| 陈立波,罗全勇,余永利,金常青,于建芳,陆汉魁,朱瑞森,沈艳.分化型甲状腺癌患者的131I-SPECT/CT断层融合显像[J].中国医学影像技术,2004,20(7):1111~1113 |
| 分化型甲状腺癌患者的131I-SPECT/CT断层融合显像 |
| 131I-SPECT/CT in management of patients with differentiated thyroid carcinoma |
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| DOI： |
| 中文关键词: 体层摄影术 单光子发射计算机断层 甲状腺癌 图像融合 |
| 英文关键词:Tomography SPECT Thyroid cancer Image fusion |
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| 摘要点击次数: 1938 |
| 全文下载次数: 1086 |
| 中文摘要: |
| 目的 探讨131I-SPECT/CT在分化型甲状腺癌(DTC)诊断中的可行性及其定性与定位诊断价值。方法 对43例手术+131I治疗后DTC患者,行131I-WBS及131I-SPECT/CT显像,并观察131I浓聚灶在CT图像上的位置。对两种显像结果皆为阴性者做作18F-FDG符合显像。结果 131I-SPECT/CT较131I-WBS具有更高的阳性率,并排除11处131I-WBS假阳性病灶。结论 对DTC进行 131I-SPECT/CT断层融合显像,在提供更多有关对甲状腺癌病灶的摄碘信息的同时,提高了对病灶的定位诊断能力,有利于制定和调整治疗和随访的方案。 |
| 英文摘要: |
| Objective To evaluate the feasibility and the capability of 131I -SPECT/CT in detecting lesions of differentiated thyroid carcinoma. Methods Forty-three patients with differentiated thyroid carcinoma in all were selected to underwent 131I-WBS and 131I-SPECT/CT after operation and 131I therapy. 131I uptake sites were observed in 131I-SPECT/CT images. 18F-FDG CoDe was added if both 131I-WBS and 131I-SPECT/CT presented negative results. Results 131I-SPECT/CT showed a higher positive rate than that of 131I-WBS. Eleven false positive lesions were excluded and all localizations were made by 131I-SPECT/CT. Conclusion 131I-SPECT/CT is a very useful method in detecting lesions of differentiated thyroid carcinoma. This method can provide more information about 131I uptake and locations of lesions, as is vital to modulating therapeutic plans and making follow-up schemes. |
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