CT和ECT在骨转移瘤诊断中的应用效果比较
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摘要
目的研究CT和发射型计算机断层成像(ECT)在骨转移瘤诊断中的应用效果比较。方法选择医院2015年12月到2017年12月恶性肿瘤患者共100例,所有患者均进行CT、ECT检查。统计两种检测方式诊断骨转移瘤的效能,包括准确率、特异性、敏感性;统计两种检测方式对不同恶性肿瘤检出率;统计两种检测方式对不同病灶部位判断的准确率。结果 ECT诊断骨转移瘤准确率高于CT,差异有统计学意义(P<0.05);ECT诊断骨转移瘤灵敏性、特异性均高于CT检测,但差异无统计学意义(P>0.05);ECT对不同恶性肿瘤检出率高于CT,但差异无统计学意义(P>0.05);ECT判断不同病灶部位的准确率均高于CT检测,但差异无统计学意义(P>0.05)。结论 ECT在诊断骨转移瘤的准确性上高于CT检测。
Objective To study and compare the effects of CT and emission computed tomography(ECT) in the diagnosis of bone metastases. Methods A total of 100 cases of patients with malignant tumors from December 2015 to December 2017 were selected. All patients were given CT and ECT examinations. The efficacy of two detection methods was counted in diagnosing bone metastases, including accuracy, specificity and sensitivity. The detection rate of the two detection methods were counted in detecting different malignant tumors. The accuracy of the two detection methods in judging different lesions sites was statistically determined. Results The accuracy of ECT was higher than that of CT in the diagnosis of bone metastases(P<0.05). The sensitivity and specificity of ECT in the diagnosis of bone metastases were higher than those of CT(P>0.05). The detection rate of different malignant tumors by ECT was higher than that by CT(P>0.05). The accuracy of judging different lesions sites by ECT was higher than that by CT(P>0.05). Conclusion ECT has higher accuracy than CT in the diagnosis of bone metastases.
Objective To study and compare the effects of CT and emission computed tomography(ECT) in the diagnosis of bone metastases. Methods A total of 100 cases of patients with malignant tumors from December 2015 to December 2017 were selected. All patients were given CT and ECT examinations. The efficacy of two detection methods was counted in diagnosing bone metastases, including accuracy, specificity and sensitivity. The detection rate of the two detection methods were counted in detecting different malignant tumors. The accuracy of the two detection methods in judging different lesions sites was statistically determined. Results The accuracy of ECT was higher than that of CT in the diagnosis of bone metastases(P<0.05). The sensitivity and specificity of ECT in the diagnosis of bone metastases were higher than those of CT(P>0.05). The detection rate of different malignant tumors by ECT was higher than that by CT(P>0.05). The accuracy of judging different lesions sites by ECT was higher than that by CT(P>0.05). Conclusion ECT has higher accuracy than CT in the diagnosis of bone metastases.
引文
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[2]祝安惠,王荣福.PET/CT与全身骨显像诊断不同类型骨转移瘤的对比[J].中国医学影像技术,2016,32(6):944-948.
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[12]刘海燕,陈传涛,张兆凯,等.螺旋CT多期扫描对肺癌多发骨转移的诊断价值研究[J].中国CT和MRI杂志,2017,15(11):5-7.
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[14]李金矿,严华,龚福林,等.儿童神经母细胞瘤颅面骨转移的C T和M R I表现[J].放射学实践,2014,29(4):441-443.
[15]李娜,杨春明,李亚明,等.定位CT在骨ECT显像中的应用价值[J].中国医科大学学报,2015,44(11):1042-1043.
[16]王东,孟宪平,陈则君,等.SPECT/CT融合图像与全身骨显像对骨转移瘤诊断的价值分析[J].中国CT和MRI杂志,2016,14(4):126-129.
[17]吴国,朱郧鹤,王朝晖.E C T全身骨显像对早期诊断骨转移肿瘤的临床价值[J].海南医学,2016,27(8):1280-1281.
[2]祝安惠,王荣福.PET/CT与全身骨显像诊断不同类型骨转移瘤的对比[J].中国医学影像技术,2016,32(6):944-948.
[3]杨志,杨贵生,李宁,等.全身骨显像联合CA15-3和CEA检测对乳腺癌骨转移的诊断价值[J].中华肿瘤防治杂志,2016,23(18):1229-1233.
[4]张林启,覃艺芳,李伟,等.常规SPECT/CT断层融合显像诊断高危前列腺癌患者骨转移[J].中国医学影像技术,2017,33(2):260-264.
[5]盛方军,王婳,杨璐,等.比较分析1 3 1I与放化疗治疗分化型甲状腺癌骨转移的临床疗效及对患者的生存影响[J].中国地方病防治杂志,2016,31(2):131-133.
[6]熊海芮,周茜,张俊海,等.MR引导下聚焦超声术缓解骨转移瘤疼痛的近期疗效和安全性[J].中华放射学杂志,2017,51(6):446-450
[7]张用,毕建平,皮国良,等.国际肺癌研究协会第八版国际肺癌TNM分期修订稿解读[J].肿瘤防治研究,2016,43(4):313-318.
[8]刘嘉辰,林笑丰,李敬彦,等.99mTc-MDPSPECT/CT融合骨显像在恶性肿瘤骨转移诊断和治疗决策中的作用[J].实用医学杂志,2017,33(8):1331-1334.
[9]卢海松,王祥麒,姬卫国,王俊涛,原苗苗.滋肾化痰方对肿瘤骨转移患者血清B S P指数及生活质量的影响[J].辽宁中医杂志,2017,44(9):1895-1898.
[10]王丹丹,李梅,杨智宁,等.68例首诊伴单纯骨转移鼻咽癌患者预后分析[J].中华放射肿瘤学杂志,2017,26(10):1137-1140.
[11]邹国荣,黎益华,曾伟华,等.局部晚期鼻咽癌颅底骨质破坏与骨转移的相关性[J].肿瘤防治研究,2016,43(10):854-857.
[12]刘海燕,陈传涛,张兆凯,等.螺旋CT多期扫描对肺癌多发骨转移的诊断价值研究[J].中国CT和MRI杂志,2017,15(11):5-7.
[13]王茹欣,董越,孙利飞,等.能谱CT显示肺癌不典型骨转移瘤的图像质量和最佳单能量水平[J].中华放射学杂志,2015,49(3):164-167.
[14]李金矿,严华,龚福林,等.儿童神经母细胞瘤颅面骨转移的C T和M R I表现[J].放射学实践,2014,29(4):441-443.
[15]李娜,杨春明,李亚明,等.定位CT在骨ECT显像中的应用价值[J].中国医科大学学报,2015,44(11):1042-1043.
[16]王东,孟宪平,陈则君,等.SPECT/CT融合图像与全身骨显像对骨转移瘤诊断的价值分析[J].中国CT和MRI杂志,2016,14(4):126-129.
[17]吴国,朱郧鹤,王朝晖.E C T全身骨显像对早期诊断骨转移肿瘤的临床价值[J].海南医学,2016,27(8):1280-1281.