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18F-FDG PET-CT对诊断肺癌的临床应用价值探讨(附85例分析)
引用本文:钱根年,陈炜生,陈自谦,赵春雷.18F-FDG PET-CT对诊断肺癌的临床应用价值探讨(附85例分析)[J].福建医药杂志,2008,30(1):116-118.
作者姓名:钱根年  陈炜生  陈自谦  赵春雷
作者单位:南京军区福州总医院医学影像科,350025
摘    要:目的探讨肺癌的18F-FDGPET-CT诊断价值。方法对85例经手术病理证实,18F-FDGPET-CT资料完整的肺部肿块患者进行回顾性分析。18F-FDGPET-CT资料分别采用目测法、计算标准化摄取值(SUV)的半定量法及CT图像进行综合分析,并与病理结果相对照。结果18F-FDGPET-CT诊断肺部肿块性质的敏感度、特异性和准确度分别是91.2%(62/68)、76.4%(13/17)和88.2%(75/85)。18F-FDGPET-CT检查方法术前对纵隔淋巴结转移的分期与病理结果符合率分别为100%。结论18F-FDGPET-CT能准确地鉴别肺部肿块性质及确定纵隔淋巴结转移分期,是目前较好的肺癌影像诊断技术。

关 键 词:18F脱氧葡萄糖  体层摄影术  发射型计算机  肺肿瘤
文章编号:1002-2600(2008)01-0116-03

Evaluation of 18F-FDG PET-CT scanning in diagnosing lung cancer:Analysis of 85 cases
Qian Gennian,Chen Weisheng,Chen Ziqian,Zhao Chunlei.Evaluation of 18F-FDG PET-CT scanning in diagnosing lung cancer:Analysis of 85 cases[J].Fujian Medical Journal,2008,30(1):116-118.
Authors:Qian Gennian  Chen Weisheng  Chen Ziqian  Zhao Chunlei
Abstract:Objective To evaluate 18F-FDG PET-CT seanning in the diagnosis of lung cancer.Methods A retrospective analysis was made on 18F-FDG PET-CT imaging of 85 patients and with pathologically approved pulmonary neoplasm.18F-FDG PET-CT data were analyzed semiquantitatively by calculating standardized uptake value(SUV),also by a visual method and CT images.Its results were compared with pathological results.Results The sensitivity,specificity and accuracy for detection of malignant mass of 18F-FDG PET-CT were 91.2%,76.4%,and 88.2% respectively.The accuracy of preoperative mediastinal lymph node staging was 100% by 18F-FDG PET-CT compared with pathological results.Conclusion 18F-FDG PET-CT was more accurate to discriminate the property of tumor and mediastinal lymph node stage status of lung cancer.
Keywords:Fludeoxyglucose 18F  Tomography  Emission-computed  Lung neoplasms
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