引用本文:解敬慧,张 欣,张延军,朱 毅,陶 莉,杜雪梅.99Tcm-MDP骨显像常见伪影的识别与分析(附278例报告)[J].大连医科大学学报,2006,28(6):468-470.
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99Tcm-MDP骨显像常见伪影的识别与分析(附278例报告)
解敬慧, 张 欣, 张延军, 朱 毅, 陶 莉, 杜雪梅
大连医科大学 第一临床学院 核医学科, 辽宁 大连 116011
摘要:
[目的]总结99Tcm-MDP骨显像中常见伪影的影像特点和成因。[方法] 回顾性分析了6602例(次)99Tcm-MDP骨显像并识别其中伪影。[结果] 278例次核素骨显像出现伪影。伪影可分为“热区”(局部异常放射性分布增强/浓聚,占88.5 %)或“冷区”(局部异常放射性分布稀疏/缺损,占11.5%)伪影。“热区”伪影为尿液(77.7%)或显像剂(10.8%)污染所致。“冷区”伪影由各种高密度异物衰减所致。[结论]充分认识伪影的影像特征及其成因有助于对伪影的识别。
关键词:  99Tcm-MDP  骨扫描  伪影  SPECT
DOI:10.11724/jdmu.2006.06.11
分类号:R817.4
基金项目:
Identification and analysis of common artifacts in 99Tcm -MDP bone scan:report of 278 cases
XIE Jing-hui, ZHANG Xin, ZHANG Yan-jun, ZHU Yi, TAO Li, DU Xue-mei
Department of Nuclear Medicine, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Abstract:
[Objective]To reveal the features and causes of artifacts in 99Tcm-MDP bone scan. [Methods] Six thousand six hundred and two 99Tcm-MDP bone scans were reviewed and artifacts were distinguished. [Results] Artifacts were found in 278 bone scans and could be divided into two groups: `hot' artifact (regional abnormal radionuclide accumulation,88.5%) or `cold' artifact (regional abnormal radionuclide defect, 11.5%). The `hot' a rtifacts were caused by urine (77.7%) or imaging agent stains (10.8%) and the `cold' artifacts by multifarious high density foreign matters. [Conclusion] To understand the features and causes of artifacts in 99Tcm-MDP bone scan is benefic to identify them.
Key words:  99Tcm-MDP  bone scan  artifact  SPECT