Application value of high resolution CT in the diagnosis and differential diagnosis of splenic space-occupying lesions
Objective To investigate the application value of high resolution CT in the diagnosis and differential diagnosis of splenic space-occupying lesions.Methods The data of 60 cases(disease:splenic space-occupying lesion)admitted to the Radiology department of Hengli Hospital in Dongguan City from January 2021 to October 2023 were analyzed using excel tables.Routine CT plain scan and high-resolution CT were performed for all cases.The detection and diagnostic effectiveness of each scheme were analyzed with pathological diagnosis results as the gold standard.Results Taking the pathological diagnosis as the gold standard,the detection rate of malignant and benign were 63.64%and 81.58%respectively by conventional CT plain scan.The detection rate of malignant was 90.91%and that of benign was 97.37%.The detection rate of routine CT and high-resolution CT were 75.00%and 95.00%respectively,with statistical significance(P<0.05).The sensitivity(95.24%),specificity(94.87%),accuracy(95.00%),positive predictive value(90.91%),negative predictive value(97.37%)of high-resolution CT were significantly different from those of conventional CT scan(P<0.05).With pathological diagnosis as the gold standard,Kappa index was0.612 by conventional CT and 0.897 by high-resolution CT.Conclusion The application of high-resolution CT in the diagnosis of splenic space-occupying lesions can not only clarify the type and nature of the disease,but also improve the diagnostic accuracy and sensitivity,which can provide references for clinicians to make treatment plans.
High-resolution CTSpleen occupying lesionsSplenic cystSplenic hemangiomaInflammatory pseudotumor of the spleen
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万方数据
