首页|飞利浦Brilliance 64层多层螺旋CT在结肠癌分期检出中的应用研究

飞利浦Brilliance 64层多层螺旋CT在结肠癌分期检出中的应用研究

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目的:综合分析在结肠癌分期检出中应用飞利浦Brilliance 64层多层螺旋CT的效果.方法:研究选择本院2019年1月~2023年8月接纳的结肠癌患者103例为研究对象,均实施飞利浦Brilliance 64层多层螺旋CT检查,观察分析影像学特征,以手术病理结果作为"金标准",分析该仪器对结肠癌分期的灵敏度、特异度和准确性.结果:在T分期中,手术病理结果显示:≤T2期有17例、T3期有27例、T4期有45例;飞利浦Brilliance 64层多层螺旋CT检出结果显示:≤T2期中有2例被高估为T3期、T3期中有5例被高估为T4期、T4期中有14例被低估为T3期.在N分期中,N0期40例、N1期38例、N2期25例;CT检出结果显示:N0期中有1例被高估为N2期、4例被高估为N1期,N1期中有2例被低估为N0期、2例被高估为N2期,N2期中有6例被低估为N1期.在M分期中,M0期有96例、M1期有27例,M0期中有4例被高估为M1期、M1期中有2例被低估为M0期.飞利浦Brilliance 64层多层螺旋CT在T分期、N分期、M分期中的灵敏度、特异性、准确性均较高,最高灵敏度可达94.74%(M0期)、最高特异性可达100%(≤T2期)、最高准确性可达98.06%(≤T2期、M1期).结论:飞利浦Brilliance 64层多层螺旋CT可以提高结肠癌病理分期的准确性,并能与术后病理检查相吻合,有很高的临床应用价值,可指导后续治疗,提高整体治疗效率.
Application of Philips Brilliance 64 Slice Multi-Slice Spiral CT in Staging Detection of Colon Cancer
Objective:To comprehensively analyze the effectiveness of using Philips Brilliance 64 slice multi-slice spiral CT in staging detection of colon cancer.Methods:A total of 103 colon cancer patients admitted to our hospital from January 2019 to August 2023 were selected as the study subjects.All patients underwent Philips Brilliance 64 slice multi-slice spiral CT examination to observe and analyze imaging features.The surgical pathological results were used as the"gold standard"to analyze the sensitivity,specificity,and accuracy of the instrument in staging colon cancer.Results:In the T stage,the surgical pathological results showed that there were 17 cases of≤T2 stage,27 cases of T3 stage,and 45 cases of T4 stage;The detection results of Philips Brilliance 64 slice multi-slice spiral CT showed that 2 cases of≤T2 phase were overestimated as T3 phase,5 cases of T3 phase were overestimated as T4 phase,and 14 cases of T4 phase were underestimated as T3 phase.In the N stage,there were 40 cases in N0 stage,38 cases in N1 stage,and 25 cases in N2 stage;The CT detection results showed that 1 case of N0 phase was overestimated as N2 phase,4 cases were overestimated as N1 phase,2 cases were underestimated as N0 phase,2 cases were overestimated as N2 phase,and 6 cases were underestimated as N1 phase.In the M stage,there were 96 cases in M0 stage and 27 cases in M1 stage.4 cases in M0 stage were overestimated as M1 stage,and 2 cases in M1 stage were underestimated as M0 stage.Philips Brilliance 64 slice multi-slice spiral CT has high sensitivity,specificity,and accuracy in T stage,N stage,and M stage,with the highest sensitivity reaching 94.74%(M0 stage),the highest specificity reaching 100%(≤T2 stage),and the highest accuracy reaching 98.06%(≤T2 stage,M1 stage).Conclusion:Philips Brilliance 64 slice multi-slice spiral CT can improve the accuracy of pathological staging of colon cancer and is consistent with postoperative pathological examination.It has high clinical application value and can guide subsequent treatment,improving overall treatment efficiency.

PhilipsBrilliance 64 slice multi-slice spiral CTcolon cancerstaged diagnosis

周坤生、陈芳、郭新、汪涛、郭磊、杨跃跃

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皖西卫生职业学院附属医院影像科(安徽 六安 237008)

飞利浦 Brilliance 64层多层螺旋CT 结肠癌 分期诊断

安徽省高校自然科学研究重点项目

2023AH053358

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(14)
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