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Comparative study on diagnostic value of 18F-FDG coincidence SPECT/CT and 99mTc-MDP bone#br#
scintigraphy in bone metastasis of lung cancer |
Department of Nuclear Medicine, Hangzhou Cancer Hospital, Hangzhou First People’s Hospital Group,
Hangzhou 310002, China |
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Abstract Objective: To compare the diagnostic efficiency of 18F-FDG coincidence SPECT/CT and 99mTc-MDP bone scintigraphy in the detection of bone metastasis of lung cancer. Methods: A total of 45 patients with lung cancer accepted both 18F-FDG coincidence SPECT/CT imaging and bone scintigraphy sequentially within 2 weeks were retrospectively studied. The differences of diagnostic efficiency on bone metastasis between the two examinations were analyzed. Bone metastases were confirmed by clinical follow-up for at least 6 months. Results: The sensitivity and specificity of 18F-FDG coincidence SPECT/CT for detecting bone metastases of lung cancer were 100% and 97%. The sensitivity and specificity of bone scintigraphy for detecting bone metastases of lung cancer were 92% and 66%. Significant statistical difference was found between 18F-FDG coincidence SPECT/CT imaging and bone scintigraphy for detecting bone metastasis of lung cancer(χ2=4.92, P<0.05). Conclusion: 18F-FDG coincidence SPECT/CT is superior to bone scintigraphy in detecting bone metastasis of lung cancer, meanwhile has the merit to find primary or metastatic tumor outside the bone. 18F-FDG coincidence SPECT/CT is valuable for clinical application.
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Received: 06 January 2016
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[1]陈万青,郑荣寿,曾红梅,等. 2011年中国恶性肿瘤发病和死亡分析[J]. 中国肿瘤,2015,24(1):1-10.
[2]姚晓军,刘伦旭. 肺癌的流行病学及治疗现状[J]. 现代肿瘤医学,2014,22(8):1982-1986.
[3]Katakami N, Kunikane H, Takeda K, et al. Prospective study on the incidence of bone metastasis(BM) and skeletal-related events(SREs) in patients(pts) with stage ⅢB and Ⅳ lung cancer-CSP-HOR 13[J]. J Thorac Oncol, 2014, 9(2): 231-238.
[4]Rybak LD, Rosenthal DI. Radiological imaging for the diagnosis of bone metastases[J]. Q J Nucl Med, 2001, 45(1): 53-64.
[5]Peterson JJ, Kransdorf MJ, O’Connor MI. Diagnosis of occult bone metastases: positron emission tomography[J]. Clin Orthop Relat Res, 2003, 415(Suppl): S120-S128.
[6]中国抗癌协会癌症康复与姑息治疗专业委员会. 恶性肿瘤骨转移及骨相关疾病临床诊疗专家共识(2014版)[M]. 北京:北京大学医学出版社,2014:6.
[7]范义湘,罗荣城,李贵平. 18F-FDG符合线路显像对骨骼单发病灶的鉴别诊断[J]. 中国临床医学影像杂志,2005,16(11):648-650.
[8]汪建强,春晓,杨琦,等. 18F-FDG SPECT/CT符合线路显像、99Tcm-MDP骨显像及MRI对脊柱转移瘤诊断效能的对比[J]. 中华核医学与分子影像杂志,2015,35(5):403-404.
[9]董科,傅健飞,楼菁菁,等. 分子影像SPECT/CT对乳腺癌骨转移的临床应用价值[J]. 中国临床医学影像杂志,2015,26(7):465-468.
[10]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.
[11]陈万青,郑荣寿,张思维,等. 2003-2007年中国肺癌发病与死亡分析[J]. 实用肿瘤学杂志,2012,26(1):6-10.
[12]Coello MC, Luketich JD, Litle VR, et al. Prognostic significance of micrometastasis in non-small-cell lung cancer[J]. Clin Lung Cancer, 2004, 5(4): 214-225.
[13]陈申,马锐. 肺癌骨转移的诊断进展[J]. 医学与哲学,2014,35(7B):51-54.
[14]Subramanian G, McAfee JG, Blair RJ, et al. Technetium-99m-methylene diphosphonate—a superior agent for skeletal imaging: comparison with other technetium complexes[J]. J Nucl Med, 1975, 16(8): 744-755.
[15]郭晋纲,徐建芳,任媛,等. 核素骨显像联合CT、MRI诊断肺癌骨转移的分析[J]. 放射免疫学杂志,2013,26(2):164-165.
[16]张冬萍,昊湖炳,王全师,等. 肺癌骨转移病灶18F-FDG PET/CT图像分析[J]. 中国临床医学影像杂志,2009,20(6):435-438.
[17]林琳,郑容,刘琳,等. 18F-FDG PET双探头符合线路显像半定量分析与肺癌病理类型及病灶大小的关系[J]. 中国医学装备,2015,(3):7-9.
[18]李勇涛,罗顺祥,陈伯勋. 探讨18F-FDG PET/CT显像在肺癌骨转移中的诊断价值[J]. 中华全科医学,2013,11(1):133-134. |
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