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18F-FDG PET/CT在妇科恶性肿瘤中的临床应用价值

邓凯 董桂青 张成琪 王广丽 刘庆伟 宋吉清

CT理论与应用研究2012,Vol.21Issue(2):283-289,7.
CT理论与应用研究2012,Vol.21Issue(2):283-289,7.

18F-FDG PET/CT在妇科恶性肿瘤中的临床应用价值

Diagnostic Value of 18F-FDG PET/CT for Gynecological Malignancies

邓凯 1董桂青 1张成琪 1王广丽 1刘庆伟 2宋吉清2

作者信息

  • 1. 山东大学附属千佛山医院影像科,济南250014
  • 2. 山东省立医院影像科,济南250021
  • 折叠

摘要

Abstract

Objective:To investigate the diagnostic value of 18 F-FDG PET/CT in pre-operative diagnosis and post-operative follow-up of gynecological malignancies.Materials and Methods:33 patients(17 patients who were doubted malignant tumors and 16 patients who were suspected recurrence or metastasis after operation)were scanned by 18 F-FDG PET/CT.The results were compared with the conventional imaging modalities.Results:In 17 patients who were doubted malignant tumors,the patients-based diagnostic ability of PET/CT was similar with conventional imaging modalities.For metastasis diagnosis,the sensibility,specificity,accuracy,positive predictive value and negative predictive value of the two methods were 85.7%vs 28.6%,100%vs 100%,94.1%vs 70.6%, 100%vs 100%,90.9%vs 66.7%.The sensibility of the two methods had significant difference.And the lesion-based accuracy of PET/CT for metastasis was also significantly higher.In 16 patients who were suspected recurrence or metastasis after operation,The lesion-based sensibility,specificity,accuracy,positive predictive value and negative predictive value of the two methods were 76.9%vs 48.7%,77.8%vs 66.7%,77.1%vs 52.1%, 93.8%vs 86.4%,43.8%vs 23.1%.The sensibility and accuracy of PET/CT were higher than that of conventional imaging modalities significantly.Conclusion: 18 F-FDG PET/CT,as a non-invasive imaging modality,has considerable value in pre-operative diagnosis and post-operative follow-up of of gynecological malignancies.

关键词

体层摄影术/X线计算机/发射型计算机/脱氧葡萄糖/妇科肿瘤

Key words

tomography/X-ray computed/emission-computed/deoxyglucose/gynecological malignancy

分类

医药卫生

引用本文复制引用

邓凯,董桂青,张成琪,王广丽,刘庆伟,宋吉清..18F-FDG PET/CT在妇科恶性肿瘤中的临床应用价值[J].CT理论与应用研究,2012,21(2):283-289,7.

CT理论与应用研究

OACSTPCD

1004-4140

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