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DDR诊断肺内孤立性结节的假阳性分析
引用本文:李颖勤,关文华,田素伟,韩铭钧,张皓,黄略.DDR诊断肺内孤立性结节的假阳性分析[J].实用医学影像杂志,2008,9(5):291-293.
作者姓名:李颖勤  关文华  田素伟  韩铭钧  张皓  黄略
作者单位:中山大学附属第五医院放射科,广东,珠海,519000
摘    要:目的探讨直接数字化X线摄影(DDR)诊断肺内孤立性结节的假阳性原因。方法回顾性分析32例DDR正侧位胸片诊断或可疑诊断肺内孤立性结节、MSCT对照均证实为假阳性的影像学资料。结果32例常规DDR胸片提示肺结节性病变,MSCT上与之对应为胸腔包裹积液2例,片状炎性病变1例,血管影6例,支气管内异物(钡剂)1例,局部胸膜肥厚4例,胸膜钙化2例,肺门淋巴结钙化2例,肺纤维索条重叠勾画3例,CT扫描正常结合透视为乳头影9例,结合体检为胸、背部软组织结节2例。结论加强DDR胸片诊断肺内孤立性结节假阳性原因的认识,可提高胸部影像学诊断肺内孤立性结节的准确性。

关 键 词:肺内孤立性结节  直接数字化摄影  体层摄影术  假阳性

The analysis of false positive causes on solitary pulmonary nodules diagnosed by direct digital radiography
Li Yingqin,Guan Wenhua,Tian Suwei,Han Mingjun,Zhang Hao,Huang Lüe.The analysis of false positive causes on solitary pulmonary nodules diagnosed by direct digital radiography[J].Journal of Practical Medical Imaging,2008,9(5):291-293.
Authors:Li Yingqin  Guan Wenhua  Tian Suwei  Han Mingjun  Zhang Hao  Huang Lüe
Institution:Li Yingqin, Guan Wenhua, Tian Suwei, Han Mingjun, Zhong Hao, Huang Lüe( Department of Radiology, 5^th Affiliated Hospital of Zhongshan University, Zhuhois hi 519000, China)
Abstract:Objective To evaluate the causes for false positive of solitary pulmonary nodules (SPN) diagnosed by direct digital radiography (DDR). Methods The imaging data of 32 cases of SPN misdiagnosed by DDR, and then MSCT identified as false positive SPNs were analyzed retrospectively. Results MSCT demonstrated that,32 SPNs suggested by routine DDR chest imaging were really 2 cases of thoracic encapsulated effusion, 1 case of patchy inflammatory affection, 6 cases of vascular shadow, 1 case of corpus alienum (baric...
Keywords:Solitary pulmonary nodule  Direct digital radiography  Tomography  False positive  
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