[1]张斌青,张敏,候洪涛,等.SPECT/CT融合显像对髋关节撞击综合征的诊断价值[J].中国中医骨伤科杂志,2018,26(12):35-37.
　ZHANG Binqing ZHANG Min HOU Hongtao LI Dengyu.Diagnostic Value of SPECT/CT Fusion Imaging for Femoroacetabular Impingement[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(12):35-37.
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SPECT/CT融合显像对髋关节撞击综合征的诊断价值()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年12期
页码:
35-37
栏目:
临床论著
出版日期:
2018-12-03

文章信息/Info

Title:
Diagnostic Value of SPECT/CT Fusion Imaging for Femoroacetabular Impingement
文章编号:
1005-0205(2018)12-0035-03
作者:
张斌青1; 张敏1; 候洪涛1; 李登宇1
1河南省洛阳正骨医院(河南省骨科医院)(河南 洛阳,471002)
Author(s):
ZHANG Binqing1 ZHANG Min1 HOU Hongtao1 LI Dengyu1
1Luoyang Orthopedic Hospital of Henan Province,Luoyang 471002,Henan China.
关键词:
关节;  撞击综合征;  体层摄影术; 发射型计算机; 单光子;  疼痛
Keywords:
joints;  impingement syndrome;  tomography; emission computer; single photon;  pain
分类号:
R684
文献标志码:
A
摘要:
目的:探讨99mTc-SPECT/CT融合显像对髋关节撞击综合征(FAI)的诊断价值及影像学特征。方法:对205个(173例)髋关节疼痛临床怀疑撞击综合征,而解剖影像学(DR,CT及MRI)未能明确诊断的患者进行99mTc-MDP SPECT/CT融合显像,以6个月以上的临床随访或手术资料为最终诊断标准,探讨其诊断价值并总结其影像学特征。结果:205个髋关节SPECT/CT显像阳性189个(176个为真阳性,13个为假阳性),16个阴性(8个为真阴性、8个为假阴性)。SPECT/CT对FAI的诊断灵敏度是95.65%(176/184),特异度是38.09%(8/21).FAI的SPECT/CT的影像学特征可分为两类:髋臼缘及股骨头颈骨质均显示团状或斑片状核素异常浓聚; 髋臼缘骨质显示团状或斑片状核素异常浓聚。结论:解剖影像学不能明确诊断关节FAI时,SPECT/CT融合显像可为临床提供有价值的参考信息,并有一定影像学特征。
Abstract:
Objective:To investigate the diagnostic value and imaging features of 99mTc-SPECT/CT fusion imaging for femoroacetabular impingement(FAI). Methods: A total of 205 cases with clinically suspected FAI and anatomical imaging(DR, CT, MRI)failed to clear diagnosis and followed by SPECT/CT imaging were included in this study. The final diagnosis was made according to surgery and treatment outcome. All patients were followed up for at least 6 months. Diagnostic efficiency of SPECT/CT was calculated. Results: Of the 205 cases, 189 were positive for SPECT/CT imaging(176 were true positive, 13 were false positive), and 16 were negative(8 were true negative and 8 were false negative). The diagnostic sensitivity of SPECT/CT for FAI was 95.65%(176/184)and the specificity was 38.09%(8/21). The imaging features of SPECT/CT fusion images can be divided into two categories: acetabular rim and femoral head showed spot or patchy nuclide abnormal concentration; acetabular rim showed abnormal spot or patchy nuclide concentration. Conclusion: 99mTc-MDP SPECT/CT fusion imaging can provide valuable clinical reference information and some imaging features when anatomical imaging cannot clearly diagnose FAI.

参考文献/References:

[1] 王涛,刘辉,周理乾,等.MRI、超声及Ⅹ线对肩峰下撞击综合征的诊断价值比较[J].中国骨与关节损伤杂志,2016,31(5):467-469.
[2] 杜宇,闫东,杨卫东,等.坐骨股骨撞击综合征典型影像表现[J].磁共振成像,2016,7(6):461-463.
[3] Freygant M,Dziurzyńska-Biaek E,Guz W,et al.Magnetic resonance imaging of rotator cuff tears in shoulder impingement syndrome[J].Pol J Radiol,2014,79:391-397.
[4] Hudyana H,Maes A,Vandenberghe T,et al.Accuracy of bone SPECT/CT for identifying hardware loosening in patients who underwent lumbar fusion with pedicle screws[J].Eur J Nucl Med Mol Imaging,2016,43(2):349-354.
[5] 张斌青,宋青凤,刘玉珂,等.99Tcm-MDP SPECT/C图像融合诊断隐匿性骨折[J].中国医学影像技术,2014,30(4):587-590.
[6] 华茜,米宝明,章斌,等.SPECT/CT骨显像对腰椎峡部裂的诊断价值[J].中华核医学与分子影像杂志,2015,35(4):280-283.
[7] 黄耀渠,李均洪,梁振华,等.股骨颈疝窝与股骨髋臼撞击综合征相关解剖学异常的多层螺旋CT研究[J].中华解剖与临床杂志,2016,21(1):18-21.
[8] 闫松,李桂萍,王胜林,等.坐骨股骨撞击综合征的MRI测量[J].中国医学影像学杂志,2017,25(2):112-115.
[9] Hischmann MT,Davda K,Rasch H,et al.Clinical value of combined single photon emission computerized tomography and conventional computer tomography(SPECT/CT)in sports medicine[J].Sports Med Arthosc,2011,19(2):174-181.
[10] Chicklore S,Gnanasegaran G,Vijayanathan S,et al.Potential role of multislice SPECT/CT in impingement syndrome and soft-tissue pathology of the ankle and foot[J].Nucl Med Commun,2013,34(2):130-139.
[11] Tannast M,Siebenrock KA,Anderson SE.Femoroacetabular impingement:radiographic diagnosis--what the radiologist should know[J].Am J Roentqnol,2007,188(6):1540-1542.
[12] 赵莉,袁明刚,孔宁宁,等.SPECT/CT骨断层显像对恶性肿瘤病人腰椎骨盆病变鉴别诊断价值[J].齐鲁医学杂志,2017,32(4):382-385.
[13] 米彦霞,郭晋纲,王莉莉,等.SPECT/CT融合显像在腰椎横突骨折诊断中的应用价值[J].国际放射医学核医学杂志,2017,41(5):321-324.

更新日期/Last Update: 2018-12-03