Comparison of the diagnostic value of 18F-FDG PET/CT and WB-DWI in malignant tumor bone metastasis
10.3969/j.issn.1002-1671.2023.12.023
- VernacularTitle:18F-FDG PET/CT 与 WB-DWI 在恶性肿瘤骨转移中的诊断价值比较
- Author:
Weiguo SONG
1
;
Jianfeng LI
;
Guo'en WU
Author Information
1. 青海省人民医院核医学科,青海 西宁 810000
- Keywords:
positron emission tomography;
computed tomography;
magnetic resonance imaging;
whole body diffusion weighted imaging;
malignant tumor;
bone metastasis
- From:
Journal of Practical Radiology
2023;39(12):2013-2017
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the diagnostic value of 18F-fluorodeoxyglucose(18F-FDG)positron emission tomography(PET)/CT and MR whole body diffusion weighted imaging(WB-DWI)in malignant tumor bone metastasis.Methods A total of 100 patients with suspected malignant tumor bone metastasis admitted were selected as the research objects.All patients underwent 18F-FDG PET/CT and WB-DWI before treatment.Pathological examination and follow-up results were used as the gold standard,the diagnostic value of the two examination modalities in malignant tumor bone metastasis was analyzed.Results There were 93 patients with bone metastasis diagnosed by gold standard,with a total of 232 lesions.The detection rate of 18F-FDG PET/CT was 92.67％,which was not significantly different from that of WB-DWI(89.66％)(P＞0.05).The sensitivity,positive predictive value and diag-nostic coincidence rate in malignant tumor bone metastasis of 18F-FDG PET/CT were 92.67％,98.62％and 98.71％,respectively,which were significantly higher than 89.66％,97.65％and 94.83％of WB-DWI,but the difference was not significant(P＞0.05).The specificity and negative predictive value of 18F-FDG PET/CT were 82.35％and 45.16％,respectively,which were significantly higher than 70.59％and 33.33％of WB-DWI(P＜0.05).The maximum standardized uptake value(SUVmax)of patients with bone metastasis was significantly higher than that of patients with benign lesions,and the apparent diffusion coefficient(ADC)value was significantly lower than that of patients with benign lesions(P＜0.05).Receiver operating characteristic(ROC)curve showed that the diagnostic value of SUVmax combined with ADC[area under the curve(AUC)=0.912,P＜0.05]was higher than that of single examination.Conclusion 18F-FDG PET/CT is more effective than WB-DWI in the diagnosis of malignant tumor bone metastasis,he combination of the two examinations can improve the diagnostic efficacy for malignant tumor bone metastasis.
