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目的探讨甲状腺99Tcm-MIBI动静态显像在甲状腺癌诊断中的价值。方法对54例99Tcm04甲状腺显像为“冷”结节的患者行甲状腺99Tcm-MIBI动静态显像。患者均行外科手术治疗,并作病理检查。结果血流灌注显像对甲状腺癌诊断的灵敏度、特异性和准确性分别为73.7%、85.7%和81.5%,静态显像对甲状腺癌诊断的灵敏度、特异性和准确性分别为78.9%、85.7%和83.3%。结论甲状腺“冷”结节行甲状腺99Tcm-MIBI动静态显像对于甲状腺癌的诊断具有较高的临床价值。
Objective To investigate the value of thyroid 99Tcm-MIBI dynamic and static imaging in the diagnosis of thyroid cancer. Methods Fifty-four patients with 99Tcm04 thyroid imaging “cold” nodules underwent 99Tcm-MIBI dynamic and static imaging. Patients underwent surgical treatment, and for pathological examination. Results The sensitivity, specificity and accuracy of perfusion imaging in the diagnosis of thyroid cancer were 73.7%, 85.7% and 81.5% respectively. The sensitivity, specificity and accuracy of static imaging in the diagnosis of thyroid cancer were 78.9% and 85.7%, respectively % And 83.3%. Conclusion 99Tcm-MIBI dynamic and static imaging of thyroid gland in “cold” nodules has high clinical value for the diagnosis of thyroid cancer.