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The Effectiveness of MRI in Determining the Presence of Bone Metastases in a Controversial Result of SPECT/CT

https://doi.org/10.37174/2587-7593-2020-3-3-93-100

Abstract

Purpose: To demonstrate a clinical case of metastatic lesions of the bones, which clearly reflects the difference in the sensitivity of diagnostic methods SPECT/CT and MRI.
Material and methods: A 69-year-old female patient with poorly differentiated gastric adenocarcinoma, which underwent WBS, SPECT/CT and MRI.
Results: MRI revealed several metastases that were not reflected on SPECT/CT examination.
Conclusion: Despite the high sensitivity and specificity of SPECT/CT, in some cases additional diagnostic methods are required. MRI allows to clarify and, possibly, detect previously undetected metastases.

About the Authors

N. V. Kochergina
N.N. Blokhin National Medical Research Center of Oncology; Russian Medical Academy of Continuous Professional Education
Russian Federation

24 Kashirskoye Highway, Moscow, 115478.


Competing Interests: Not declared.


S. N. Prokhorov
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478.


Competing Interests: Not declared.


A. B. Bludov
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478.


Competing Interests: Not declared.


A. D. Ryzhkov
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478.


Competing Interests: Not declared.


A. V. Fedorova
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478.


Competing Interests: Not declared.


O. G. Spirina
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478.


Competing Interests: Not declared.


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Review

For citations:


Kochergina N.V., Prokhorov S.N., Bludov A.B., Ryzhkov A.D., Fedorova A.V., Spirina O.G. The Effectiveness of MRI in Determining the Presence of Bone Metastases in a Controversial Result of SPECT/CT. Journal of oncology: diagnostic radiology and radiotherapy. 2020;3(3):93-100. (In Russ.) https://doi.org/10.37174/2587-7593-2020-3-3-93-100

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ISSN 2587-7593 (Print)
ISSN 2713-167X (Online)