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视网膜母细胞瘤诊断中计算机体层成像与磁共振成像的临床价值探讨

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目的:探讨视网膜母细胞瘤诊断中计算机体层成像(CT)与磁共振成像(MRI)的临床价值.方法:从2022年4月~2023年12月本中心收治的疑似视网膜母细胞瘤患儿中抽选242例作为研究对象,所有患儿均实施CT诊断、MRI诊断、手术病理诊断,以手术病理诊断作为金标准,对比不同诊断方式的效果.结果:CT诊断准确率、敏感度、特异度与手术病理检查差异不大(P>0.05);同时CT诊断准确率、敏感度、特异度明显高于MRI诊断,差异存在统计学意义(P<0.05).结论:在视网膜母细胞瘤诊断中CT诊断、MRI诊断均可以取得一定的效果,与MRI诊断相比,CT诊断的准确性、敏感度、特异度更高,可以更加准确地诊断视网膜母细胞瘤,尤其是针对早期视网膜母细胞瘤,并且为后续疾病治疗提供有效参考数据,不过CT诊断存在一定的辐射危害,临床上还需要根据患儿的情况来针对性选择.
The Clinical Value of CT and MRI in the Diagnosis of Retinoblastoma
Objective:To explore and analyze the clinical value of CT and MRI in the diagnosis of retinoblastoma.Methods:242 children with suspected retinoblastoma admitted to this center from April 2022 to December 2023 were selected as the study subjects.All children were diagnosed with CT,MRI,and surgical pathology,with surgical pathology as the gold standard.The effects of different diagnostic methods were compared.Results:The accuracy,sensitivity,and specificity of CT diagnosis were not significantly different from surgical pathological examination(P>0.05);At the same time,the accuracy,sensitivity,and specificity of CT diagnosis were significantly higher than those of MRI diagnosis,and the difference was statistically significant(P<0.05).Conclusion:CT diagnosis and MRI diagnosis can both achieve certain results in the diagnosis of retinoblastoma.Relatively speaking,CT diagnosis has higher accuracy,sensitivity,and specificity,which can more accurately diagnose retinoblastoma,especially for early stage retinoblastoma and provide effective reference data for subsequent disease treatment.However,CT diagnosis has certain radiation hazards,In clinical practice,targeted selection should also be made based on the patient's condition.

retinoblastomacomputed tomographymagnetic resonance imaging

林瑶敏、吴楚忠

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中山大学中山眼科中心放射科 (广东 广州 510275)

视网膜母细胞瘤 计算机体层成像 磁共振成像

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(17)