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多发性骨髓瘤(multiple myeloma,MM)是起源于骨髓浆细胞的恶性肿瘤。骨髓瘤骨病是MM的特征性临床表现之一,患者常伴有不明原因的骨痛。MM骨显像通常表现为骨骼多灶性放射性浓聚或稀疏,类似于多发性骨转移瘤,两者常常不易鉴别。本研究欲通过回顾性分析73例MM患者99mTc-MDP骨显像表现,总结MM骨骼病灶的分布与形态等骨显像影像特征,并初步评价其在MM诊断与骨损害探查中的临床价值,以提高全身骨显像对MM的诊断符合率。一、资料与方法 1.临床资料:回顾性分析2005年1月至2012年12月在
Multiple myeloma (MM) is a malignant tumor that originates from bone marrow plasma cells. Myeloma Bone disease is one of the characteristic clinical manifestations of MM, patients often accompanied by unexplained bone pain. MM bone imaging is usually manifested as skeletal multifocal radioactive concentration or sparse, similar to multiple bone metastases, the two are often not easy to identify. In this study, we retrospectively analyzed the 99mTc-MDP bone scintigraphy findings of 73 patients with MM, summarized the distribution and morphology of MM bone lesions and other imaging characteristics of bone imaging, and initially evaluated its clinical value in the diagnosis of MM and bone damage exploration, In order to improve the diagnostic accuracy of whole body bone imaging on MM. First, the data and methods 1 clinical data: a retrospective analysis from January 2005 to December 2012 at