甲状腺“冷”结节^(99)Tc^m-MIBI显像对甲状腺癌诊断的初步探讨  

Evaluation of ^(99)Tc^m-MIBI Imaging of Thyroid "cold" Nodules in the diagnosis of thyroid carcinoma

作　　者：程光华[1] 戴云海[1] 肖建军[1] 陈卫[1] 罗芙蓉[1] 徐泉凤[1] 

机构地区：[1]皖南医学院附属弋矶山医院核医学科,241001

出　　处：《皖南医学院学报》2002年第3期186-187,共2页Journal of Wannan Medical College

摘　　要：目的　探讨99Tcm MIBI显像在甲状腺癌诊断中的价值。方法　对 51例99TcmO- 4甲状腺显像为“冷”结节的患者行99Tcm MIBI显像。患者均行外科手术治疗 ,并作病理检查。结果　 1 6例病理检查证实为甲状腺癌患者中 ,1 2例99Tcm MIBI显像阳性 ;35例良性病变患者中 ,5例99Tcm MIBI显像阳性。99Tcm MIBI显像对甲状腺癌诊断的灵敏度、特异性和准确性分别为 75 .0 %、85 .7%和 82 .4%。结论　甲状腺“冷”结节行99TcmObjective\ To evaluate the \+\{99\}Tc\+m MIBI imaging of thyroid 'cold' nodules in the diagnosis of thyroid carcinoma. Methods\ 51 patients with thyroid 'cold' nodule(s) in \+\{99\}Tc\+mO\+-\-4 imaging were examined with thyroid \+\{99\}Tc\+m MIBI imaging. All the patients underwent follow up operation and pathological demonstration. Results\ 12 of 16 cases of thyroid carcinoma proved pathologically had positive \+\{99\}Tc\+m MIBI ,while only 5 of 35 cases of pathologically benign nodules showed positive imaging.The sensitivity,specificity and accuracy of the diagnosis of thyroid carcinoma to the thyroid \+\{99\}Tc\+m MIBI imaging were 75.0%?85.7% and 82.4%,respectively. Conclusion\ \+\{99\}Tc\+m MIBI imaging to thyroid 'cold' nodules may be valuable for the diagonosis of thyroid carcinoma

关 键 词：放射性核素显像 甲状腺肿瘤 诊断 “冷”结节 ^99TC^M-MIBI显像 

分 类 号：R736.1[医药卫生—肿瘤]