Diagnostic value of spectral CT and spiral CT on the pathological types of elderly lung cancer

YANG Fan; WANG Chen

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Diagnostic value of spectral CT and spiral CT on the pathological types of elderly lung cancer

更新时间：2022-11-04

- Diagnostic value of spectral CT and spiral CT on the pathological types of elderly lung cancer
- null Issue 5, Pages: 415(2022)
- 作者机构：
  
  1. 徐州市第一人民医院医学影像科,江苏,徐州,221000
  2. 徐州市中心医院CT室,江苏,徐州,221000
- 作者简介：
- 基金信息：
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YANG Fan, WANG Chen. Diagnostic value of spectral CT and spiral CT on the pathological types of elderly lung cancer. [J]. null (5):415(2022)
DOI：

YANG Fan, WANG Chen. Diagnostic value of spectral CT and spiral CT on the pathological types of elderly lung cancer. [J]. null (5):415(2022) DOI：

摘要

目的探讨能谱计算机断层扫描（CT）及螺旋CT对老年肺癌病理类型的诊断价值。方法回顾性分析89例老年肺癌患者的临床资料，记录患者的病理学诊断结果，统计肺腺癌和肺鳞癌患者的能谱CT参数和螺旋CT征象，分析能谱CT及螺旋CT对老年肺癌病理类型的诊断效能。结果病理学诊断结果显示，肺鳞癌10例，肺腺癌78例，小细胞肺癌1例。肺腺癌患者能谱CT参数中动脉期Overlay值、静脉期标准化碘浓度(NIC)均低于肺鳞癌患者（P＜0.05）；螺旋CT检查示，肺腺癌患者毛刺/棘突、胸膜凹陷征、血管连接征占比均高于肺鳞癌患者（P＜0.05）。能谱CT诊断肺腺癌的灵敏度与螺旋CT差异无统计学意义（P＞0.05），但其特异度、准确度、曲线下面积（AUC）均高于螺旋CT（P＜0.05）。结论能谱CT对老年肺癌病理类型的诊断具有较高的特异度和准确度，且灵敏度与螺旋CT相当，诊断价值更优。

Abstract

关键词

能谱计算机断层扫描螺旋计算机断层扫描肺癌诊断老年

Keywords

spectral computed tomographyspiral computed tomographylung cancerdiagnosiselderly

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