核素骨显像在肿瘤骨转移随访中的临床意义
骨显像,,],骨显像；骨转移；放射性核素,1资料和方法,2结果,3讨论,参考文献:
[关键词] 骨显像；骨转移；放射性核素[摘 要] 目的：探讨核素骨显像在肿瘤骨转移随访中的临床意义。材料与方法：对97例肿瘤患者静脉注射99TcmMDP 925 MBq～1 110 MBq行271人次SPECT全身骨显像, 观察转移瘤在全身骨骼的放射性分布情况并对结果分析。结果：在接受2次～9次骨显像随访的恶性肿瘤患者中，最终发现49例骨转移瘤，占50.5%。第1次、2次、3次被确诊为骨转移瘤分别为23例(23.7%)；16例(16.5%)；7例(7.2%)；第4次～6次被确诊骨转移瘤各有1例(1.03%)。结论：肿瘤病人核素骨显像的定期随访，对骨转移的早期发现、治疗方案的选择、治疗效果的评估有重要意义。
Clinical Value of Radionuclide Bone Imaging In Follow up of Skeletal Metastases in Patients with Carcinoma
LIU Xiuqian,YANG Jian,SU Min,et al
(The Affiliated Hospital of Guangdong Medical College,Zhanjiang， Guangdong 524001,China)
Abstract：Objective To investigate the clinical significance of radionuclide bone imaging in follow up of skeletal metastases in patients with carcinoma.Methods 97 patients with carcinoma were injected intravenously 99TcmMDP 925～1110MBq and performed a total of 271 times of the whole body imaging to observe and analyze radiodistribution of whole body in skeletal metastases tumor.Results Under received 29 times bone scintigraphy in follow up, 49(50.2%) patients were detectedmetastases tumor in bone.In the first,second,and third bone scintigraphy,the 23(23.7%),the 16(16.5%),and the 7(7.2%)patients was diagnosed with skeletal metastases tumor.In 46 times,every patient(1.03%) was diagnosed respectively.Conclusion Regular examination of radionuclide bone imaging has important significances to find early skeletal metastasis, select plan of treatment,and evaluate response to therapy in patients with carcinoma. ......
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