影像学在多发性骨髓瘤与溶骨性转移瘤鉴别诊断中的应用进展  

Advances in radiology application for the differential diagnosis between multiple myeloma and osteolytic bone metastases

作　　者：程佳 周吉 刘少强 CHENG Jia;ZHOU Ji;LIU Shao-qiang(The First Clinical Medical School of Gannan Medical University,Ganzhou,Jiangxi 341000;Department of Medical Imaging,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一临床医学院,江西赣州341000 [2]赣南医科大学第一附属医院影像科,江西赣州341000

出　　处：《赣南医学院学报》2024年第8期806-811,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：多发性骨髓瘤和溶骨性转移瘤是常见的骨恶性肿瘤,近年来二者的发病率均呈上升趋势。多发性骨髓瘤与溶骨性转移瘤的临床症状和影像表现相似,常易于混淆,难以鉴别。但2种疾病的治疗方法和预后截然不同,因此两者之间的鉴别诊断非常重要。影像学是最常用的无创检查方法,但常规影像检查鉴别2种疾病的能力有限。影像组学作为新兴的影像方法,为多发性骨髓瘤与溶骨性转移瘤的鉴别诊断带来新的应用前景。本文对影像学在这2种疾病鉴别诊断中的应用进展进行综述。Multiple myeloma and osteolytic bone metastases are common malignant tumors of bone,and their incidence has been increasing in recent years.The clinical symptoms and imaging findings of multiple myeloma and osteolytic bone metastases are similar,which are often confused and difficult to distinguish.However,the treatment and prognosis of these two diseases are very different,and the differential diagnosis between them is very important.Imaging is the most commonly used noninvasive examination method,but the conventional imaging is limited to identify the two diseases.As a new imaging method,radiomics has brought new application prospect for the differential diagnosis of multiple myeloma and osteolytic bone metastases.This article reviews the application progress of imaging in the differential diagnosis of these two diseases.

关 键 词：多发性骨髓瘤 溶骨性转移瘤 影像组学 

分 类 号：R445.9[医药卫生—影像医学与核医学] R738.1[医药卫生—诊断学]