单源能谱CT在分析泌尿系结石成分中的应用价值.docVIP

单源能谱CT在分析泌尿系结石成分中的应用价值 　　[摘要] 目的 探讨单源能谱CT在分析体内泌尿系结石成分中的应用价值。 方法 对2013年5月～2014年6月间在我院就诊的100例结石患者进行单源能谱128层CT扫描，采集80 kV/140 kV双能量数据，在后处理工作站分析结石成分，并与手术后红外光谱分析结石成分的结果比较，计算单源能谱CT分析在体尿酸盐及非尿酸盐结石的准确性、特异性、敏感性、阳性预测值和阴性预测值。 结果 单源能谱CT分析110枚结石，含尿酸盐结石20枚（其中纯尿酸盐结石9枚），非尿酸盐结石90枚；以红外光谱结果为参照，单源能谱CT显示结石含尿酸盐成分的灵敏度、特异度、准确度分别为90.0%、98.9%、97.3%，阳性预测值为95.0%，阴性预测值为97.8%。 结论 128层CT搭载单源能谱技术平台能准确地区分体内泌尿系结石的尿酸盐和非尿酸盐成分；治疗前预测结石的成分为临床医生选择最佳治疗方案提供了一种全新的检查手段 [关键词] 能谱成像；体层摄影术；X线计算机；尿路结石；尿酸 [中图分类号] R691.4；R816.7 [文献标识码] B [文章编号] 1673-9701（2015）34-0104-03 Diagnostic value of single source dual energy CT for in vivo uriary stone characterization CEN Xiuya GAO Yuantong LUO Min YAN Sensen Wang Qihui JIA Qing Department of Radiology， the Third Affiliated Hospital of Wenzhou Medical University， Ruian People’s Hospital， Wenzhou 325200，China [Abstract] Objective To demonstrate the diagnostic value of single source dual energy CT for urinary stones characterization. Methods One hundred patients with urinary stones in our hospital from May 2013 to June 2014 were scanned on a 128-slice CT with single source dual energy protocol. The 80 kV/140 kV dual energy datasets were processed for stone composition analysis. All the results were compared with that of infrared spectroscopy after surgery as reference. The accuracy，specificity，sensitivity，positive predictive value（PPV）， and negative predictive value （NPV） were calculated for in vivo diagnosing uric acid and non-uric acid stones using single source dual energy CT. Results In the 110 urinary stones analyzed of single source dual energy，20 stones consist of uric acid， 9 of which were pure uric acid calculi， and 90 were non uric acid stones. The accuracy， sensitivity and specificity of the single source energy spectrum CT for the diagnosis of uric acid stone were 90.0%，98.9%，97.3%，respectively. PPV was 95.0%， and NPV was 97.8%. Conclusion 128-slice CT with single source dual energy demonstrated high accuracy for differentiation uric acid and non uri