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| The application of the PET/CT technology in the diagnosis of atypical spinal tuberculosis |
| CHENG Ai-ping, FU Li-ping, SUN Mei-ling, FU Jian-lan, WANG Xiao-gang, SONG Fa-huan
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| Department of Nuclear Medicine,Zhejiang Provincial People's Hospital,Hangzhou,Zhejiang,310000,China |
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Abstract Objective To explore the diagnostic value of PET/CT technique in the atypical spinal tuberculosis. Methods A total of 60 patients who had suffered from spinal tuberculosis and spinal metastasis confirmed by surgical interventions from 2010 to 2016 were retrospectively analyzed. 18F-FDG PET/CT examination was made at our department. Image data of X-ray,CT,and PET/CT were compared in the diagnosis accuracy. Results A total of 52 males and 8 females,aged from 38 to 82 years （mean,50.2 years） were collected. The statistical analysis showed PET/CT technology with sensitivity of 85%,and specificity of 95%,which were significantly higher than those of X-ray and CT（AUC=0.900,P<0.05）. 18F-FDG PET/CT can find more lesions than X-ray and CT,find “cold abscess” and “cold zone” of spinal tuberculosis,that was an exclusive value of PET/CT diagnosis for atypical spinal tuberculosis. Conclusion 18F-FDG PET/CT shows an important clinical diagnostic value for the atypical spinal tuberculosis.
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Received: 14 February 2017
Revised: 28 February 2017
Published: 25 October 2017
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