首页|探讨MRI与CT的Haralick纹理参数诊断良恶性肺结节价值

探讨MRI与CT的Haralick纹理参数诊断良恶性肺结节价值

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目的 通过提取肺结节MRI与CT图像的Haralick纹理参数,探讨其对于肺结节良恶性的诊断效能.方法 选取40名就诊于三亚中心医院肺亚实性结节的患者为研究对象,根据病理结果将患者分为良性组(n=20),恶性组(n=20).对所有入组患者分别进行CT以及MRI扫描,选取病灶较清晰的图像层面中提取角二阶矩、对比度、自相关、逆差矩、熵5个纹理特征参数,采用单因素方差分析比较良性组与恶性组之间的纹理特征差异.结果 CT组的熵无统计学意义(P>0.05),其余纹理参数均有统计学意义;T1WI与T2WI组中的逆差矩和熵均有统计学意义(P<0.05),角二阶矩、对比度、自相关均无统计学意义(P>0.05);DWI组中仅对比度有统计学意义(P<0.05).比较各组AUC值发现,CT组的AUC值普遍较高,MRI组的T1WI中熵的AUC值最高(AUC=0.970).结论 CT纹理分析仍具有一定优势,加入MRI多序列检查能够提高肺良恶性结节的诊断准确性.
Exploring the Haralick Texture Parameters of MRI and CT for the Diagnosis of Value of Benign and Malignant Pulmonary Nodules
Objective This study leverages Haralick texture parameters to analyze image characteristics of benign and malignant pulmonary nodules,assessing the diagnostic efficacy of MRI and CT imaging in differentiating these conditions.Methods A total of 40 patients with pulmonary subsolid nodules from Sanya Central Hospital were selected for the study.Based on pathological results,the patients were divided into a benign group(n=20)and a malignant group(n=20).Each patient underwent both CT and MRI scans.From the clearest lesion images,five texture features were extracted:angular second moment,contrast,autocorrelation,inverse difference moment,and entropy.One-way ANOVA was used to compare the differences in these texture features between the benign and malignant groups.Results In the CT group,entropy was not statistically significant(P>0.05),while the other texture parameters were statistically significant.In the T1WI and T2WI groups,both inverse difference moment and entropy were statistically significant(P<0.05),whereas angular second moment,contrast,and autocorrelation were not statistically significant(P>0.05).In the DWI group,only contrast was statistically significant(P<0.05).Comparing the AUC values across groups,the CT group generally had higher AUC values,with the highest AUC value observed for entropy in the T1WI group(AUC=0.970).Conclusion CT texture analysis still has certain advantages,but incorporating multiple MRI sequences can improve the diagnostic accuracy for distinguishing between benign and malignant pulmonary nodules.

Pulmonary NoduleTexture AnalysisMagnetic Resonance imagingComputed Tomography

楼俭茹、孟思、覃群、邓镇生、刘玉银、刘海洲、刘明

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三亚中心医院(海南省第三人民医院)放射科(海南三亚 572000)

三亚中心医院(海南省第三人民医院)胸外科(海南三亚 572000)

肺结节 纹理分析 磁共振成像(MR) 计算机体层摄影(CT)

海南省卫生健康行业科研项目

21A200132

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(7)
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