Thrall J H, Ellis B I
Department of Diagnostic Radiology and Medical Imaging, Henry Ford Hospital, Detroit, Michigan.
Radiol Clin North Am. 1987 Nov;25(6):1155-70.
This article discusses the role of imaging in the evaluation of patients with known or suspected malignancies. The radionuclide skeletal scintigram is the most sensitive imaging method for screening the skeleton for metastatic disease but is inherently nonspecific. Standard radiography provides useful correlative information and often confirms the presence of malignancy when characteristic lytic or blastic lesions are seen. Newer modalities such as CT and MR do not have a primary role in detecting skeletal metastases but may reveal lesions incidentally.
本文讨论了影像学在已知或疑似恶性肿瘤患者评估中的作用。放射性核素骨闪烁造影是筛查骨骼转移性疾病最敏感的影像学方法，但本质上缺乏特异性。标准X线摄影可提供有用的相关信息，当发现典型的溶骨性或成骨性病变时，常可证实恶性肿瘤的存在。CT和MR等较新的检查手段在检测骨转移方面并非主要手段，但可能偶然发现病变。
