丁宏 叶彤 徐秋贞 侯一民 丁宏(210009 南京，东南大学附属中大医院放射科)；叶彤(210009 南京，东南大学附属中大医院放射科)；徐秋贞(210009 南京，东南大学附属中大医院放射科)；侯一民(210009 南京，东南大学附属中大医院放射科) 临床放射学杂志 2000 0 19 9


    关键词：骨转移；放射摄影术；体层摄影术，X线计算机；磁共振成像；漏误诊 期刊 lcfsxzz 0 骨骼肌肉放射学 fur -->


    

【摘要】 目的 分析转移性骨肿瘤漏、误诊的原因，提高对该病影像诊断水平。 材料与方法 回顾分析资料完整的转移性骨肿瘤105例，其原发肿瘤主要为肺癌、前列腺癌、消化道癌及乳癌等。所有病例均摄X线平片，其中CT检查31例，MR检查21例，ECT检查34例。 结果 骨转移瘤以多发、溶骨型为主。初次影像检查漏、误诊分别为：X线平片35例，CT5例，MR及ECT各1例。 结论 影像检查首选ECT和X线平片，有条件时最好作CT或MRI检查，并做必要的鉴别诊断。

Imaging Analysisfor Missed or Mistaken Diagnosis of Bone Metastases

DING Hong, YE Tong, XUQiuzhen,et al.

    (Department of Radiology, The Affiliated Zhongda Hospital of Southeast University, Nanjing, Jiangsu Province 210009, P.R.Chian)

【Abstract】 Objective Toanalyze the causes leading to missed or mistaken diagnosis of bone metastases, to get abetter understanding of imaging features of bone metastases. Materials and Methods Imagingfindings of metastatic bone tumors in 105 patients were retrospectively analyzed, most ofwhich originated from the cancers of lung, prostate, gastrointestinal tract or breast.Plain X-ray films were performed in all patients, and additional CT scan in 33, MRI in 21and ECT in 34 cases. Results Bone metastases mainly presented as multiple lyticlesions. The number of missed or mistaken diagnosis on initial imaging examination was 35cases for plain film, 5 for CT scan, one each for MRI and ECT. Conclusion ECT,together with plain film, is of choice for the initial imaging examination of bonemetastases, while MRI and CT, when available, had better to be performed as well.

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