张斌青,宋青凤,刘玉珂,郭会利,张敏.99Tcm-MDP SPECT/CT图像融合诊断隐匿性骨折[J].中国医学影像技术,2014,30(4):587~590
99Tcm-MDP SPECT/CT图像融合诊断隐匿性骨折
99Tcm-MDP SPECT/CT fusion in diagnosis of occult bone fractures
投稿时间:2013-07-16  修订日期:2013-10-14
DOI:
中文关键词:  骨折,骨  体层摄影术,发射型计算机,单光子  体层摄影术,X线计算机
英文关键词:Fractures, bone  Tomography, emission-computed, single-photon  Tomography, X-ray computed
基金项目:
作者单位E-mail
张斌青 洛阳正骨医院影像中心, 河南 洛阳 471002  
宋青凤 洛阳正骨医院影像中心, 河南 洛阳 471002  
刘玉珂 洛阳正骨医院影像中心, 河南 洛阳 471002  
郭会利 洛阳正骨医院影像中心, 河南 洛阳 471002  
张敏 洛阳正骨医院影像中心, 河南 洛阳 471002 luozhengyx@163.com 
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中文摘要:
      目的 探讨SPECT/CT同机图像融合诊断隐匿性骨折的价值。方法 回顾性分析54例隐匿性骨折患者的SPECT/CT资料,所有病灶均以病理学诊断或6个月以上的影像学随访为最终诊断结果,依据病史及影像学资料对隐匿性骨折进行分类,观察其影像学特征。结果 54例中,SPECT/CT诊断隐匿性创伤骨折或隐匿性骨内骨折12例,发现病灶58处;疲劳骨折6例,发现病灶8处;衰竭骨折36例,发现病灶72处。结论 SPECT/CT能在明确诊断骨折的基础上作出分类诊断,有助于隐匿性骨折的早期诊断及鉴别。
英文摘要:
      Objective To explore the value of SPECT/CT fusion in diagnosis of occult bone fractures. Methods SPECT/CT data of 54 patients with occult bone fractures confirmed by 6-month follow-up or pathology were retrospectively analyzed. Occult bone fractures were classified according to date of imaging and clinical history, and SPECT/CT characteristics were observed. Results Among 54 patients, SPECT/CT image fusion found 12 cases (58 lesions) of occult trauma or intraosseous fractures, 6 cases (8 lesions) of fatigue fractures and 36 cases (72 lesions) of failure fractures. Conclusion SPECT/CT can make definitive diagnosis and classification of fractures, having certain value in early accurate diagnosis and differential diagnosis for occult bone fractures.
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