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小剂量^(131)I全身显像在^(131)I治疗分化型甲状腺癌中的应用价值

The Application Value of ^(131)I Whole Body Imaging in Small Doses in the ^(131)I Treatment of Differentiated Thyroid Carcinoma
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摘要 目的:研究小剂量131I全身显像在131I治疗甲状腺癌中的应用价值。方法:15例需要在手术后进行131I治疗的分化型甲状腺癌病例,在做131I治疗前进行小剂量的131I全身显像检查,并在131I治疗后再次进行全身显像检查,分析两组结果的差异性。结果:小剂量131I全身显像时,15例病例中共发现28个病灶,131I治疗后进行的全身显像共发现43个病灶,新增病灶20个,减少病灶5个,7例病例病灶无变化。结论:虽然小剂量131I全身显像发现甲状腺癌转移灶的敏感性不及治疗剂量131I全身显像,但在131I治疗分化型甲状腺癌前做小剂量的131I全身显像仍然很有价值。 Objective:To research on the application value of 131 I whole body imaging in small doses in the 131 I treatment of thyroid carcinoma. Methods:131 I whole body imaging in small doses was performed before and after their 131 I treatment to 15 cases of differentiated thyroid carcinoma patients who needed 131 I therapy after surgery. Differences of the results of the two 131 I whole body imaging in small doses were analyzed. Results:When 131 I whole body imaging in small doses were performed,28 lesions were found in the 15 cases;43 lesions,including 20 newly lesions,were found during 131 I whole body imaging after 131 I therapy,while 5 lesions in the first examination disappeared. There was no change in 7 cases. Conclusion:Although the sensitivity of small doses of 131 I whole body imaging to discover thyroid cancer metastases is less than a therapeutic dose of 131 I whole body imaging,it is still valuable to perform a 131 I whole body imaging in small dose before the 131I treatment of differentiated thyroid carcinoma.
出处 《赣南医学院学报》 2014年第4期533-534,共2页 JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词 分化型甲状腺癌 小剂量 131I 全身显像 SPECT differentiated thyroid carcinoma small dose of 131 I whole body imaging SPECT
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