SPECTCT对分化型甲状腺癌诊治的增益价值.PDFVIP

2009 19 8 　J Med Imaging Vol.19 No.8 2009 SPECT/CT 陈立波, 罗全勇,余永利, 高云潮, 陆汉魁,朱瑞森 (　　200233) 131 　　【　】　: I SPECT/CT (WBS)(DTC) 131 131 。: I WBS 23 I SPECT/CT , DTC /, SPECT/CT 。 131 、。: I WBS 232 , 33.2%, 131 62.1%, 4.7%。 I WBS 81 37 SPECT/CT , 85.2% 82.7%。 17 (73.9%), 8 (47.1%)。:(WBS) (DTC) SPECT/CT 、。 , SPECT/CT DTC 。 【】　;;, ; :R736.1;R:814.42;R817.4 　　　:A　　　:1006-9011(2009)08-0966-04 Additional value of SPECT/CT in the management of patients with differentiated thyroid carcinoma CHEN Li-bo, LUO Quan-yong, YU Yong-li, GAOYun-chao, LUHan-kui, ZHURui-sen Depart ent of Nuclear Medicine, Shanghai Sixth Peoples Hospital, ShanghaiJiao Tong University, Shanghai 200233, P.R .China 131 【Abstract】　Objective:This prospective st dy was designed to eval ate the incremental val e of 　I single-photon emission tomography/ comp ted tomography (SPECT/CT)over planar WBS in the management of patientswith differentiated thyroid carcinoma (DTC).Meth- ods:Planar imaging was performed in sixty-six consec tive DTC patients.SPECT/CT imaging was added to patientswhose planar images were inconcl sive.F sion images were considered to improve image interpretation when they provided better localization of sites of in- 131 creased 　I ptake.Both site-based and patient-based analyses were performed, and the impact of SPECT/CT res lts on therape tic 131 strategy was assessed.Results:A total of 232 foci were observed by 　I WBS, incl ding 33.2%of foci localized in the thyroid bed, 62.1%d e to malignant lesions, and 4.7%ca sed by nonthyroid physiologic or benign