【摘要】 目的探讨SPECT/CT对早期疑似肿瘤骨转移灶鉴别诊断的临床应用价值。方法总结在我院使用SPECT/CT诊断的疑似肿瘤骨转移灶患者90例资料(共100个病灶部位),所有患者在使用单纯SPECT扫描无法确诊后使用SPECT/CT扫描,将诊断结果与临床病理学(或手术过程)确诊结果进行比较。结果经过病理学(或手术过程)确诊,SPECT/CT诊断显示恶性病灶40个,良性病灶56个,无法确诊病灶3个(3.0%),误诊病灶1个(1.0%),诊断灵敏度95.6%,特异性93.1%,阳性预测值90.3%,阴性预测值96.5%。结论 SPECT/CT对早期疑似肿瘤骨转移灶鉴别诊断具有较高的诊断价值。更多还原

【Abstract】 Objective To explore the SPECT/CT on early cancer bone metastasis differential diagnosis.Methods To summarize in our hospital using SPECT/CT diagnosis of suspected cancer bone metastases in 90 cases(100 in total lesion),all patients in the use of pure SPECT scan could not be diagnosed after using SPECT/CT scan,finally use statistical methods to diagnosis and clinical pathology(or operation process diagnosis results).Results After pathology(or operation process diagnosis of SPECT/CT diagnosis),40 benign lesions of malignant lesions,56 benign lesions of benign lesions,cannot be diagnosed lesions were 3(3%),1(1%) was misdiagnosed,diagnostic sensitivity was 95.6%,specificity was 93.1%,the positive predictive value for in 90.3%,the negative predictive value of 96.5%.Conclusion SPECT/CT for early cancer bone metastasis differential diagnosis has good diagnostic value.更多还原