首页|双源CT双能量成像技术在鉴别诊断甲状腺良恶性结节中的临床价值研究

双源CT双能量成像技术在鉴别诊断甲状腺良恶性结节中的临床价值研究

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目的 分析甲状腺良恶性结节的诊断中双源CT双能量成像的应用价值.方法 回顾性选取甲状腺结节患者106例,病例收集时间为2022年1月至2023年5月,收集地点为我院.患者均行双源CT双能量成像,统计甲状腺结节的病理结果,分析甲状腺良恶性结节的CT特征及双源CT双能量定量参数,并绘制ROC曲线分析CT特征、双源CT双能量定量参数联合检测对甲状腺良恶性结节的诊断价值.结果 106例甲状腺结节患者中恶性结节52例,良性结节54例.与良性结节组比较,恶性结节组边缘模糊、形状不规则患者占比更高,动静脉期碘浓度(IC)、标准化碘浓度(NIC)、能谱曲线斜率(λHU)更低(P<0.05).ROC分析显示,边缘、形状、动脉期IC、NIC、入HU联合检测诊断甲状腺良恶性结节的AUC值为0.948,高于边缘、形状、动脉期IC、NIC、λHU单独检测(0.726、0.686、0.761、0.789、0.782,P<0.05).结论 甲状腺良恶性结节的诊断中CT特征、双源CT双能量定量参数联合检测更具优势.
Study on the Clinical Value of Dual Source CT Dual Energy Imaging Technology in Differential Diagnosis of Benign and Malignant Thyroid Nodules
Objective To analyze the value of dual-source CT dual-energy imaging in the diagnosis of benign and malignant thyroid nodules.Methods 106 thyroid nodules patients were retrospectively selected.The case collection time was from January 2022 to May 2023,and the collection place was our hospital.The pathological results were statistically analyzed.The CT characteristics,dual source CT dual energy quantitative parameters of thyroid nodules benign and malignant were analyzed,ROC curve was drawn to analyze the diagnostic value of CT features and dual-source CT dual-energy quantitative parameters in benign and malignant thyroid nodules.Results Among 106 patients with thyroid nodules,52 were malignant nodules and 54 benign nodules.The fuzzy margin and irregular shape in malignant nodule were higher than benign nodule,the IC,NIC and λHU in arterial venous phase were lower than benign nodule(P<0.05).ROC showed AUC value of boundary,shape,IC,NIC and λHU in arterial phase was 0.948,which was higher than AUC value of boundary,shape,IC,NIC and λHU in arterial phase(0.726、0.686、0.761、0.789、0.782,P<0.05).Conclusion CT characterization and combined detection of dual energy quantitative parameters of dual source CT are more advantageous in the diagnosis of benign and malignant thyroid nodules.

Thyroid NodulesCTDual SourceDual Energy

李超、王道清、郭伟、程留慧

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河南中医药大学第一附属医院放射科(河南郑州 450000)

甲状腺结节 CT 双源 双能量

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(12)