首页|99mTc-MDP全身骨断层融合显像半定量技术对前列腺癌骨转移病灶识别的价值研究

99mTc-MDP全身骨断层融合显像半定量技术对前列腺癌骨转移病灶识别的价值研究

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目的 探讨99mTc-MDP全身骨断层融合显像半定量技术对前列腺癌骨转移病灶识别的价值.方法 选择我院于2021年5月~2023年5月前列腺癌患者80例,术后病理显示前列腺癌骨转移患者54例,无骨转移患者26例.所有患者均行99mTc-MDP全身骨断层融合显像半定量技术检查.由1名主治医师和1名主任医师独立完成图像分析.经QMetrix分析即可获得平均标准化摄取值(SUVmean)和最大标准化摄取值(SUVmax).比较骨转移组与无骨转移组血清前列腺特异性抗原(PSA),SUVmean和SUVmax变化;分析99mTc-MDP全身骨断层融合显像诊断骨转移准确率、灵敏度和特异度;Pearson分析PSA与SUVmean和SUVmax相关性.结果 骨转移组血清PSA水平高于无骨转移组(P<0.05).骨转移组SUVmean和SUVmax值大于无骨转移组(P<0.05).99mTc-MDP全身骨断层融合显像诊断骨转移准确率为88.89%(48/54).99mTc-MDP全身骨断层融合显像诊断骨转移灵敏度为79.63%,特异度为80.77%.经Pearson相关性分析显示,PSA与SUVmean和SUVmax呈线性正相关(P<0.05).结论 99mTc-MDP全身骨断层融合显像半定量技术对前列腺癌骨转移病灶诊断准确率较高,且具有良好诊断灵敏度和特异度,值得临床借鉴.
The Value of Semiquantitative 99mTc-MDP Whole Body Bone Tomography Fusion Imaging in Identifying Bone Metastasis Lesions of Prostate Cancer
Objective Explore the value of semi quantitative 99mTc MDP whole body bone tomographic fusion imaging in identifying bone metastases from prostate cancer.Methods 80 patients with prostate cancer were selected from our hospital from May 2021 to May 2023.Postoperative pathology showed 54 patients with prostate cancer bone metastasis and 26 patients without bone metastasis.All patients underwent 99mTc MDP whole body bone tomographic fusion imaging with semi quantitative technique.The image analysis was independently completed by one attending physician and one Chief physician.The average standardized uptake value(SUVmean)and maximum standardized uptake value(SUVmax)can be obtained through QMetrix analysis.Compare the changes in serum prostate specific antigen(PSA),SUVmean,and SUVmax between the bone metastasis group and the non bone metastasis group;To analyze the accuracy,Sensitivity and specificity of 99mTc MDP whole body bone tomography fusion imaging in the diagnosis of bone metastasis;Pearson analyzed the correlation between PSA and SUVmean and SUVmax.Results The bone metastasis group serum PSA level higher than non bone metastasis group(P<0.05).The bone metastasis group SUVmean and SUVmax values higher than non bone metastasis group(P<0.05).The accuracy of 99mTc MDP whole body bone tomographic fusion imaging in diagnosing bone metastasis was 88.89%(48/54).The sensitivity and specificity of 99mTc-MDP whole body bone tomographic fusion imaging in diagnosing bone metastasis were 79.63%and 80.77%,respectively.Pearson correlation analysis showed that PSA showed a linear positive correlation with SUVmean and SUVmax(P<0.05).Conclusion The semi quantitative technique of 99mTc MDP whole body bone tomographic fusion imaging has a high diagnostic accuracy for bone metastases of prostate cancer,and has good Sensitivity and specificity,which is worthy of clinical reference.

99mTc MDP Whole Body Bone Tomographic Fusion imaging Semi Quantitative TechniqueProstate CancerBone Metastasis Lesion

倪效波、梁瑞、杨勇、王婷、高英

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宁夏回族自治区人民医院核医学科

宁夏回族自治区人民医院手术室

宁夏回族自治区人民医院肿瘤科(宁夏 银川 750000)

99mTc-MDP全身骨断层融合显像半定量技术 前列腺癌 骨转移病灶

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(8)