基于人工智能软件成人肺炎性肌纤维母细胞瘤CT影像特征与病理对照  

Comparison of CT imaging features and pathology of adult pulmonary inflammatory myofibroblastic tumor based on artificial intelligence software

作　　者：苏海燕 岂铭伟 贾少青 杨丽[1] 王琦[1] 时高峰[1] SU Hai-yan;QI Ming-wei;JIA Shao-qing;YANG Li;WANG Qi;SHI Gao-feng(Hebei Medical University Fourth Affiliated Hospital,Shijiazhuang 05001l,China)

机构地区：[1]河北医科大学第四医院CT磁共振科,河北石家庄050011

出　　处：《中国临床医学影像杂志》2024年第10期690-693,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:结合病理探讨肺部炎性肌纤维母细胞肿瘤(Inflammatory myofibroblastic tumor,IMT)的CT特征以提高本病的认识及诊断水平。方法:结合病理回顾性分析经手术证实的7例肺部IMT的影像、临床资料并复习文献。结果:7例患者均为单发,6例为周围型,1例为中央型。2例囊实性肿物,4例实性结节,1例部分实性结节。6例瘤肺界面清楚,1例瘤肺界面模糊。5例可见分叶,1例伴毛刺。增强扫描5例呈中度或明显强化,2例呈轻度强化。病理证实2例侵及胸膜,1例侵及支气管壁。7例均无钙化及转移。3例为黏液/血管型,2例为梭形细胞丰富型,2例为纤维型。结论:肺IMT是一种少见的交界性肿瘤,不同病理类型CT特征略有不同,确诊需病理及免疫组化检查。Objective:To explore the CT features of inflammatory myofibroblastic tumor(IMT)of the lung in combination with pathology to improve the understanding and diagnostic level of this disease.Methods:Combined with pathology,the imaging and clinical data of 7 cases of pulmonary IMT confirmed by operation were analyzed retrospectively and the literature was reviewed.Results:All 7 patients had solitary growth,6 cases were peripheral type and 1 case was central type.Among them,there were 2 cases of cystic solid mass,4 cases of solid nodules,and 1 case of partial solid nodules.The tumor-lung junction was clear in 6 cases and blurred in 1 case.Lobulation was seen in 5 cases and burr in 1 case.Enhanced scan showed moderate or obvious enhancement in 5 cases and mild enhancement in 2 cases.Pathology confirmed that 3 cases were mucous/vascular type,2 cases were spindle cell rich type and 2 cases were fibrous type.Conclusion:Pulmonary IMT is a rare borderline tumor.The CT features of different pathological types are slightly different.Diagnosis requires pathological and immunohistochemical examination.

关 键 词：肿瘤 肌组织 肺肿瘤 体层摄影术 螺旋计算机 人工智能 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]