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苏州医学院附属第一医院
纸质出版日期:1997-05-01
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[1]苏成海,董慎安,江一民,徐峰坡,祝向群,吴星红.~(99m)Tc-MIBI 显像鉴别甲状腺“冷”结节的性质[J].核技术,1997(05):42-45.
Su Chenghai Dong Shen’an Jiang Yimin Xu Fengpo Zhu Xiangqun Wu Xinghong. Diagnostic differentiation of the property of thyroid cold nodules by 99m Tc-MIBI thyroid imaging[J]. Nuclear techniques, 1997, (5).
用99mTc-MIBI显像法对56例经病理证实(37例为恶性病变,19例为良性病变)的甲状腺“冷”结节患者鉴别,结果血流丰富的共22例(恶性病变中20例、良性病变中2例);99mTc-MIBI显像T/NT比值,恶性病变中乳头状癌、滤泡状癌、髓样癌、未分化癌均与99mTcO-4显像有非常显著性差异(P<0.001),而良性病变中仅腺瘤有显著性差异(P<0.05),其余均无显著性差异(P>0.05)。99mTc-MIBI显像阳性率为75.7%(28/37),诊断的准确率为78.6%,特异性为84.2%。该法对鉴别甲状腺“冷”结节有一定价值,可在临床上推广应用。
Thyroid cold nodules in 56 patients found in 99m TcO 4 - imaging (37 in malignant
19 in benign as proved by pathology)
were performed 99m Tc-MIBI imaging. The results showed that all of 22 cases (22/56) were rich in blood flow
among them 20 cases (20/37) in malignant group
and 2 cases (2/19) in benign group. There were very significant difference (P<0.001) between T/NT in 99m Tc-MIBI and 99m TcO 4 - imaging in papilary
folicular
medullary and anaplastic cancers of malignant group
and significant difference (P<0.05) in adenomas of benign group. The positive rate
accuracy and sensitivity of 99m Tc-MIBI imaging was 75.8%
78.6% and 84.2% respectively. Thereby
it may have some help for the differentiation of the property of thyroid cold nodule in clinical practice.
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