肺孤立结节的动态CT增强研究.PDFVIP

2003 3 18 3 Radiol Practice, Mar 2003, Vol 18, o. 3 1 9 CT ## 储成凤 徐秋贞 杨明 陈峰 朱亚彬 张俭 朱哓莉 张建民 郏爱明 = :采用同层动态CT 增强评价 孤立性结节:选择41例直径[ 4cm 的 孤立性结节进行研究, 其 中 癌29 例, 结核球7 例, 炎性结节3 例, 错构瘤2 例静注碘剂100ml前后, 对病灶中心作薄层扫描, 测量增强前 后CT 值: 癌和 炎性结节显著强化, 结核球和 错构瘤轻度强化或不强化, 癌和 结核在75s 和135s 时间 段增强比较中均有统计学显著性差异( P 0.05) : ¹ 动态CT 增强对 癌与 结核球等结节的鉴别极有价值,并可 将增强后CT 净增值 20HU, 作为良恶性结节的阈值指标; º 动态CT 增强中应重视淋巴结的观察, 有利于SP 的定性诊 断 = 孤立结节; CT 增强; 肿瘤, = R814. 42; R734.2 = A = 1000-0313( 2003)03-0179-03 Dynamic enhanced CT of solitary pulmonary nodule CHU Chengfeng, XU Qiuzhen, YA G Ming, et al. Department of Rad-i ology,Zhong Da Hospital Affiliated to Southeast University, anjing 210009 = Abstract Objective: To evaluate application of dynamic enhanced CT in evaluation of solitary pumonary nodules( SP ) . Methods: Incremental dynamic enhanced computer tomography was employed to evaluate solitary pumonary nodules( SP ) . The patients with SP of diameter[ 4cm had 29 malignant nodules, 7 tuberculomas, 3 inflammatory nodules and 2 hamartoma. Thin section CT scan through the center of the nodules wasperformed before and after the injection of 100ml iodinated contrast mater-i al. The CT values of the nodules were calculated before and after contrast administration. Results:All malignant and inflammatory nodulesshowed significant enhancement,but tuberculomas and hamartoma showed little or no enhancement at all. Lung cancer had significant difference from tuberculomas at the time 75 and 135 minutes( P 0. 05) . Conclusion: ¹ Dynamic enhanced CT is very valuable in identifying the malignant nodules from tuberculomas and other benign nodules. The increased CT value of the same nodule with less than 20 HU after administration of contrast materialcan be regardedas