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99mTc-MIBI脑肿瘤阳性显像联合MRI成像对胶质瘤术后残留复发的诊断价值

张伟晓 许小飞 盛丹丹 王成 周玲玲 刘雅洁

实用医学杂志Issue(18):2997-3000,4.
实用医学杂志Issue(18):2997-3000,4.DOI:10.3969/j.issn.1006-5725.2015.18.019

99mTc-MIBI脑肿瘤阳性显像联合MRI成像对胶质瘤术后残留复发的诊断价值

Evaluation of the diagnostic value of 99mTc-MIBI SPECT positive tumor imaging and MRI in the recurrence or postoperative residual lesions of glioma

张伟晓 1许小飞 1盛丹丹 1王成 1周玲玲 1刘雅洁1

作者信息

  • 1. 210011 南京医科大学第二附属医院核医学科
  • 折叠

摘要

Abstract

Objective To evaluate the value of 99mTc-MIBI SPECT positive tumor imaging and MRI in the diagnosis of recurrence and postoperative residual of glioma. Methods Of 30 cases of glioma, 21 cases were residual or recurrent of glioma, while 9 cases were not, confirmed by pathology or follow-up. 99mTc-MIBI SPECT positive tumor imaging and MRI were performed on all patients. Results The sensitivity of 99mTc-MIBI SPECT positive tumor imaging (80.1%)was lower than that of MRI (90.5%) (χ2 = 0.006 4,P = 0.035), while the specificity of 99mTc-MIBI SPECT(88.9%) was much higher than that MRI(77.8%)(χ2= 3.827,P = 0.006). The accuracy in diagnosing residual or recurrent glioma between the two imaging has no significant difference. The sensitivity, specificity and accuracy were 95.2%, 100% and 93.3% when the two imaging methods were combined. Conclusions 99mTc-MIBI SPECT positive tumor imaging has higher specificity in the diagnosis of recurrence and postoperative residual of glioma. The combination of 99mTc-MIBI SPECT positive tumor imaging and MRI has great clinical significance.

关键词

胶质瘤/肿瘤复发/99mTc-MIBI/MRI

Key words

Glioma/Glioma recurrence/99mTc-MIBI/MRI

引用本文复制引用

张伟晓,许小飞,盛丹丹,王成,周玲玲,刘雅洁..99mTc-MIBI脑肿瘤阳性显像联合MRI成像对胶质瘤术后残留复发的诊断价值[J].实用医学杂志,2015,(18):2997-3000,4.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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