99Tcm-HL91与99Tcm-MIBI比较显像对甲状腺冷结节的诊断价值

杨帆; 袁卫红; 张怡; 杨建仙; 岳江红; 凌刚波

中国临床医学影像杂志 ›› 2010, Vol. 21 ›› Issue (5) : 316-318.

论著

99Tcm-HL91与99Tcm-MIBI比较显像对甲状腺冷结节的诊断价值

杨帆，袁卫红，张怡，杨建仙，岳江红，凌刚波

作者信息 +

Diagnostic value of thyroid cold nodules by using 99Tcm-HL91/99Tcm-MIBI imaging

YANG Fan, YUAN Wei-hong, ZHANG Yi, YANG Jian-xian, YUE Jiang-hong, LING Gang-bo

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文章历史 +

摘要

目的：比较99Tcm-HL91和99Tcm-MIBI显像定性及半定量分析对甲状腺冷结节的诊断价值。方法：对103例99TcmO4-甲状腺扫描提示为冷结节的患者手术前行SPECT亲肿瘤显像，其中99Tcm-HL91显像组35例，99Tcm-MIBI显像组68例；并对两组患者早期和延迟图像的定性和半定量分析结果进行比较。结果：99Tcm-HL91乏氧显像对甲状腺冷结节诊断的准确度和特异度均高于99Tcm-MIBI亲肿瘤显像，差异有显著性（P<0.001）；两种显像方法的敏感度无显著差异。结论：99Tcm-HL91乏氧显像对甲状腺冷结节良恶性的鉴别诊断更具有优越性。

Abstract

Objective: To evaluate the diagnostic value of 99Tcm-HL91 and 99Tcm-MIBI imaging in thyroid cold nodules with the qualitative and semi-quantitative analysis. Methods: 103 patients with cold nodules underwent SPECT tumor imaging before operation. Thirty-five patients underwent 99Tcm-HL91 imaging, 68 patients underwent 99Tcm-MIBI imaging; and then comparing the qualitative and semi-quantitative analysis of the early and delayed images in the two groups. Results: The accuracy and specificity of 99Tcm-HL91 hypoxia imaging in the diagnosis of thyroid cold nodules were higher than 99Tcm-MIBI tumor imaging, there was a significant difference(P<0.001); the sensitivity of the two imaging methods had no significant difference. Conclusion: 99Tcm-HL91 imaging in differentiating malignant from benign thyroid cold nodules is more useful than 99Tcm-MIBI imaging.

导出引用

杨帆;袁卫红;张怡;杨建仙;岳江红;凌刚波. 99Tcm-HL91与99Tcm-MIBI比较显像对甲状腺冷结节的诊断价值[J]. 中国临床医学影像杂志. 2010, 21(5): 316-318

YANG Fan;YUAN Wei-hong;ZHANG Yi;YANG Jian-xian;YUE Jiang-hong;LING Gang-bo. Diagnostic value of thyroid cold nodules by using 99Tcm-HL91/99Tcm-MIBI imaging[J]. Journal of China Clinic Medical Imaging. 2010, 21(5): 316-318

中图分类号： Ｒ736.1 Ｒ817.4