CT增强扫描与MRI扫描对周围型肺肿块的临床鉴别诊断价值研究.pdfVIP

中国现代医生 2015 年2 月第 53 卷第 4 期 ·放射与影像· CT 增强扫描与MRI 扫描对周围型肺肿块的 l临床鉴别诊断价值研究 余小君 1 年呈 斌2 1 浙江省庆元县人民医院放射科，浙江庆元 323800j2.浙江省肿瘤医院，浙江杭州 310022 [摘要]目的探讨 CT 增强扫描与 MRI 扫描对周围型肺肿块的鉴别诊断价值。方法选择2012 年 1 月-2013 年 12 月我院收治的周围型肺肿块患者 66 例，分别进行 CT 增强扫描、MRI 检查及增强 CT 联合 MRI 检查，对比分析兰 种检查方法的诊断鉴别特异度及灵敏度。结果 CT 增强扫描对周围型肺肿块诊断特异度为 56.529毛，灵敏度为 8 1.399毛 jMRI 特异度为 52.381J毛，灵敏度为 73刀%j增强 CT 联合 MRI 的特异度为 78却%，灵敏度为 93.02% ， MRI 与 CT 增强扫描的特异度以及灵敏度比较无明显差异(P0.05)jCT 增强联合MRI 检查的特异度与灵敏度均显著 高于 CT 增强扫描及MRI 扫描(P0.05) 。结论 CT 增强扫描与 MRI 扫描对周围型肺肿块的鉴别诊断均各具优 势，将两者联合应用能够提高临床鉴别诊断特异度与灵敏度提高肿块良恶性判断准确性。 [关键词1 CT 增强扫描;核磁共振成像;周围型肺肿块;鉴别诊断 [中图分类号1 R734.2 [文献标识码1 B [文章编号11673-9701(2015)04-0088-04 The c1inical differential diagnosis value of enhanced CT scanning and MRI scanning for peripheral pulmonary nodules YU Xiωifun1 CHENG Bin2 l.Department of Radiology , Qingyuan Peoples Hospital in Zhejiang Province , Qingyuan 323800, China; 2.Zhejiang Cancer Hospital, Hangzhou 310022, China [Abstract] Objective To evaluate the differential dìagnosìs value of enhanced CT scannìng and MRI scanning for pe- ripheral pulmonary nodules. Methods A total of 66 cases of patients with peripheral pulmonary nodules in our hospìtal from January 2012 and December 2013 were collected , all received enhanced CT scan, MRI and enhanced CT com- bined MRI scan, the differentìal diagnosìs specìficity and sensitìvìty of the three methods were comparative analyzed. Results The specìfìcìty of enhanced CT scan for peripheral pulmonalγnodules was 56.52%, the sensìtìvìty was 81 .399毛; the specifìcìty of MRI was 52.389毛， the sensìtivity was 73.339岛; the specìficìty of enhanced CT combined MRI was 7