多层螺旋CT平扫联合三期增强扫描在肺癌诊断中的应用价值  

Application Value of Multi-Slice Spiral CT Plain Scan Combined with Three-Phase Enhanced Scan in the Diagnosis of Lung Cancer

作　　者：李鹏政 李卫星 张冰凌 宋瑞敏 盛俊卿 程保国 LI Pengzheng;LI Weixing;ZHANG Bingling;SONG Ruimin;SHENG Junqing;CHENG Baoguo(CT Room,Xinxiang Central Hospital(The Fourth Clinical College of Xinxiang Medical University),Xinxiang 453000,China)

机构地区：[1]新乡市中心医院(新乡医学院第四临床学院)CT室,河南新乡453000

出　　处：《临床医学工程》2024年第12期1433-1434,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目“基于多参数CT影像组学联合深度学习无创预测非小细胞癌患者淋巴结转移”(项目编号:LHGJ20230879)。

摘　　要：目的分析多层螺旋CT(MSCT)平扫联合三期增强扫描在肺癌诊断中的应用价值。方法选取2020年7月至2022年8月我院收治的80例疑似肺癌患者,均接受MSCT平扫及三期增强扫描检查。以病理检查结果作为诊断“金标准”,统计MSCT平扫、MSCT平扫联合三期增强扫描的诊断结果,并分析二者对肺癌的诊断价值。结果MSCT平扫联合三期增强扫描诊断肺癌的灵敏度及准确度均高于MSCT平扫(P<0.05)。一致性检验结果显示,MSCT平扫对肺癌检出结果的一致性尚可(Kappa值=0.537),MSCT平扫联合三期增强扫描对肺癌检出结果的一致性良好(Kappa值=0.817)。结论MSCT平扫联合三期增强扫描诊断肺癌的灵敏度及准确度较高,且与病理检查结果存在较高的一致性。Objective To analyze the application value of multi-slice spiral CT(MSCT)plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer.Methods A total of 80 patients with suspected lung cancer admitted to our hospital from July2020 to August 2022 were selected.All patients underwent MSCT plain scan and three-phase enhanced scan.The results of pathological examination were used as the"gold standard"for diagnosis.The diagnostic results of MSCT plain scan,and MSCT plain scan combined with three-phase enhanced scan were counted,and the diagnostic value of the two for lung cancer was analyzed.Results The sensitivity and accuracy of MSCT plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer were higher than those of MSCT plain scan(P<0.05).The consistency test results showed that the consistency of MSCT plain scan for lung cancer detection results was acceptable(Kappa value=0.537),and the consistency of MSCT plain scan combined with three-phase enhanced scan for lung cancer detection results was good(Kappa value=0.817).Conclusions MSCT plain scan combined with three-phase enhanced scan in the diagnosis of lung cancer has high sensitivity and accuracy,and has high consistency with the results of pathological examination.

关 键 词：肺癌 多层螺旋CT平扫 三期增强扫描 诊断 一致性 

分 类 号：R445.3[医药卫生—影像医学与核医学]