首页|HRCT及多维重建技术在肺部结节定性诊断中的应用

HRCT及多维重建技术在肺部结节定性诊断中的应用

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目的:探究高分辨率电子计算机断层扫描(HRCT)及多维重建技术在肺部结节定性诊断中的应用价值.方法:选取2018 年1月-2022 年10月期间本院收治的65例肺部结节患者作为研究对象.所有患者均行常规X线检查、HRCT多维重建技术检查,以病理学活检结果为金标准.分析其影像学结果,比较常规X线检查与HRCT多维重建技术在肺部结节定性诊断中的效能.结果:经病理学活检证实,65例肺部结节患者恶性37例,良性28例.经Kappa一致性检验显示,常规X线与病理学活检结果存在中等一致性(Kappa=0.498,P<0.001);HRCT多维重建技术与病理学活检结果存在强一致性(Kappa=0.905,P<0.001).HRCT多维重建技术的灵敏度、特异度及准确度(97.30%、92.86%、95.38%),高于常规X线检查(78.38%、71.43%、75.38%),差异有统计学意义(P<0.05).结论:HRCT 及多维重建技术在肺部结节中具有较高的诊断价值,能有效提高肺部结节定性诊断的灵敏度、特异度、准确度.
Application of HRCT and multi-dimensional reconstruction techniques in qualitative diagnosis of pulmonary nodules
Objective:To explore the application value of high-resolution computed tomography(HRCT)and multidimensional reconstruction in the qualitative diagnosis of pulmonary nodules.Methods:65 patients with pulmonary nodules admitted to our hospital from January 2018 to October 2022 were selected as the study objects.All patients underwent routine X-ray examination and HRCT multi-dimensional reconstruction technique,and pathological biopsy results were used as the gold standard.The imaging results were analyzed to compare the efficacy of routine X-ray examination and HRCT multidimensional reconstruction in the qualitative diagnosis of pulmonary nodules.Results:Pathological biopsies confirmed that 37 cases of pulmonary nodules were malignant and 28 cases were benign.Kappa consistency test showed that there was medium consistency between the results of routine X-ray and pathological biopsy(Kappa=0.498,P<0.001).There was strong consistency between HRCT multi-dimensional reconstruction and pathological biopsy results(Kappa=0.905,P<0.001).The sensitivity,specificity and accuracy of HRCT multi-dimensional reconstruction(97.30%,92.86%,95.38%)were higher than those of conventional X-ray examination(78.38%,71.43%,75.38%),and the difference was statistically significant(P<0.05).Conclusion:HRCT and multi-dimensional reconstruction technique have high diagnostic value in pulmonary nodule,and can effectively improve the sensitivity,specificity and accuracy of qualitative diagnosis of pulmonary nodule.

Pulmonary nodulesHigh resolution computed tomographyMultidimensional reconstruction technologySensitivitySpecificity

曹银平

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商丘市中心医院 CT室 河南 商丘 476000

肺部结节 高分辨率电子计算机断层扫描 多维重建技术 灵敏度 特异度

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(1)
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