摘要
目的观察高强度磁共振成像(MRI)与单光子发射计算机断层摄影术-同机CT扫描图像融合技术(SPECT-CT)在老年骨质疏松性椎体压缩骨折(OVCF)诊断中的价值。方法对42例老年OVCF患者(101个椎体)的临床资料进行回顾性分析,患者均同时接受MRI与SPECT-CT检查。评估2种检查方法的关联性、优势性和一致性。结果 MRI与SPECT-CT诊断椎体骨折个数关联性有统计学意义(P<0.05),优势性无统计学意义(P>0.05);Kappa值0.825,一致性较高。MRI与SPECT-CT诊断急性期与非急性期患者椎体骨折个数关联性均有统计学意义(P<0.05),优势性无统计学意义(P>0.05);2种方法对急性期患者椎体骨折个数诊断高度一致(0.938),对非急性期诊断一致性一般(0.750)。结论 SPECT-CT与MRI在诊断老年OVCF中尤其是急性期骨折患者具有良好的关联性和较高的一致性,对无法接受MRI检查的患者是一种可靠的诊断方式。
Objective To observe the value of high-intensity magnetic resonance imaging(MRI)and single-photon emission computed tomography-CT scan(SPECT-CT)in the diagnosis of elderly osteoporotic vertebral compression fractures(OVCF).Methods The clinical data of 42 elderly patients with OVCF(101 vertebral bodies)were retrospectively analyzed.All patients were given MRI and SPECT-CT.The relevance,dominance and consistency of the two methods were evaluated.Results There was a statistically significant difference in the correlation between MRI and SPECT-CT in the diagnosis of vertebral fractures quantity(P<0.05),but there was no statistically significant difference in the dominance(P>0.05).The Kappa value was 0.825,and the consistency was high.There was a statistically significant difference in the correlation between MRI and SPECT-CT in the diagnosis of vertebral fractures quantity pf patients in acute phase and non-acute phase(P<0.05),but there was no statistically significant difference in the dominance(P>0.05).Two methods for patients were highly consistent in vertebral fractures quantity in acute phase(0.938),and the consistency was general in non-acute phase(0.750).Conclusions SPECT-CT and MRI have a good correlation and high consistency in the diagnosis of OVCF in the elderly,especially in the patients with acute fracture,which is a reliable diagnostic method for the patients who can not accept MRI examination.
作者
胡正刚
田俊松
游玉峰
HU Zheng-gang;TIAN Jun-song;YOU Yu-feng(Zigui Chinese medicine hospital,Zigui 443600,Hubei Province,China)
出处
《中国CT和MRI杂志》
2020年第10期170-173,共4页
Chinese Journal of CT and MRI
基金
湖北省自然科学基金(2016CBD0287)。
作者简介
通讯作者:胡正刚。
