单光子发射CT/CT对脊柱良恶性病变的鉴别诊断价值  

Value of SPECT/CT in the differential diagnosis of benign and malignant spinal lesions

作　　者：刘宇皓 邓茂[1] 周志行 Liu Yuhao;Deng Mao;Zhou Zhixing(Department of Nuclear Medicine,Deyang People′s Hospital,Sichuan 618000,China)

机构地区：[1]四川省德阳市人民医院核医学科,618000

出　　处：《实用医学影像杂志》2025年第2期123-126,共4页Journal of Practical Medical Imaging

摘　　要：目的分析单光子发射CT(SPECT)/CT骨显像对脊柱良恶性病变的鉴别诊断价值。方法回顾性选取2023年6月至7月我院收治的85例脊柱病变患者,均进行SPECT/CT骨显像检查。以病理结果为金标准,分析SPECT/CT骨显像在脊柱良恶性病变中的鉴别诊断价值。结果85例患者中,病理检查结果显示为良性病变者44例,恶性病变者41例。SPECT/CT检查结果为良性病变者39例,恶性病变者38例。以病理结果为金标准,SPECT/CT骨显像诊断脊柱恶性病变的灵敏度为93%,特异度为89%,准确度为91%,与病理结果诊断一致性Kappa值为0.812。结论SPECT/CT骨显像可用于鉴别诊断脊柱良恶性病变,且具有较高诊断价值。Objective To analyze the value of single photon emission computed tomography(SPECT)/CT bone imaging in the differential diagnosis of benign and malignant spinal lesions.Methods SPECT/CT bone imaging was performed in 85 patients with spinal diseases were selected in our hospital from June 2023 to July 2023.To analyze the value of SPECT/CT bone imaging in the differential diagnosis of benign and malignant spinal lesions with pathological results as the gold standard.Results Among the 85 patients,44 were benign and 41 were malignant.SPECT/CT showed benign lesions in 39 cases and malignant lesions in 38 cases.With pathological results as the gold standard,the sensitivity,specificity and accuracy of SPECT/CT bone imaging in the diagnosis of malignant spinal lesions were 93%,89%and 91%,and the Kappa value of consistency with pathological results was 0.812.Conclusion SPECT/CT bone imaging can be used in the differential diagnosis of benign and malignant spinal lesions,and has a high diagnostic value.

关 键 词：单光子发射计算机体层摄影术 脊柱 鉴别诊断 

分 类 号：R738.1[医药卫生—肿瘤]