Open Access Article
International Journal of Internal Medicine. 2021; 2: (1) ; 21-23 ; DOI: 10.12208/j.ijim.20210006.
Value of SPECT combined with MR in detecting early bone metastasis of malignant tumors
SPECT联合MR检查恶性肿瘤早期骨转移的价值
作者：
熊玲 *,
方进
遵义市第一人民医院（遵义医科大学第三附属医院） 贵州遵义
*通讯作者：
熊玲,单位：遵义市第一人民医院（遵义医科大学第三附属医院） 贵州遵义；
发布时间: 2021-03-15 总浏览量: 437
PDF 全文下载
引用本文
收录截图（CNKI-Scholar）
摘要
目的 针对当前SPECT联合MR检查用于恶性肿瘤早期骨转移患者的效果开展深入分析，为恶性肿瘤早期骨转移疑似患者的病情干预诊断质量的提升指明改进方向。方法 研究人员回访2017年1月到2018年12月在我院治疗诊断的105例恶性肿瘤早期骨转移患者，结合其后续病情变化情况以及联合诊断鉴别质量情况。随访时间为4-5年，平均为4.45年。结果 SPECT检查恶性肿瘤早期骨转移发现，存在86例恶性肿瘤早期骨转移患者，19例非恶性肿瘤早期骨转移患者，其单独诊断的准确性、特异性与敏感性结果依次为：80.95%、40.00%、83.00%。MR检查恶性肿瘤早期骨转移存在78例恶性肿瘤早期骨转移患者，27例非恶性肿瘤早期骨转移患者，其单独诊断的准确性、特异性与敏感性结果依次为：65.00%、36.00%、75.00%。SPECT联合MR检查恶性肿瘤早期骨转移存在97例恶性肿瘤早期骨转移患者，8例非恶性肿瘤早期骨转移患者，其联合诊断的准确性、特异性与敏感性结果依次为：95.24%、80.00%、96.00%。结论 SPECT联合MR检查在临床上可以实现患者早期疾病精准诊断的意义，为患者后续治疗提供指导方向。
关键词： SPECT检查；MR检查；联合检查；恶性肿瘤；早期骨转移
Abstract
Objective To analyze the effect of SPECT combined with MR in patients with early bone metastasis of malignant tumor, and to point out the improvement direction for the improvement of condition intervention and diagnosis quality of suspected patients with early bone metastasis of malignant tumor. Methods the researchers revisited 105 patients with early bone metastasis of malignant tumors treated and diagnosed in our hospital from January 2017 to December 2018, combined with their subsequent changes of condition and the quality of combined diagnosis and differentiation. The follow-up time was 4-5 years, with an average of 4.45 years. Results SPECT showed that there were 86 patients with early bone metastasis of malignant tumor and 19 patients with early bone metastasis of non malignant tumor. The accuracy, specificity and sensitivity of single diagnosis were 80.95%, 40.00% and 83.00% respectively. The accuracy, specificity and sensitivity of MR diagnosis were 65.00%, 36.00% and 75.00% respectively. There were 97 patients with early bone metastasis of malignant tumor and 8 patients with early bone metastasis of non malignant tumor by SPECT combined with Mr. the accuracy, specificity and sensitivity of combined diagnosis were 95.24%, 80.00% and 96.00% respectively. Conclusion SPECT combined with MR examination can realize the significance of accurate diagnosis of early diseases and provide guidance for follow-up treatment.
Key words： SPECT examination; MR examination; Joint inspection; Malignant tumor; Early bone metastasis
参考文献 References
[1] 王全永,董立芳,刘蕾,黄静.联合应用SPECT与MR检查恶性肿瘤早期骨转移的价值[J].影像研究与医学应用,2020,4(19):205-206.
[2] SPECT骨显像联合CT、MR影像学检查及血液生化分子检测用于恶性肿瘤骨转移诊断[C]//.中华医学会第九次全国核医学学术会议论文摘要汇编.,2011:295.
[3] 任佳忠. ~(99m)Tc-MDP与~(99m)Tc-MIBI联合显像对肿瘤骨转移诊疗价值的探讨[D].济南大学,2017.
[4] 刘洁. SPECT/CT融合显像在肿瘤骨转移诊断中的增益价值[D].上海交通大学,2016.DOI:10.27307/d.cnki.gsjtu.2016.004538.
[5] 汤辉,苏新辉,张红,陈盛优,傅雪妹.SPECT/CT骨显像在肿瘤骨转移患者中的应用观察[J].临床医学,2017,37(05):26-28.DOI:10.19528/j.issn.1053-3548.2017.05.11.
引用本文
熊玲, 方进, SPECT联合MR检查恶性肿瘤早期骨转移的价值[J]. 国际内科前沿杂志, 2021; 2: (1) : 21-23.