论文部分内容阅读
目的 探讨多发性骨髓瘤(multiplemyeloma, MM)MRI表现与骨髓瘤细胞比值的关系。方法 对经骨髓涂片或活检确诊的 15例MM病人的脊柱MRI表现分型,分析各型与骨髓瘤细胞所占百分比、血红蛋白值的关系。结果 局灶型病变 7例,弥漫型 4例,“盐和胡椒面”型 4例。MRI表现分型不同,骨髓瘤细胞所占百分比值之间存在显著性差异 (Ρ=0. 008);血红蛋白值之间亦存在显著性差异(Ρ= 0. 03)。MM的脊柱弥漫型侵犯与高的骨髓瘤细胞比值及低的血红蛋白值相关。结论 脊柱MRI可反映MM的骨髓受累情况,其MRI表现与骨髓瘤细胞所占百分比值、血红蛋白值之间存在相关性。
Objective To investigate the relationship between the MRI findings of multiple myeloma (MM) and the ratio of myeloma cells. Methods Spinal MRI manifestations of 15 MM patients diagnosed by bone marrow smear or biopsy were analyzed. The relationship between each type of myeloma cells and the hemoglobin value was analyzed. Results Focal lesions in 7 cases, diffuse in 4 cases, “salt and pepper noodles” type in 4 cases. Different MRI manifestations, the percentage of myeloma cells were significantly different (P = 0.008); There was also a significant difference between hemoglobin values (P = 0.03). Spinal diffuse MM involvement was associated with high myeloma cell ratios and low hemoglobin values. Conclusion Spinal MRI can reflect the bone marrow involvement of MM. The correlation between MRI findings and the percentage of myeloma cells and hemoglobin value is significant.