spect及ct对首诊肺癌患者骨转移的诊断价值

《spect及ct对首诊肺癌患者骨转移的诊断价值》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、万方数据·822·±垦曼兰丝堡垫查!!!!生笙!：鲞整!塑￡垒i12坚!皇!垩!巫!兰!!!!!!!：垫!!：∑!!!!：邕!!◆◆◆骨骼肌肉影像学ValueofSPECTandCTindetectingbonemetastasesinpatientswithnewlydiagnosedlungcancerYUShu—pen91，LIUJun2，XINJun3，XL，Wei一，抛1，WANGXiao-min93，ZHANGCai-xia¨(1．DepartmentofNuclearMedicine，2．DepartmentofThoracicSurgery，3．Depart

2、mentofRadiology，ShenjingHospitalofChinaMedicalUniversity，Shenyang110004，China)['Abstract]ObjectiveToexplorethediagnosticvalueofSPECTbonescintigraphy，thoracicCTandcomprehensiveanal—ysisofthesetwoexaminationsindetectingbonemetastasesinpatientswithnewlydiagnosedlungcancer．MethodsInitialimages

3、ofSPECTbonescintigraphyandthoracicCTof236patientswithnewlydiagnosedlungcancerwereanalyzedretro～spective[y．SPECTbonescintigraphy，thoracicCTandcomprehensiveanalysisofthesetwoexaminationsindiagnosisofbonemetastaseswerecompared．ResultsThirty-eightpatientswithbonemetastaseswerediagnosedwithSPEC

4、Taloneand32patientswerediagnosedwithCTalone．Therewasnosignificantdifferencebetweenthem．Forty-fourpatientswithbonemetastaseswerediagnosedwithcomprehensiveanalysisofthesetwoexaminationswithasignificantreductionofpa‘tientswithequivocalfindings．Therewere172lesionsofbonemetastasesdiagnosedwithc

5、omprehensiveanalysis，128le—sions(128／172，74．42％)localizedwithintherangeofCTscanand44lesions(44／172，25．58％)localizedoutsidetherangeofCTscan．For128IesionswithintherangeofCTscan，SPECTfound123lesions(123／128，96．09％)andCTfound106lesions(106／128，82．810A)。therewassignificantdifferencebetweenthem．

6、ConclusionBothSPECTandCTareusefulindetectingbonemetastasesinpatientswithnewlydiagnosedlungcancer．ComprehensiveanalysisofSPECTandCTcanimprovediagnosticefficiency．[-Keywords]Lungneoplasms；Neoplasmmetastasis；Tomography，X-raycomputed；Tomography，emission-computed，single-photonSPECT及CT对首诊肺癌患者骨转移

7、的诊断价值于树鹏1，刘军2，辛军3，徐微娜1，王晓明3，张彩霞h(1．中国医科大学附属盛京医院核医学科，2．胸外科。3．放射科，辽宁沈阳110004)[摘要]目的探讨SPECT全身骨静态显像、胸部CT及二者联合对首诊肺癌患者骨转移的诊断价值。方法回顾性分析236例肺癌患者首诊时的SPECT全身骨静态显像及胸部CT资料，比较各自及两者联合对骨转移瘤的诊断价值。结果SPECT确诊骨转移38例，CT确诊32例，两者差异无统计学意义，综合分析确诊44例，显著减少了不确定病例数．经综合分析，共确诊172处转移病灶，128处(