核素脑脊液间隙显像在脑脊液漏中的临床价值  

The Diagnostic Value of Radionuclide Cisternography in Cerebrospinal Fluid Leaks

作　　者：陈正国[1] 魏俊阳 吴春燕[1] 赵玲 周莉 何川东[1] CHEN Zhengguo;WEI Junyang;WU Chunyan;ZHAO Ling;ZHOU Li;HE Chuandong(Department of Nuclear Medicine, Central hospital of Mianyang, Mianyang 621000, China)

机构地区：[1]绵阳市中心医院核医学科,四川绵阳621000

出　　处：《标记免疫分析与临床》2021年第6期941-945,共5页Labeled Immunoassays and Clinical Medicine

摘　　要：目的探讨核素脑脊液间隙显像(radionuclide cisternography,RNC)在脑脊液漏(cerebrospinal fluid leak,CSFL)中的诊断价值。方法回顾分析23例临床可疑CSFL患者RNC的SPECT与SPECT/CT断层融合影像资料,对SPECT与SPECT/CT断层融合影像资料进行对比分析。结果SPECT、SPECT/CT断层融合显像对CSFL定性诊断灵敏度分别为95.7%、91.3%,两者之间差异无统计学意义;对CSFL定位诊断灵敏度分别为52.2%、87.0%,两者之间差异有统计学意义。结论RNC的SPECT/CT断层融合显像既可定性CSFL、又可明确CSFL漏口定位,是CSFL诊断的理想影像学检查方法。Objective To explore the clinical value of radionuclide cisternography in cerebrospinal fluid leaks.Methods A retrospectively analysis of 23 cases who were suspected CSFL with SPECT and SPECT/CT fusion imaging was conducted,and the SPECT and SPECT/CT fusion imaging data were analyzed contrastively.Results There was no significant difference in the sensitivity of SPECT and SPECT/CT fusion imaging in the qualitative diagnosis of CSFL which were 95.7%and 91.3%,respectively.The sensitivity of CSFL localization were 52.2%and 87.0%,respectively,and there was a significant difference between them.Conclusion Radioisotope cisternography with SPECT/CT fusion imaging is an effective method for the diagnosis of CSFL,not only for identifying CSFL,but also for the location of CSFL.

关 键 词：脑脊液漏 核素脑脊液间隙显像 SPECT/CT ^(99)Tc^(m)-DTPA 

分 类 号：R817.4[医药卫生—影像医学与核医学]