核素骨扫描与磁共振全身扩散加权成像对骨转移瘤诊断价值对比分析.docVIP

核素骨扫描与磁共振全身扩散加权成像对骨转移瘤诊断价值对比分析 　　【摘要】目的对比分析核素骨扫描与磁共振全身扩散加权成像对骨转移瘤的诊断效能。方法选择2015年1月～2017年1月确诊为恶性肿瘤并疑似存在骨转移的患者55例，治疗前分别进行核素骨扫描和磁共振全身扩散加权成像，两种检查间隔0.05），而特异性比较差异有统计学意义（P0.05）， 磁共振全身扩散加权成像检查的特异性更高。结论目前诊断恶性肿瘤骨转移仍以核素骨显像为首选，磁共振全身扩散加权成像作为补充检查手段可提高诊断的特异性，两者综合运用，有助于恶性肿瘤骨转移的早期诊断。 　　【关键词】核素骨扫描；全身扩散加权成像；骨转移瘤；诊断效能 　　中图分类号：R446 文献标识码：ADOI：10.3969/j.issn2018.02.023 　　Comparison and analysis of the diagnostic value of bone metastases with nuclide 　　bone scan and magnetic resonance general diffusionweighted imaging 　　TANG Xiaoyong1，ZHU Guangying2，LAI Changsheng3 　　（1.Nuclear Medicine Department，2.Department of Cardiovascular Diseases，3.Department 　　of Science and Education，Red Cross Hospital of Yulin，Yulin 537000，China） 　　【Abstract】ObjectiveTo compare the diagnostic efficacy of nuclide bone scan and magnetic resonance general diffusionweighted imaging （DWI） in the diagnosis of bone metastases.MethodsFrom January，2015 to January，2017，55 patients diagnosed as malignant tumors and suspected bone metastases were selected.And then，radionuclide bone scan and magnetic resonance general DWI was respectively performed before treatment.Interval between the two methods was less than 1 week.The conclusions of the two methods were analyzed，and sensitivity and specificity were compared.ResultsThe examination of the two methods suggested that 38 patients had bone metastases，26 of them were confirmed by bone biopsy and followup visit，of which 23 were positive in radionuclide bone scan，sensitivity was 95.83%，specificity was 70.96% and accuracy was 81.81%.Magnetic resonance general DWI was positive in 20 cases，sensitivity was 86.96%，specificity was 93.75% and accuracy was 90.91%.Difference of the sensitivity and accuracy between the two diagnostic methods was not statistically significant（P0.05），but that of specificity was statistically significant（P0.05）.The specificity of magnetic resonance general DWI was higher.ConclusionAt present，radionuclide bone imaging is still the first ch