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单光子发射计算机断层成像技术/计算机体层摄影融合显像对分化型甲状腺癌结节的诊断

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摘要 目的 评价单光子发射计算机断层成像技术/计算机体层摄影（SPECT/CT）融合显像和甲状腺常规显像对131Ⅰ清除甲状腺组织治疗分化型甲状腺癌（DTC）患者结节的诊断价值.方法 25例DTC患者清除甲状腺组织治疗,年龄21～75岁,平均年龄48.48岁.治疗前常规行甲状腺显像,治疗后行131Ⅰ全身显像,对甲状腺结节结果不明确的患者行SPECT/CT融合显像,评价两者对结节的诊断.结果 25例清除甲状腺患者中经常规甲状腺显像11例（44%）131Ⅰ全身平而显像（WBS）诊断被更改或重新分类,导致3例患者诊断下调重新定为低危险组,3例上调重新定为高危险组;25例清除甲状腺患者中经SPECT/CT显像17例（68%）WBS诊断被更改或重新分类,导致2例患者诊断下调重新定为低危险组,12例上调重新定为高危险组.结论 131Ⅰ清除甲状腺治疗后SPECT/CT显像较WBS对结节中淋巴结的诊断更准确,并改变患者的分期及治疗策略;甲状腺常规显像对WBS中结节判定有一定的补构充价值.
作者 曹润林 陆克义
机构地区 太原钢铁(集团)有限公司总医院核医学科 山西医科大学第一医院核医学科
出处 《肿瘤研究与临床》 CAS 2010年第8期563-565,共3页 Cancer Research and Clinic
关键词 SPECT/CT 131碘治疗 分化型甲状腺肿瘤 诊断
分类号 R736.1 [医药卫生—肿瘤]
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参考文献8

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二级参考文献21

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肿瘤研究与临床
2010年 第8期

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