摘要
目的比较放射性核素骨显像(简称骨显像)与脊柱MR检查对鼻咽癌脊柱转移瘤的检出能力。方法回顾性分析47例鼻咽癌伴有脊柱转移患者的骨显像和脊柱MR检查结果,以累及椎体个数为单位,比较两种检查方法对脊柱转移瘤的检出能力。结果随访证实47例患者共187个椎体有转移灶。骨显像检出153个(153/187,81.82%),脊柱MR检出182个椎体(182/187,97.33%),二者差异有统计学意义(χ2=23.758,P=0.000)。结论脊柱MR比骨显像更能有效地检出鼻咽癌的脊柱骨转移灶,可作为早期诊断脊柱骨转移的首选方法。
Objective To compare the diagnostic efficacy of bone scintigraphy and MRI on vertebral metastases in patients with nasopharyngeal cancer(NPC).Methods Forty-seven patients of NPC and clinically confirmed metastatic disease in spine underwent bone scintigraphy and MR examination.The number of involved vertebri diagnosed with two methods were calculated and compared retrospectively.Results A total of 187 vertebral metastases were found in 47 patients,among which 153(81.82%) were detected with bone scintigarphy and 182(97.33%) were diagnosed with MRI(χ2=23.758,P=0.000).Conclusion Compared with bone scintigraphy,MRI is superior in detecting vertebral metastases from NPC,and can be used as the first choice for the early diagnosis of spinal metastases from NPC.
出处
《中国医学影像技术》
CSCD
北大核心
2009年第12期2279-2281,共3页
Chinese Journal of Medical Imaging Technology
关键词
放射性核素显像
磁共振成像
肿瘤转移
鼻咽肿瘤
Radionuclide imaging
Magnetic resonance imaging
Neoplasm metastasis
Nasopharyngeal neoplasms