CT与MRI在胸椎占位的诊断价值  

The Diagnostic Value of CT and MRI in Thoracic Vertebra Occupation Lesion

作　　者：赵国梅 王伟 张宁 傅岩 高炳霞 ZHAO Guomei;WANG Wei;ZHANG Ning;FU Yan;GAO Bingxia(Department of Geriatrics,Beijing Shijitan Hospital Affiliated Capital Medical University,Beijing 100038,China;Department of Rehabilitation Radiology,Beijing Rehabilitation Hospital Affiliated Capital Medical University,Beijing 100144,China;Department of Magnetic Resonance Imaging,Beijing Shijitan Hospital Affiliated Capital Medical University,Beijing 100038,China;Department of Computerized Tomography,Beijing Shijitan Hospital Affiliated Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院干部综合科,北京100038 [2]首都医科大学附属北京康复医院康复放射科,北京100144 [3]首都医科大学附属北京世纪坛医院磁共振室,北京100038 [4]首都医科大学附属北京世纪坛医院CT室,北京100038

出　　处：《标记免疫分析与临床》2024年第6期1038-1041,共4页Labeled Immunoassays and Clinical Medicine

基　　金：首都医科大学附属北京康复医院人才科研启动基金(编号:2022R-001)。

摘　　要：目的分析计算机断层扫描(computerized tomography,CT)和磁共振成像(magnetic resonance imaging,MRI)对诊断胸椎占位的临床价值。方法回顾性分析2013年1月至2023年12月在首都医科大学附属北京世纪坛医院住院的47例胸椎占位患者的临床数据。入选患者均行手术治疗。且术前均行胸椎CT及胸椎MRI检查。将病理结果作为诊断的金标准。分析CT、MRI对胸椎占位的诊断与病理结果之间的差异。结果(1)47例胸椎占位的患者中,共22例确诊胸椎结核,16例确诊胸椎肿瘤,9例为胸椎炎性病变。(2)CT诊断胸椎结核的灵敏度、特异性和准确度分别为81.82%、96.00%、89.36%。MRI诊断胸椎结核的灵敏度、特异性和准确度分别为100%、96.00%、97.87%。在胸椎结核诊断中,CT和MRI特异性和准确度方面差异无统计学意义(P>0.05),但MRI诊断胸椎结核的灵敏度显著高于CT(P<0.05)。(3)CT诊断胸椎肿瘤的灵敏度、特异性和准确度分别为87.50%、96.77%、93.62%。MRI诊断胸椎肿瘤的灵敏度、特异性和准确度分别为93.75%、96.77%、95.74%。在胸椎肿瘤诊断中,CT和MRI在灵敏度、特异性和准确度方面差异均无统计学意义(P>0.05)。结论CT和MRI在诊断胸椎占位方面均有良好的诊断价值,可较好地诊断胸椎结核及胸椎肿瘤。MRI在诊断胸椎结核方面的灵敏度更高。Objective To analyze and evaluate the diagnosis performance of computerized tomography(CT)and magnetic resonance imaging(MRI)in the thoracic spine occupation lesion.Methods The clinical data of 47 patients with occupation lesion in the thoracic spine treated in Beijing Shijitan Hospital,Capital Medical University from January,2013 to December,2023 were retrospectively analyzed.All patients underwent surgical treatment,and preoperative thoracic spine CT and MRI were performed.Pathological results of these patients were used as the gold diagnostic standard.The differences among CT,MRI,and the gold diagnostic standard for thoracic vertebral lesions were then analyzed.Results(2)Among 47 patients with thoracic vertebral lesions,22 were diagnosed with thoracic vertebral tuberculosis,16 with thoracic vertebral tumors,and 9 with inflammatory lesions of the thoracic vertebrae.(2)The sensitivity,specificity,and accuracy of CT in diagnosing thoracic vertebral tuberculosis were 81.82%,96.00%,and 89.36%,respectively.The sensitivity,specificity,and accuracy of MRI in diagnosing thoracic vertebral tuberculosis were 100%,96.00%,and 97.87%,respectively.There was no significant difference in specificity and accuracy between CT and MRI results in diagnosing thoracic vertebral tuberculosis(P>0.05),but the sensitivity of MRI in diagnosing thoracic vertebral tuberculosis was significantly higher than that of CT(P<0.05).(3)The sensitivity,specificity,and accuracy of CT in diagnosing thoracic vertebral tumors were 87.50%,96.77%,and 93.62%,respectively.The sensitivity,specificity,and accuracy of MRI in diagnosing thoracic vertebral tumors were 93.75%,96.77%,and 95.74%,respectively.There was no significant difference in sensitivity,specificity,and accuracy between CT and MRI results in diagnosing thoracic vertebral tumors(P>0.05).Conclusion Both CT and MRI show good diagnostic performances in diagnosing thoracic vertebral lesions and can effectively diagnose thoracic vertebral tuberculosis and thoracic vertebral tumors.MRI test has a high

关 键 词：CT MRI 胸椎结核 胸椎肿瘤 

分 类 号：R681.53[医药卫生—骨科学]