脊椎转移瘤的X线平片、CT及MRI诊断对比分析

目的探讨脊椎转移瘤的X线平片、CT与MRI的影像特征。方法对23例脊椎转移瘤患者的临床资料进行回顾性分析,总结患者的X线平片、CT和MRI影像特征。结果 23例患者中共有63个异常的椎体出现。使用X线检出28个,CT检出32个,MRI检查出55个。其中MRI的诊断结果与X线比较有显著差异,P<0.05。结论使用常规X线平片能够对多数的转移瘤进行诊断,而CT则可以发现患者的早期病变结构,MRI对患者的诊断准确率最高,且最具有特异性。

Objective To investigate the spinal metastases of X-ray,CT and MRI imaging features.Methods 23 cases of patients with spinal metastases were retrospectively reviewed the clinical data analysis,summarized in patients with X-ray,CT and MRI imaging features.Results 23 cases of 63 anomalies of the vertebral bodies appear.The use of radiographic detection of 28,CT was 32,MRI check out 55.The MRI diagnosis and radiographic comparison have significant difference,P 0.05.Conclusion the use of conventional X-ray plain film for most metastatic tumor diagnosis,while CT can be found in patients with early lesion structure,MRI in patients with diagnostic accuracy was highest,and most of the specific.