Linden A, Gückel C, Widder R, Jungehülsing M, Diehl V, Schicha H
Klinik und Poliklinik für Nuklearmedizin, Universität Köln.
Rofo. 1992 Jan;156(1):83-8. doi: 10.1055/s-2008-1032841.
In 20 patients with multiple myeloma, the results of MR, x-ray, bone scintigraphy, bone marrow scintigraphy and bone marrow biopsy were compared. MR proved the most sensitive imaging method for the detection of bone marrow infiltration followed by x-ray examinations. Bone marrow scintigraphy and especially bone scintigraphy revealed false-negative results more often. These findings were more impressive by the direct comparison of several investigated regions showing different findings of each imaging method. False-positive results were not found. In 4 patients false-negative results of bone marrow biopsy had to be assumed because of definitely pathological findings by x-ray and MRI.
对20例多发性骨髓瘤患者的磁共振成像(MR)、X线、骨闪烁显像、骨髓闪烁显像及骨髓活检结果进行了比较。结果显示,MR是检测骨髓浸润最敏感的成像方法,其次是X线检查。骨髓闪烁显像,尤其是骨闪烁显像,出现假阴性结果的情况更常见。通过对几个检查部位的直接比较,每种成像方法显示出不同的结果,这些发现更为显著。未发现假阳性结果。由于X线和MRI检查有明确的病理结果,因此推测4例患者的骨髓活检存在假阴性结果。