脊椎多发性骨髓瘤影像检查方法对比研究_杨青霖.pdf

Through investigate X-ray, CT, MRI and SPECT imaging features of the spinal multiple myeloma (MM), compare the 4 examine methods with each other, in order to improve the diagnostic level of MM. To analyze the imaging features of 40 patients confi rmed pathologically. All patients were examined by X-ray, CT, MRI and SPECT in the same period. Two salty bone-radiology doctors and two nuclear medicine doctor read the fi lm all alone by double blind method, to observe analyze and record various imaging features. 169 vertebrae were found in 40 patients. 65 vertebrae in 25 patients were found in X-ray. 31 vertebrae with appendix involvement, 50 vertebrae with compression fracture. 118 vertebrae in 32 patients were found in CT. 169 vertebrae in 36 patients were found in MR. In addition, normal type amounted to 4 patients. Comparing with the other methods, MRI has the highest sensitivity and accuracy. MRI has the best sensitivity and accuracy for MM, so it may be the main diagnostic method. Multiple Myeloma; X-ray Plain Film; Computed Tomography; Magnetic Resonance Imaging; Single-Photon Emission Computed Tomography