SPECT/CT同机融合显像鉴别诊断骶髂关节区单发病变的价值

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摘要目的：SPECT/CT同机融合显像鉴别诊断骶髂关节区良恶性病变的价值。方法：56例骶髂关节区单发异常放射性分布不能明确诊断行SPECT/CT显像，并通过得到患者的病理诊断或随访6月以上的综合影像诊断。对SPECT图像、CT图像及SPECT/CT融合图像的诊断符合率进行对比，采用SPSS 13.0软件行McNemar检验。结果：56例患者中，良性病灶41例，恶性病灶15例。SPECT、CT及融合图像对56例病灶的诊断符合率分别为71.4%（40/56）、85.7%（48/56）、94.6%（53/56），SPECT、CT图像分别与融合图像比较，差异均有统计学意义（χ2=28.32和14.27，P均<0.05）。结论：在对肿瘤患者进行骨显像，发现骶髂关节区病变以良性病变居多，SPECT/CT融合显像可提高诊断符合率。

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	青春
	罗毅

关键词 ：骨肿瘤, 骶髂关节, 肿瘤转移, 99m锝美罗酸盐, 体层摄影术, 发射型计算机, 单光子

Abstract：Objective: To evaluate the value of SPECT/CT in assessment of sacroiliac joint foci of abnormal bone metabolism classified as indeterminate on bone scanning using 99mTc-MDP． Methods: Undiagnosed fifty-six patients with solitary sacroiliac joint abnormal uptake in bone scanning were scanned by SPECT/CT. The final diagnosis was based on pathology or follow-up diagnosis of more than six months. McNemar test was used for data analysis for SPETCT, CT and their fusion images(SPSS version 13.0)． Results: In Fifty-six patients, 15 cases were malignant and 41 cases were benign diseases． The diagnostic accuracy of SPECT, CT and SPECT/CT was 71.4％, 85.7％ and 94.6％ respectively. The accuracy of SPECT/CT was significantly higher than that of SPECT and CT(χ2=28.32, 14.27, P<0.05). Conclusion: Most of the solitary sacroiliac joint foci caused by benign diseases． SPECT/CT is particularly valuable in the differential diagnosis of benign and malignant sacroiliac joint diseases.

Key words： Bone neoplasms Sacroiliac joint Neoplasm metastasis Technetium tc 99m medronate;
Tomography, emission-computed, single-photon

收稿日期: 2015-08-07

PACS:	Ｒ738.2
	Ｒ817.4

通讯作者: 罗毅

引用本文:

青春，罗毅. SPECT/CT同机融合显像鉴别诊断骶髂关节区单发病变的价值[J]. 中国临床医学影像杂志, 2016, 27(3): 202-204.
QING Chun, LUO Yi. The differential diagnosis of solitary lesions in sacroiliac joint by SPECT/CT fusion imaging. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(3): 202-204.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2016/V27/I3/202

[1]Scharf SC. Bone SPECT/CT in skeletal trauma[J]. Semin Nucl Med, 2015, 45(1): 47-57.
[2]Al-faham Z, Rydberg JN, Oliver-Wong CY. Use of SPECT/CT with 99mTc-MDP bone scintigraphy to diagnose sacral in sufficiency fracture[J]. J Nucl Med Technol, 2014, 42(3): 240-241.
[3]Aras M, Erdil TY, Ones T, et al. Breast cancer lung metastases incidentally detected on bone SPECT/CT: a rare finding that might be missed on whole body scan[J]. Rev Esp Med Nucl Imagen Mol, 2014, 33(3): 191-192.
[4]Ota N, Kato K, Iwano S, et al. Comparison of 18F-fluoride PET/CT, 18F-FDG PET/CT and bone scintigraphy(planar and SPECT) in detection of bone metastases of differentiated thyroid cancer: a pilot study[J]. Br J Radiol, 2014, 87(1034): 20130444.
[5]Raucci A, Gatta G, Cuccurullo V. DW-MRI and bone scintigraphy in monitoring radio-therapy response in bone meta-stases[J]. Recenti Prog Med, 2012, 103(11): 438-443.
[6]Zhao Z, Li L, Li F, et al. Single photon emission computed tomography/spiral computed tomography fusion imaging for the diagnosis of bone metastasis in patients with known cancer[J]. Skeletal Radiol, 2010, 39(2): 147-153.
[7]Helyar V, Mohan HK, Barwick T, et al. The added value of multislice SPECT/CT in patients with equivocal bony metastasis from carcinoma of the prostate[J]. Eur J Nucl Med Mol Imaging, 2010, 37(4): 706-713.
[8]Zhang Y, Shi H, Gu Y, et al. Differential diagnostic value of single-photon emission computed tomography/spiral computed tomography with Tc-99m-methylene diphosphonate in patients with spinal lesions[J]. Nucl Med Commun, 2011, 32(12): 1194-1200.
[9]Carstensen MH, Al-Harbi M, Urbain JL, et al. SPECT/CT imaging of the lumbar spine in chronic low back pain: a case report[J]. Chiropr Man Therap, 2011, 19(1): 2.
[10]Ndlovu X, George R, Ellmann A, et al. Should SPECT-CT replace SPECT for the evaluation of equivocal bone scan lesions in patients with underlying malignancies[J]. Nucl Med Commun, 2010, 31(7): 659-665.
[11]Franc BL, Myers R, Pounds TR, et al. Clinical utility of SPECT-(low-dose)CT versus SPECT alone in patients presenting for bone scintigraphy[J]. Clin Nucl Med, 2012, 37(1): 26-34.
[12]Sharma P, Singh H, Kumar R, et al. Bone scintigraphy in breast cancer: added value of hybrid SPECT-CT and its impact on patient management[J]. Nucl Med Commun, 2012, 33(2): 139-147.
[13]赵祯，刘斌，王建涛，等. SPECT/CT融合显像对骨良恶性病灶诊断和处理决策的影响[J]. 中国临床医学影像杂志，2011，22（4）：289-292.
[14]赵祯，李林，赵丽霞. SPECT/CT融合显像诊断恶性肿瘤骨转移的价值[J]. 中国临床医学影像杂志，2008，19（3）：203-204.
[15]Carstensen MH, Al-Harbi M, Urbain JL, et al. SPECT/CT imaging of the lumbar spine in chronic low back pain: a case report[J]. Chiropr Man Therap, 2011, 19(1): 2.
[16]Sharma P, Kumar R, Singh H, et al. Indeterminate lesions on planar bone scintigraphy in lung cancer patients: SPECT, CT or SPECT-CT[J]. Skeletal Radiol, 2012, 41(7): 843-850.