[1]王娜,刘生.全身骨显像骨外伪影的原因分析[J].国际放射医学核医学杂志,2008,32(5):301-304.
 WANG Na,LIU Sheng.Analysis of artifact imaging of extraosseous tissues in whole-body bone scintigraphy[J].International Journal of Radiation Medicine and Nuclear Medicine,2008,32(5):301-304.
点击复制

全身骨显像骨外伪影的原因分析(/HTML)
分享到:

《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
32
期数:
2008年第5期
页码:
301-304
栏目:
临床核医学
出版日期:
1900-01-01

文章信息/Info

Title:
Analysis of artifact imaging of extraosseous tissues in whole-body bone scintigraphy
作者:
王娜 刘生
510120 广州, 中山大学附属第二医院核医学科
Author(s):
WANG Na LIU Sheng
Department of Nuclear Medicine, Second Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510120. China
关键词:
99m锝美罗酸盐骨肿瘤伪影分析
Keywords:
Technetium Tc 99mmedronuteBone neoplasmsArtifact imaging analysis
摘要:
全身骨显像是目前公认的早期诊断骨转移瘤的首选方法,是核医学最常规显像项目之一。然而,骨外组织显影导致的伪影常影响诊断的准确性。对全身骨显像进行评价时,要针对骨外组织显影的各种可能的发生机制(包括药物因素、注射因素、患者因素等)进行综合分析,提高骨显像诊断的准确性。
Abstract:
Whole-body bone scintigraphy using 99Tcm-methylene diphosphonate, one of the most commonly performed radionuclide examinations, is the first choice for early diagnosis of bone metastases.However, the artifact imaging of the extraosseous tissues invariably affects the accuracy of the diagnosis.It is important to consider all the possible factors of the extraosseous uptake of the imaging agent and aggregate analyse during interpreting the examination.The common causes including the radioactive drug, the injection, the patient-self and so on.

参考文献/References:

[1] 马超,匡安仁,左书耀.放射性核素骨显像骨外异常放射性浓聚影的原因[J].中华核医学杂志,2006,26(5):319-320.
[2] 解敬慧,张延军,张欣,等.骨外组织摄取骨显像剂的所见及临床意义探讨(附497例报告)[J].中国临床医学影像杂志,2006,17(10):588-591.
[3] 刘世俊,宋文忠,陈明曦,等.放射性核素骨显像时肝显像2例分析[J].中国误诊学杂志,2003,3(11):1732-1733.
[4] 朱明,屈婉莹,赵洪山,等.全身骨显像操作技术对图像质量的影响[J].中华核医学杂志,2000,20(1):20-20.
[5] Loutfi I,Collier BD,Mohammed AM.Nonosseous abnormalities on bone scans[J].J Nucl Med Technol,2003,31(3):149-153.
[6] Ak I,Ocak S.Cutaneous malignant melanoma showing extraoss-eous accumulation of Tc-99m MDP in a metastatic inguinal lymph node on bone scintigraphy[J].Clin Nucl Med,2007,32(11):896-897.
[7] Mc Kenna D,Iqbal A,O’Keeffe D.Tc-99m methylene diphosphonate uptake in a primary lung cancer[J].Clin Nucl Med,2004,29(11):723-724.
[8] Eagel BA,Stier SA,Wakem C.Non-osseous bone scan abnormalities in mutiple myeloma associated with hypercalcemia[J].Clin Nucl Med,1988,13(12):869-873.
[9] 张卫云,陈曼,张燕燕,等.肺癌摄取骨显像剂99mTc-MDP的2例报告[J].中国医学影像技术,1998,14(2):101-101.
[10] 马超,匡安仁,李林,等.恶性周围神经鞘膜瘤摄取骨显像剂一例[J].中华核医学杂志,2005,25(6):381-381.
[11] Wolf R,Wolf RF,Hoekstra HJ.Recurrent,multiple,calcified soft tissue metastases from osteogenic sarcoma without pulmonary involvement[J].Skeletal Radiol,1999,28(12):710-713.
[12] Kara G.Spinal cord Ewing’s sarcoma metastasis:presentation of one case[J].Ann Nucl Med,2004,18(7):623-626.
[13] Thomas BG,Silverman ED.Focal uptake of Tc-99m MDP in a gossypiboma[J].Clin Nucl Med,2008,33(4):290-291.
[14] Kosuda S,Yokoyama K,Nishigucbi I,et al.Bone scanning in patients with pleural effusion-experience in 76 cases[J].Ann Nucl Med,1990,4(2):55-58.
[15] Quoix E,Chenard MP,Orion B,et al.A left pleural effusion with a calcified tumoral mass and left hemithoracic uptake on bone scan[J].Lung Cancer,2001,32(2):203-205.
[16] Heyer CM,Roggenland D,Muller KM,et al.Extraskeletal mesenchymal chondrosarcoma:rare differential diagnosis of pleural calcifications[J].Pneumologie,2007,61(2):94-95.
[17] 尚玉琨,李舰南,白晶,等.多发性骨髓瘤骨外软组织摄取骨显像剂的研究[J].中国临床医学影像杂志,2004,15(2):116-118.
[18] Ferris JV,Ziessman HA.Technetium-99m MDP imaging of acute radiation-induced inflammation[J].Clin Nucl Med,1988,13(6):430-432.
[19] Park W,Huh SJ,Yang JH,et al.The implication of hot spots on bone scans within the irradiated field of breast cancer patients treated with mastectomy followed by radiotherapy[J].Ann Nucl Med,2008,22(8):685-691.

