摘要
探究了原发性脊柱骨肿瘤患者的X光射线、MRI及CT影像特点及应用价值。以重庆郭昌毕中医骨伤医院2020年6月—2021年7月诊疗90例原发性脊柱骨肿瘤患者为探究对象,全体患者均接受了X光射线、MRI及CT影像临床检验,将病理检验结果作为金标准,记录分析X光射线、CT、MRI以及不同影像学检查方式相互组合(X光射线+CT;X光射线+MRI;X光射线+CT+MRI)的敏感性、特异性、正确指数、阳性以及阴性预测值。应用单一影像学检查方式实施诊断时,CT敏感性、阴性预测值最佳,MRI特异性、阳性预测值最高。应用组合方案开展病症诊断时,X光射线+CT检查+MRI检查的敏感性、特异性、正确指数、阳性、阴性预测值均最佳。利用临床单一影像学检验方法对原发性脊柱骨肿瘤患者而言,CT、MRI的正确指数、敏感性、特异性相较X光射线效果更佳,能预防伪影产生;而在影像学组合检验中,X光射线+CT+MRI方案的诊断效能最高,能尽早确诊病变部位,并为临床治疗提供依据,具有推广应用价值。
To explore the characteristics and application value of X-ray,MRI and CT images in patients with primary spinal bone tumors.Taking 90 patients with primary spinal bone tumors diagnosed and treated in Chongqing GCB Orthopedic Hospital of Traditional Chinese Medicine from June 2020 to July 2021 as the research object,all patients received clinical examinations of X-ray,MRI and CT images.Taking the pathological examination results as the gold standard,the sensitivity,specifi city,accuracy index Positive and negative predictive values.When single imaging examination was used for diagnosis,CT sensitivity and negative predictive value were the best,while MRI specifi city and positive predictive value were the highest.The sensitivity,specificity,correct index,positive and negative predictive values of X-ray+CT+MRI examination were the best when the combined scheme was used for disease diagnosis.For patients with primary spinal bone tumors,the accuracy index,sensitivity and specifi city of CT and MRI are better than those of X-ray,and can prevent artifacts;In the combined imaging examination,the diagnostic effi cacy of X-ray+CT+MRI is the highest,which can diagnose the lesion as early as possible and provide basis for clinical treatment,and has the value of popularization and application.
作者
朱奕军
张晓霞
ZHU Yijun;ZHANG Xiaoxia(Chongqing GCB Orthopedic Hospital of Traditional Chinese Medicine,Chongqing 408000)
出处
《科技与健康》
2022年第3期16-18,共3页
Technology and Health
关键词
原发性脊柱骨肿瘤
医疗放射影像学
成效比较
primary spinal bone tumor
medical radiography
eff ectiveness comparison
