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目的探讨放射性核素骨显像“超级影像”的特点。方法2301例肿瘤患者骨显像中,发现18例(前列腺癌6例,乳腺癌4例,肺癌2例,原发灶不明3例,神经母细胞瘤和膀胱癌各1例)。依据“超级影像”图像特点的不同分为均一对称型(Ⅰ型)和灶性散在分布型(Ⅱ型)2种类型进行分析。结果“超级影像”出现的阳性率为0.78%(18/2301),其中前列腺癌出现率最多,约占33.33%(6/18),乳腺癌和肺癌次之,分别占22.22%(4/18)和11.11%(2/18)。“超级影像”的分布特点均一对称型影像占38.88%(7/18),其中完全对称型占16.66%(3/18),而前列腺癌占整个Ⅰ型影像的71%(5/7);灶性散在分布型影像占61.11%(11/18)。结论“超级影像”是骨转移影像的一种特殊形式,前列腺癌和乳腺癌患者易于出现这种影像
Objective To investigate the characteristics of “super image” of radionuclide bone imaging. Methods In the bone imaging of 2301 cancer patients, 18 cases (6 cases of prostate cancer, 4 cases of breast cancer, 2 cases of lung cancer, 3 cases of unknown primary tumor, 1 case of neuroblastoma and 1 case of bladder cancer) were found. According to the characteristics of the “super video” images are divided into uniform symmetrical type (type I) and focal scattered type (type II) two types of analysis. Results The positive rate of “super video” was 0.78% (18/2301), with the highest incidence of prostate cancer, accounting for 33.33% (6/18), followed by breast cancer and lung cancer, accounting for 22.22% (4/18 ) And 11.11% (2/18) respectively. The distribution of “super image” was uniform symmetry type image accounted for 38.88% (7/18), which accounted for 16.66% (3/18) complete symmetry, and prostate cancer accounted for 71% (5/7) of the entire type Ⅰ image; Focal scattered images accounted for 61.11% (11/18). Conclusion “Super video” is a special form of bone metastases that are prone to occur in patients with prostate and breast cancer