骨质疏松性椎体压缩骨折SPECT-CT及MRI的对比分析

doi:10.3969/j.issn.1006-6233.2019.04.004

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Abstract Objective: To analyze the diagnostic value of single photon emission computed tomography-computed tomography (SPECT-CT) and magnetic resonance imaging (MRI) for osteoporotic vertebral compression fractures (OVCF). Methods: The clinical data of 82 patients with OVCF in our hospital from March 2016 to April 2018 were retrospectively analyzed. Among them, 67 cases were acute-phase fractures (disease course≤ 3 w) and 15 cases were subacute-phase fractures (disease course 4~12 w). The detection of responsible vertebral bodies by SPECT-CT and MRI was recorded in patients with acute-phase fractures and subacute-phase fractures, and 82 patients were given percutaneous kyphoplasty (PKP). The pain degree [visual analogue score (VAS)] in 82 patients were compared before operation and at 3d after operation. Results: A total of 83 vertebral bodies in 67 patients with acute OVCF were given PKP. Among them, MRI and SPECT-CT confirmed 82 responsible vertebral bodies, and Kappa value was 0.845 (P<0.001), and the consistency was extremely strong. 1 case (1.20%) was missed diagnosis and 1 case (14.29%) was misdiagnosed by SPECT-CT. 34 vertebral bodies in 15 patients with subacute OVCF were given PKP. Among them, MRI and SPECT-CT confirmed 29 responsible vertebral bodies, and Kappa value was 0.633 (P<0.001), and the consistency was high. 1 case (3.33%) was missed diagnosis and 1 case (33.33%) was misdiagnosed by SPECT-CT. At 3 d after operation, the VAS scores in 82 patients with OVCF were decreased compared with those before operation (P<0.05). Conclusions: SPECT-CT and MRI can confirm the responsible vertebral bodies of OVCF. When patients have MRI examination contraindications, SPECT-CT can be selected as the examination method for evaluating responsible vertebral bodies of OVCF.

Key words： Osteoporotic vertebral compression fractures Acute-phase fractures SPECT-CT MRI

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	CHEN Qiancheng

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CHEN Qiancheng. Comparative Analysis of SPECT-CT and MRI in Osteoporotic Vertebral Compression Fractures[J]. HeBei Med, 2019, 25(4): 539-542.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2019.04.004 OR http://www.hbyxzzs.cn/EN/Y2019/V25/I4/539

[1] 杜亚雷,何保玉,滕涛.骨质疏松性椎体压缩骨折PVP或PKP术后邻近椎体再骨折的危险因素研究进展[J].实用医学杂志,2016,32(9):1379~1381.
[2] 孔令成,施振宇,姚建亮,等.强骨饮治疗骨质疏松性椎体压缩性骨折的临床研究[J].中国骨质疏松杂志,2016,22(9):1159~1163.
[3] 杨占辉,沈惠良,史宏伟,等.改良经皮球囊扩张椎体后凸成形术治疗骨质疏松性胸腰椎骨折的疗效[J].中华创伤杂志,2016,32(4):313~319.
[4] 郭威,曾旭文,梁治平,等.椎体骨质疏松性骨折MRI研究进展[J].中国介入影像与治疗学,2018,15(2):119~122.
[5] 李永博,武汉,韩硕,等.SPECT-CT与MRI对确定骨质疏松性椎体压缩骨折疼痛责任椎体的价值比较[J].中国脊柱脊髓杂志,2017,27(11):997~1003.
[6] 唐朝正,陈昌成,丁政,等.基于镜像神经元理论的动作观察在脑卒中后肩手综合征疼痛康复中的应用[J].中国康复医学杂志,2016,31(2):145~149.
[7] 温晓阳,余凯龙,何东生,等.PKP与PVP治疗陈旧性骨质疏松性椎体压缩性骨折效果对比观察[J].山东医药,2016,56(42):59~61.
[8] 沈煜,冯明利,徐军,等.老年骨质疏松性椎体压缩性骨折部位和腰椎骨密度对下腰部疼痛的影响[J].中华医学杂志,2016,96(23):1818~1820.
[9] 丁华杰,刘会玲,那磊,等.超声与CT/MRI对软组织肿瘤的诊断价值[J].河北医学,2016,22(10):1681~1683.
[10] 权正学,郝杰.骨质疏松性椎体压缩骨折的影像学诊断[J].中华创伤杂志,2016,32(9):769~771.
[11] 丁超,孙强,唐成.3.0T MRI与SPECT-CT诊断骨质疏松性椎体压缩骨折的比较分析[J].中国组织工程研究,2016,20(39):5885~5891.
[12] Gorin M A,Rowe S P,Baras A S,et al.Prospective evaluation of(99m)Tc-sestamibi SPECT/CT for the diagnosis of renal oncocytomas and hybrid oncocytic/chromophobe tumors[J].European Urology,2016,69(3):413~416.
[13] 闫伟,杨莉.骨质疏松性椎体压缩骨折的影像学诊断[J].中国CT和MRI杂志,2017,15(11):135~137.