多排螺旋CT低剂量扫描在肺癌筛查及结节随访中的应用价值.pdfVIP

- 161 一 《现代医用影像学~2015 年 04 月第 24 卷第 2 期 多排螺旋 CT 低剂量扫描在肺癌筛查及 结节随访中的应用价值 广东河源市源城区人民医院放射科(广东 河源 517000) 余钟建贾尚庭江爱军李先明吴兆生陈华勇朱玲 【摘要] 目的:通过多层螺旋 CT 胸部低剂量扫描检测肺肿块及结节的灵敏度的能力及放射剂量的分析，来探 讨低剂量 CT 扫描在肺癌及结节随访中的价值。材料与方法:对 2∞例已经明确为肺部肿瘤的患者以低剂量及常用 规剂量的定期检查的 CT 图像对比。结果:低剂量与(30 、 40 、 50ma) 与常规剂量(190ma) ，低剂量对患者的辐射影 响比常规剂量低很多，而对病灶的部位、大小数目分布无明显差异，对医生诊断无影响。结论:多排螺旋 CT 低剂 量扫描与常规扫描 CT 结果一致，在高危人群肺癌筛查及结节随访中有效的做到早发现早治疗，大大节约家庭及社 会成本，因此具有很高的操作性及临床应用价值。 关键词:螺旋 CT低剂量肺癌结节筛查 Low-dose Multislice Spiral CT Scan of the Chest and the Ability to Detect lung Tumors and Radiation Dose Nodule Sensitivity to Explore Low-dose CT Scanning in Lung Cancer and FolIow-up of Nodules Yu Zhongjian Jia Shangting Jiang Aijun Li Xianming Wu Zhaosheng Chen Huayong Zhu Ling Guangdong Heyuan City , Guangdong Heyuan People s Hospital Radiology 517000 [ Abstract] pur归侃: To analyze low-dose multislice spiral CT scan of the chest and the a必hil且山山ity tωo detect lung tu山mo radiation d由os盹e nodule sensitivity to explore lowγ←-d也08辑e CT scanning in lung c臼an肘ce衍r and follow-up of nodules. Materials and Methods: 2∞ cases of lung cancer have a clear CT images of patients witb low doses of regular inspection and common re♂lla- tory dose contrast. Results: Low dose (30 , 40 , 50 ma) witb conventional dose (190ma) , tbe effect of low dose radiation on patients is much lower tban conventional doses , and the site of the lesion , no significant difference in the number size distrihu- tion , has no effect on medical diagnosis. Conclusion: Consistent multi-slice spiral CT scan with conventionallow-dose CT scan results , screening for lung cancer in high-risk populations and effective follow-up of nodules do early detection and early treat- ment , significant savings in the cost of the family and society , and therefore has a high rnaneuverability and clinical application. Key Words: Low-dose spiral CT Screening for lung nodules 肺癌是全球范围内最常见的恶性肿瘤，在中国， 无论男性与女性，肺癌死亡率居癌症死亡的首 位山，传统 X 片会遗漏掉小病灶，常规 CT 检查存 在放射剂量问题，短时间复查造成二次放射剂量损 伤，如头晕，全身无力等不适症