相似文献/References:

[1]任佳忠,李永梅,刘岩,等.99Tcm-MDP骨显像胸部异常放射性摄取的原因分析[J].国际放射医学核医学杂志,2016,40(6):459.[doi:10.3760/cma.j.issn.1673-4114.2016.06.011]
 Jiazhong,Li Yongmei,Liu Yan,et al.Reasons for the abnormal 99Tcm-MDP uptake in the thoracic tissue on bone scintigraphy[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(5):459.[doi:10.3760/cma.j.issn.1673-4114.2016.06.011]
[2]周文兰,吴湖炳,韩彦江,等.18F-FDG PET/CT对骨骼孤立性高代谢病灶的初步诊断价值[J].国际放射医学核医学杂志,2015,39(1):14.[doi:10.3760/cma.j.issn.1673-4114.2015.01.005]
 Zhou Wenlan,Wu Hubing,Han Yanjiang,et al.Preliminary study of 18F-FDG PET/CT in the diagnosis of solitary hypermetabolic lesion of bone[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(5):14.[doi:10.3760/cma.j.issn.1673-4114.2015.01.005]
[3]李欢欢,李素平,游金辉.小细胞肺癌伴副肿瘤综合征患者骨显像示肌肉摄取一例[J].国际放射医学核医学杂志,2014,38(2):140.[doi:10.3760/cma.j.issn.1673-4114.2014.02.016]
[4]刘超,邓智勇,刘鹏杰,等.89SrCL2与唑来膦酸联合治疗乳腺癌转移性骨肿瘤的疗效分析[J].国际放射医学核医学杂志,2014,38(5):300.[doi:10.3760/cma.j.issn.1673-4114.2014.05.006]
 Liu Chao,Deng Zhi-yong,Liu Peng-jie,et al.Analysis on the curative effect of combination therapy with zoledronic acid and 89SrCL2 on bone tumor with breast cancer metastasis[J].International Journal of Radiation Medicine and Nuclear Medicine,2014,38(5):300.[doi:10.3760/cma.j.issn.1673-4114.2014.05.006]
[5]袁超,李卫鹏,胡永全,等.89Sr治疗乳腺癌和前列腺癌多发性骨转移的临床观察[J].国际放射医学核医学杂志,2010,34(4):220.[doi:10.3760/cma.j.issn.1673-4114.2010.04.008]
 YUAN Chao,LI Wei-peng,HU Yong-quan,et al.Clinical observation of 89Sr treatment efficacy of multiple bone metastases in breast and prostate cancer patients[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(5):220.[doi:10.3760/cma.j.issn.1673-4114.2010.04.008]
[6]刘道佳,唐明灯,林端瑜,等.99Tcm-MDP全身骨显像、99Tcm-MDP SPECT-CT和18F-FDG SPECT-CT探测脊柱转移瘤的比较[J].国际放射医学核医学杂志,2011,35(2):89.[doi:10.3760/cma.j.issn.1673-4114.2011.02.006]
 LIU Dao-jia,TANG Ming-deng,LIN Duan-yu,et al.Comparision of the value of 99Tcm-MDP bone scintigraphy, 99Tcm-MDP SPECT-CT and 18F-FDG SPECT-CT in detecting bone metastases of spine[J].International Journal of Radiation Medicine and Nuclear Medicine,2011,35(5):89.[doi:10.3760/cma.j.issn.1673-4114.2011.02.006]
[7]王渊恺,袁杰,张光明,等.鼻咽癌在全身骨显像鼻部感兴趣区放射性异常的分析[J].国际放射医学核医学杂志,2011,35(1):20.[doi:10.3760/cma.j.issn.1673-4114.2011.01.006]
 WANG Yuan-kai,YUAN Jie,ZHANG Guang-ming,et al.Study on nasal radioactive anomalies of nasopharyngeal carcinoma in bone imaging[J].International Journal of Radiation Medicine and Nuclear Medicine,2011,35(5):20.[doi:10.3760/cma.j.issn.1673-4114.2011.01.006]
[8]徐海青,段俊,吴边.全身骨显像诊断前列腺癌骨转移与PSA水平及病理分级的相关性研究[J].国际放射医学核医学杂志,2011,35(1):34.[doi:10.3760/cma.j.issn.1673-4114.2011.01.010]
 XU Hai-qing,DUAN Jun,WU Bian.Study of relationship between the bone imaging, level of PSA and pathology grade in diagnosis of prostate carcinoma bone metastasis[J].International Journal of Radiation Medicine and Nuclear Medicine,2011,35(5):34.[doi:10.3760/cma.j.issn.1673-4114.2011.01.010]
[9]苏莉,黄诚刚,牛文强,等.25例血清PTH升高的甲状旁腺相关疾病患者的诊断[J].国际放射医学核医学杂志,2010,34(2):84.[doi:10.3760/cma.j.issn.1673-4114.2010.02.005]
 SU Li,HUANG Cheng-gang,NIU Wen-qiang,et al.Nuclear medicine diagnostic experience for 25 patients with parathyroid disease accompanied elevated serum PTH level[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(5):84.[doi:10.3760/cma.j.issn.1673-4114.2010.02.005]
[10]黄诚刚,陈小艳,马春清,等.血清FPSA/TPSA及性腺激素测定结合核素骨显像在前列腺癌诊断、复发和转移中的临床价值[J].国际放射医学核医学杂志,2010,34(6):337.[doi:10.3760/cma.j.issn.1673-4114,2010.06.005]
 HUANG Cheng-gang,CHEN Xiao-yan,MA Chun-qing,et al.Evaluation of serum FPSA/TPSA and hormone determination combinded with nuclide bone imaging in diagnosis of prostate carcinoma and its recidivation and metastasis[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(5):337.[doi:10.3760/cma.j.issn.1673-4114,2010.06.005]

备注/Memo

备注/Memo:
收稿日期:2007-12-23。
通讯作者:刘生(E-mail:sheng-liu@tom.com)
更新日期/Last Update: 1900-01-01