首页|CT增强扫描及核磁共振对肾上腺肿瘤的定位与定性诊断价值

CT增强扫描及核磁共振对肾上腺肿瘤的定位与定性诊断价值

扫码查看
目的 分析CT增强扫描及核磁共振对肾上腺肿瘤的定位与定性诊断.方法 回顾性分析本院2023年1月~2023年12月收治94例肾上腺肿瘤患者资料,所有患者均接受CT增强扫描、核磁共振检查,分析两种方式对肾上腺肿瘤的定位与定性诊断差异,比较诊断价值.结果 组织病理诊断中良性肿瘤67例,恶性肿瘤27例.与组织病理结果比较,CT增强扫描诊断定位正确88例,误诊6例,定位准确率为93.62%;诊断出良性肿瘤57例,恶性肿瘤23例,误诊14例,定性准确率为85.11%;核磁共振诊断定位正确78例,误诊16例,定位准确率为82.98%;诊断出良性肿瘤64例,恶性肿瘤26例,误诊4例,定性准确率为95.74%.CT增强扫描与核磁共振对肾上腺肿瘤的定位准确率及定性准确率比较存在显著差异(P<0.05);CT增强扫描对肾上腺肿瘤定位、定性的AUC分别为0.936、0.831;核磁共振对肾上腺肿瘤定位、定性的AUC分别为0.807、0.937,且CT增强扫描定位诊断价值明显高于核磁共振,定性诊断价值明显低于核磁共振(P<0.05).结论 CT增强扫描对肾上腺肿瘤的定位准确,而核磁共振对肾上腺肿瘤定性诊断准确,临床可将两者结合用于诊断肾上腺肿瘤.
Value of Contrast-enhanced CT and Magnetic Resonance Imaging in Localization and Qualitative Diagnosis of Adrenal Tumors
Objective To analyze the value of contrast-enhanced CT and magnetic resonance imaging in localization and qualitative diagnosis of adrenal tumors.Methods The data of 94 patients with adrenal tumors who were admitted to the hospital from January to December 2023 were analyzed retrospectively.All patients underwent contrast-enhanced CT and magnetic resonance imaging.The value of the two methods in localization and qualitative diagnosis of adrenal tumors was compared.Results Histopathological diagnosed 67 cases of benign tumors and 27 cases of malignant tumors.For localization of tumors,88 cases were diagnosed correctly and 6 cases were misdiagnosed by contrast-enhanced CT,with an accuracy rate of 93.62%.For qualitative diagnosis of tumors,57 cases of benign tumors and 23 cases of malignant tumors were diagnosed,and 14 cases were misdiagnosed,with an accuracy rate of 85.11%.For localization of tumors,78 cases were diagnosed correctly and 16 cases were misdiagnosed by magnetic resonance imaging,with an accuracy rate of 82.98%.For qualitative diagnosis of tumors,64 cases of benign tumors and 26 cases of malignant tumors were diagnosed,and 4 cases were misdiagnosed,with an accuracy rate of 95.74%.The accuracy rates of localization and qualitative diagnosis of adrenal tumors using contrast-enhanced CT and magnetic resonance imaging were significantly different(P<0.05).The AUC values of contrast-enhanced CT for localization and qualitative analysis of adrenal tumors were 0.936 and 0.831.The AUC values of MRI for localization and qualitative diagnosis of adrenal tumors were 0.807 and 0.937.Contrast-enhanced CT was better than magnetic resonance imaging for localization,and inferior to magnetic resonance imaging in for qualitative diagnosis(P<0.05).Conclusion Contrast-enhanced CT is accurate in locating adrenal tumors,while magnetic resonance imaging is accurate in qualitative diagnosis of adrenal tumors.Combination of the two can be used in clinical diagnosis of adrenal tumors.

Adrenal TumorContrast-enhanced CTMagnetic Resonance ImagingLocalizationQualitative Diagnosis

韩宗宝、李希、梁子懿、王仁贵

展开 >

首都医科大学附属北京世纪坛医院放射科CT室(北京海淀 100038)

肾上腺肿瘤 CT增强扫描 核磁共振 定位 定性诊断

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)