全身 CT 与放射性骨骼扫描对多发性骨髓瘤病灶的检测。
Multiple myeloma lesion detection with whole body CT versus radiographic skeletal survey.
机构信息
Department of Radiology, University of Maryland Medical Center, Baltimore, Maryland 21201, USA.
出版信息
Cancer Invest. 2013 Mar;31(3):206-11. doi: 10.3109/07357907.2013.764565. Epub 2013 Feb 13.
OBJECTIVE
To compare accuracy of CT versus radiographs in detecting myeloma lesions.
MATERIALS AND METHODS
Retrospective review of patients who were simultaneously evaluated with radiographs and PET/CT scans. Two radiologists independently assessed each modality.
RESULTS
Total number of lesions detected with CT was 968 versus 248 for radiographs (p < .001). Nine patients (18%) had no lesions on either CT or radiographs. Of the remaining 42 patients, 39 had more lesions on CT. CT could have resulted in upstaging of disease in 31 cases (61%).
CONCLUSION
CT is superior for detecting myeloma lesions.
目的
比较 CT 与 X 光片在检测骨髓瘤病变中的准确性。
材料与方法
回顾性分析同时接受 X 光片和 PET/CT 扫描检查的患者。两名放射科医生独立评估每种检查方法。
结果
CT 共检测到 968 处病变，而 X 光片为 248 处（p<0.001）。9 名患者（18%）在 CT 和 X 光片上均无病变。在其余 42 名患者中，39 名患者 CT 上的病变更多。CT 可导致 31 例（61%）疾病分期升级。
结论
CT 更有利于检测骨髓瘤病变。
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