摘要
目的 阐明MRI在筛查和诊断MM病人腰椎骨骼病损中的作用。方法 对 4 1例患多发性骨髓瘤病人的骨骼X线平片和磁共振成像 (MRI)的腰椎平扫片筛查骨骼损害进行比较。结果 在病人腰椎部位 ,用X线平片筛查有 15例病人有骨髓瘤损害 ,而用MRI却发现 2 8例 ;13例病人MRI腰椎检查结果无阳性发现时X线腰椎平片都是阴性 ;13例中有 2例病人X线平片筛查时在骨骼的其它部位发现病损。结论 我们建议X线平片对多发性骨髓瘤的全部骨骼病损筛查为最佳选择 。
Objective: To clarify the role of MRI of the lumbar spine in screening bone lesions in multiple myeloma. Methods: The screenings of the skeleton by plain radiography were compared with those by magnetic resonance imaging (MRI) of the lumbar spine in 41 patients with multiple myeloma. Results: In 15 patients, myeloma lesions in the lumbar spine were detected by radiography, and in 28 patients by MRI. Neither the MRI nor the radiographs of the lumbar spine in 13 cases were positive, but the radiographs of the skeleton in two of the cases were positive elsewhere. Conclusion: The study suggests that plain radiography is the best choice for screening all bone areas in multiple myeloma,but MRI of the lumbar spine may still be needed for the examination of patients even with normal radiographs.
出处
《泰山医学院学报》
CAS
2001年第4期276-278,共3页
Journal of Taishan Medical College