首页|期刊导航|临床医学工程|多层螺旋CT平扫联合三期增强扫描在肺癌诊断中的应用价值

多层螺旋CT平扫联合三期增强扫描在肺癌诊断中的应用价值OA

Application Value of Multi-Slice Spiral CT Plain Scan Combined with Three-Phase Enhanced Scan in the Diagnosis of Lung Cancer

中文摘要英文摘要

目的 分析多层螺旋CT(MSCT)平扫联合三期增强扫描在肺癌诊断中的应用价值.方法 选取 2020 年 7 月至2022 年 8 月我院收治的 80 例疑似肺癌患者,均接受MSCT平扫及三期增强扫描检查.以病理检查结果作为诊断"金标准",统计MSCT平扫、MSCT平扫联合三期增强扫描的诊断结果,并分析二者对肺癌的诊断价值.结果 MSCT平扫联合三期增强扫描诊断肺癌的灵敏度及准确度均高于MSCT平扫(P<0.05).一致性检验结果显示,MSCT平扫对肺癌检出结果的一致性尚可(Kappa值=0.537),MSCT平扫联合三期增强扫描对肺癌检出结果的一致性良好(Kappa值=0.817).结论 MSCT平扫联合三期增强扫描诊断肺癌的灵敏度及准确度较高,且与病理检查结果存在较高的一致性.

Objective To analyze the application value of multi-slice spiral CT(MSCT)plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer.Methods A total of 80 patients with suspected lung cancer admitted to our hospital from July 2020 to August 2022 were selected.All patients underwent MSCT plain scan and three-phase enhanced scan.The results of pathological examination were used as the"gold standard"for diagnosis.The diagnostic results of MSCT plain scan,and MSCT plain scan combined with three-phase enhanced scan were counted,and the diagnostic value of the two for lung cancer was analyzed.Results The sensitivity and accuracy of MSCT plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer were higher than those of MSCT plain scan(P<0.05).The consistency test results showed that the consistency of MSCT plain scan for lung cancer detection results was acceptable(Kappa value=0.537),and the consistency of MSCT plain scan combined with three-phase enhanced scan for lung cancer detection results was good(Kappa value=0.817).Conclusions MSCT plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer has high sensitivity and accuracy,and has high consistency with the results of pathological examination.

李鹏政;李卫星;张冰凌;宋瑞敏;盛俊卿;程保国

新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000新乡市中心医院(新乡医学院第四临床学院)CT室,河南 新乡 453000

临床医学

肺癌多层螺旋CT平扫三期增强扫描诊断一致性

Lung cancerMulti-slice spiral CT plain scanThree-phase enhanced scanDiagnosisConsistency

《临床医学工程》 2024 (12)

1433-1434,2

河南省医学科技攻关计划联合共建项目"基于多参数CT影像组学联合深度学习无创预测非小细胞癌患者淋巴结转移"(项目编号:LHGJ20230879)

10.3969/j.issn.1674-4659.2024.12.1433

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