摘要
目的探讨意外发现的活动性脊椎结核的^(18)F-FDG PET/CT表现并分析其对临床的应用价值。方法选取经病理证实的12例^(18)F-FDG PET/CT检查意外发现活动性脊椎结核的影像表现。结果经病理证实为脊椎结核的患者12例,共累及25个椎体,其中胸椎17个,腰椎6个,颈椎2个;同机CT图像可见19个椎体骨质破坏,1例可见椎旁脓肿,所有病例不能明确椎间盘受累;^(18)F-FDG代谢显示12例均呈^(18)F-FDG代谢增高,SUVmax为6.0~10.6,2例可见椎旁脓肿,从代谢情况显示所有病例均累及椎间盘。结论^(18)F-FDG PET/CT偶然发现脊椎高代谢病灶,需明确病灶是否累及椎间盘,如病灶累及椎间盘提示有活动性脊椎结核的可能性。
Objective To investigate the ^(18)F-FDG PET/CT fingdings of active spinal tuberculosis and to analyze the clinical application.Methods The ^(18)F-FDG PET/CT imaging findings of 12 cases of active spinal tuberculosis were retrospectively analyzed.Results 12 cases of active spinal tuberculosis were confirmed by phthological findings,including 25 vertebras(17 thoracic vertebras,6 lumbar vertebras,and 2 cervical vertebras).In CT imagings,19 vertebras showed destruction of bone,1 case showed cold tuberculous abscess,and it could not show whether the intervertebral disc included.In ^(18)F-FDG PET/CT imagings,all cases showed high uptake of ^(18)F-FDG,and SUVmax was 6.0~10.6,2 cases showed cold tuberculous abscess,all cases showed the intervertebral disc involved.Conclusion ^(18)F-FDG PET/CT showed high uptake of ^(18)F-FDG accidentally,it should identify whether the intervertebral disc included,and if the intervertebral disc included,it was impossible of the diagnosis of active spinal tuberculosis.
作者
苏振
房娜
靳飞
林帅
李超伟
曾磊
姜雯雯
刘翠玉
王艳丽
SU Zhen;FANG Na;JIN Fei;LIN Shuai;LI Chaowei;ZENG Lei;JIANG Wenwen;LIU Cuiyu;WANG Yanli(Department of Molecular Imaging PET/CT,The Second Affiliated Hospital of Qingdao University(Affiliated Qingdao Central Hospital,Qingdao University),Qingdao 266042,China;Department of Radiology,Shanxian Central Hospital,Heze 274300,China;Qingdao University Medicine College,Qingdao 266000,China)
出处
《医学影像学杂志》
2022年第10期1795-1797,1801,共4页
Journal of Medical Imaging
