摘要
目的探讨18F-脱氧葡萄糖(18F-FDG)符合线路SPECT/CT显像检查在诊断肿瘤患者放疗后复发及转移的临床价值。方法对该院60例疑似复发和转移的癌症患者行18F-FDG符合线路SPECT/CT显像,并将此结果同病理检查结果进行比较。结果病理结果显示有50例患者均发生肿瘤治疗后的复发或转移。18F-FDG符合线路SPECT/CT显像显示45例为阳性患者,与病理检查结果比较,该方法监测肿瘤复发及转移的灵敏度、特异度、准确度分别为86.5%、100.0%、88.3%。结论 18F-FDG符合线路SPECT/CT显像对监测肿瘤患者的复发和转移,具有较高的灵敏度和特异度,可及时发现病灶,值得临床推广与应用。
Objective To discuss the evaluation of clinical application of 18 F-FDG SPECT/CT coincidence imaging on patients with carcinoma after radiotherapy during follow-up period.Methods The 60 patients with carcinoma after radiotherapy or chemotherapy were studied using 18 F-FDG SPECT/CT coincidence imaging,and these results were compared with the pathological results.Results The 18 F-FDG SPECT/CT coincidence imaging showed a positive result in 45 patients with recurrence or metastasis.And the diagnosis sensitivity,specsificity and accuracy were 86.5%,100.0%,88.3% respectively.Conclusion 18 F-FDG SPECT/CT coincidence imaging can evaluate the therapentic effects of radiotherapy on patients with nasopharyngeal carcinoma,and detect the lesions of recurrence or metastasis,and worthy to be popularized for clinical use.
作者
赵继华
朱高红
杨洪文
谢丽君
陶清元
ZHAO Jihua;ZHU Gaohong;YANG Hongwen;XIE Lijun;TAO Qingyuan(Department of Nuclear medicine,the First Affiliated Hospital of Kunming Medical University,Derpartment of Nuclear Medicine,the Second People′s Hospital of Yunnan Provinc)
出处
《检验医学与临床》
CAS
2018年第4期467-468,471,共3页
Laboratory Medicine and Clinic
