[1]陈肖玥,张欣韵,施忠民,等.SPECT/CT骨显像在足踝关节病诊治中的应用进展[J].国际放射医学核医学杂志,2018,(5):453-457.[doi:10.3760/cma.j.issn.1673-4114.2018.05.012]
　Chen Xiaoyue,Zhang Xinyun,Shi Zhongming,et al.Application of SPECT/CT in diagnosis and treatment of foot and ankle diseases[J].International Journal of Radiation Medicine and Nuclear Medicine,2018,(5):453-457.[doi:10.3760/cma.j.issn.1673-4114.2018.05.012]
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SPECT/CT骨显像在足踝关节病诊治中的应用进展(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
期数:
2018年第5期
页码:
453-457
栏目:
综述
出版日期:
2018-10-01

文章信息/Info

Title:
Application of SPECT/CT in diagnosis and treatment of foot and ankle diseases
作者:
陈肖玥1;  张欣韵1;  施忠民2;  罗全勇1
1. 200233, 上海交通大学附属第六人民医院核医学科;
2. 200233, 上海交通大学附属第六人民医院骨科
Author(s):
Chen Xiaoyue1;  Zhang Xinyun1;  Shi Zhongming2;  Luo Quanyong1
1. Department of Nuclear Medicine, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, China;
2. Department of Orthopedics, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
关键词:
足关节; 踝关节; 单光子发射计算机体层摄影术
Keywords:
Foot joints;  Ankle joints;  Single photon emission computed tomography computed tomography
DOI:
10.3760/cma.j.issn.1673-4114.2018.05.012
摘要:
足踝关节复杂的解剖结构给检查带来了较大的困难。目前足踝关节病的初步检查方法是行X线评估，MRI检查则用于进一步明确诊断。99Tcm-MDP平面骨显像对骨代谢的病变具有很高的灵敏度，但由于分辨率低和缺乏解剖结构信息，因而对足踝关节的检查缺乏特异性。99Tcm-MDP SPECT/CT断层骨显像将骨显像的高灵敏度与CT提供的精细解剖结构完美结合，从而更好地显示99Tcm-MDP摄取的位置和解剖结构的改变。近年来SPECT/CT断层骨显像已逐步用于足踝关节病变的辅助诊断。笔者对SPECT/CT断层骨显像在足踝关节病变诊断中的临床应用进行了综述。
Abstract:
The complex function of the ankle joint has greatly complicated the examination of its related diseases. The preliminary method for the assessment of foot and ankle diseases involves radiographic assessment, while MRI is used for further diagnosis. Although 99Tcm-MDP bone scintigraphy is sensitive to changes in bone metabolism, it has poor specificity because of its low resolution and inability to provide anatomical structural information. 99Tcm-MDP SPECT/CT combines the sensitivity of 99Tcm-MDP bone scintigraphy with the anatomical structural information provided by CT to show the localization of uptaken MDP and the structural changes associated with foot and ankle diseases. In recent years, SPECT/CT has been gradually used to assist the diagnosis of foot and ankle diseases. In this article, we discuss the clinical application of SPECT/CT tomographic bone scintigraphy in the diagnosis of foot and ankle diseases.

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备注/Memo

备注/Memo:
收稿日期:2018-03-12。
基金项目:上海市重中之重医学影像重点学科（2017ZZ02005）
通讯作者:罗全勇,Email:lqyn@sh163.net
更新日期/Last Update: 2018-10-01