Asian Journal of Nuclear Medicine
亞洲核醫學雜志

Volume 2 Number 1, March 2002
Abstract

骨纖維結構不良的骨顯像研究

袁志斌,於建芳,羅全勇,陸漢魁,朱繼芳,朱瑞森
上海市第六人民醫院 核醫學科 200233

目的 研究骨纖維結構不良的骨顯像圖像特徵,評價放射性核素骨顯像對骨纖維結構不良的診斷價值。方法 42例骨纖維結構不良的病人均行放射性核素骨掃瞄,並與其他影像學檢查進行比較,對結果進行回顧性分析研究。結果 骨纖維結構不良在放射性核素骨顯像中均表現為不同程度的放射性濃聚,但與轉移性骨腫瘤和其他骨骼疾病的表現特點上有所不同,同時結合X線攝片等其他影像學檢查能提高診斷的準確性。結論 放射性核素骨顯像對骨纖維結構不良的診斷有一定的價值,可通過其他影像學檢查來彌補其特異性差的不足。

【關鍵詞】 放射性核素骨顯像;骨纖維結構不良

The clinical research of bone scan in patients with fibrous dysplasia of bone

Yuan Zhibin, Yu Jianfang, Luo Quanyong, Lu Hankui, Zhu Jifang, Zhu Ruisen
Shanghai 6th People's Hospital, Shanghai 200233, China.

Objective To study the characteristics of fibrous dysplasia of bone in bone imaging and evaluate the diagnostic value of radionuclide bone scan in fibrous dysplasia of bone. Methods All 42 cases of fibrous dysplasia of bone patients had radionuclide bone scan performed and compared with other imaging modalities. A retrospective study method was used to analyze the imaging results. Results Although fibrous dysplasia of bone showed uptake of 99mTc-MDP in the images, its appearance characteristic was different from those metastatic bone tumors and other bone diseases. Combining with X rays and other imaging modalities can improve the diagnostic accuracy of this disease. Conclusions Radionuclide bone scan has got certain value in the diagnosis of fibrous dysplasia of bone. Combining with other imaging modality can make up its disadvantage of low specificity.

Key Words: Radionuclide bone scan; Fibrous dysplasia of bone



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