首页|18F-FDG PET/CT对老年结肠癌的诊断价值

18F-FDG PET/CT对老年结肠癌的诊断价值

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目的 分析 18F-氟代脱氧葡萄糖(18F-fluorode-oxyglucose,18F-FDG)正电子发射计算机体层显像(positron emission tomography and computed tomography,PET/CT)对老年结肠癌的诊断价值.方法 回顾性选取 2021 年 1 月至 2022 年 12月景德镇市中医医院收治的 102 例结肠癌患者,分析患者 18F-FDG PET/CT显像与临床特征的关系及诊断价值.结果 典型结肠癌 18F-FDG PET/CT显像主要集中在升结肠、横结肠、降结肠、乙状结肠 4 个部位,每个部位的糖代谢升高,肠壁增厚,标准摄取值(standardized uptake value,SUV)增高.不同病灶垂直厚度、性别、淋巴结转移的结肠癌患者的SUV比较差异均有统计学意义(P<0.05).SUV与病灶垂直厚度、淋巴结转移呈正相关(P<0.05).受试者操作特征曲线结果显示,18F-FDG PET/CT诊断结肠癌淋巴结转移的曲线下面积为0.993,敏感度为97.2%,特异性为100%.结论 18F-FDG PET/CT用于老年结肠癌患者的诊断具有较高的临床应用价值.
Diagnostic value of 18F-FDG PET/CT in elderly patients with colon cancer
Objective To analyze diagnostic value of 18F-fluorode-oxyglucose(18F-FDG)positron emission tomography and computed tomography(PET/CT)in elderly patients with colon cancer.Methods A total of 102 patients with colon cancer admitted to Jingdezhen Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were retrospectively selected to analyze the relationship between 18F-FDG PET/CT imaging and clinical features and its diagnostic value.Results The typical 18F-FDG PET/CT imaging of colon cancer was mainly concentrated in ascending colon,transverse colon,descending colon,and sigmoid colon.The glucose metabolism of each part increased,the intestinal wall thickened,and standardized uptake value(SUV)increased.There were statistically significant differences in SUV among colon cancer patients with different vertical thickness of the lesion,gender and lymph node metastasis(P<0.05).SUV was positively correlated with vertical thickness of the lesion and lymph node metastasis(P<0.05).Receiver operating characteristic curve results showed that the area under the curve of 18F-FDG PET/CT for diagnosis of colon cancer lymph node metastasis was 0.993,the sensitivity was 97.2%,and the specificity was 100%.Conclusion 18F-FDG PET/CT for the diagnosis of elderly patients with colon cancer has a high clinical application value.

18F-FDG PET/CTElderlyColon cancerMetastasis

朱标、王宗火、江慎林、洪琪

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景德镇市中医医院CT室,江西景德镇 333000

18F-FDG PET/CT 老年 结肠癌 转移

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(4)
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