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多排螺旋CT对胃癌T分期的诊断价值

黄娟 陈卫霞 王小鹏 姚晋

四川大学学报(医学版)2009,Vol.40Issue(6):1105-1109,5.
四川大学学报(医学版)2009,Vol.40Issue(6):1105-1109,5.

多排螺旋CT对胃癌T分期的诊断价值

Clinical Application of Mutidetector Computer Tomography in Diagnosing T Staging of Gastric Carcinoma

黄娟 1陈卫霞 1王小鹏 1姚晋1

作者信息

  • 1. 四川大学华西医院,放射科,成都,610041
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摘要

Abstract

Objective To evaluate the significance of plain and dual-phasic enhanced MDCT in the diagnosis of preoperative T staging of gastric carcinoma. Methods MDCT examinations were performed on 57 patients with histopathologically confirmed gastric carcinoma. The scan protocol included plain scanning, arterial phase and portal phase scanning. The MPR image was reconstructed. Results The MDCT had 78. 94 % of accuracy for diagnosing T stage, and 94. 74%, 94. 74%, 84. 21% and 87. 72% accuracy for T_1, T_2, T_3, and T_4, respectively. The sensitivity of the diagnosis were 25. 00%, 80. 00%, 78. 26% and 88. 00% for T_1, T_2, T_3, and T_4 .respectively. The specificity of the diagnosis were 100% , 96.15% , 88. 24% and 87. 50% for T_1, T_2, T_3, and T_4, respectively. Conclusion The plain scan and dual phase enhanced scans of MDCT, especially the thin slice and MPR reconstruction with proper windows technique, have clinical significance for diagnosing T staging of gastric carcinoma.

关键词

胃肿瘤/多排螺旋CT/肿瘤分期

Key words

Stomach neoplasm /Mutidetector computed tomography /Neoplasms staging

分类

医药卫生

引用本文复制引用

黄娟,陈卫霞,王小鹏,姚晋..多排螺旋CT对胃癌T分期的诊断价值[J].四川大学学报(医学版),2009,40(6):1105-1109,5.

四川大学学报(医学版)

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