI more sensitive than 99 Tcm-MDP bone imaging in examination of bone metastasis.MRI and bone scintigraphy are considered as the complementary diagnostic methods in the detection of bone metastasis.

Key words: bone neoplasms, neoplasm metastasis, magnetic resonance imaging, radionuclide imaging

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