似然比在孤立性肺结节CT定性诊断中的价值.pdf

2009 7 24 7 R ad io l P ractice, Ju l 2009, V ol 24, N o 7 727 CT 陈伟, 刘进康, 李文政, 熊曾, 朱智明 ! : 运用似然比 ( LR ) 定量评价孤立性肺结节 ( SPN ) 相关的 种临床表现和 CT 特征在其定性诊断 中的价值: 经手术病理或临床确诊的 SPN 病例 352例 ( 恶性 135例, 良性 2 17例 ) , 分别统计 临床和 CT 表现 在恶性和良性 SPN 中的出现率, 计算两者的比值即似然比 ( LR ) : 较能提示恶性 SPN 的特征为空泡征 ( LR = 4 98) 短毛刺( LR = 4 57) 深分叶 ( LR = 3 88) 等, 较能提示良性 SPN 的特征为良性钙化模式 ( LR = 0 0 3) 强化 值 < 20 HU ( LR = 0 0 8) 多边形轮廓 ( LR = 0 14) 等: 似然比能为医生准确权重 临床和 CT 表现在 SPN 定性 诊断中的意义提供参考, 可以用来指导日常阅片 ! 结节病变, 肺; 体层摄影术, X 线计算机; 诊断, 鉴别; 似然比 ! R 814 42; R734 2 ! A ! ( 2009) 0707 2705 Value of theLikelihoodRatio in the CT QualitativeD iagnosis of Solitary PulmonaryNodules CHEN W e,i L IU J inkang, L IW enzheng, et a l D ep artm ent o f R ad io logy, X iangy a H osp ita l, Central South U n ive rsity, Ch angsh a 410008, P R Ch ina Abstract! bjective: T o quantitative ly evalu a te the va lu e of variou s c linical and CT features in d istingu ishing ben ign and m alignant so litary pu lmonary nodu les ( SPN s) by likelihood ra tio ( LR ) M ethods: T hree hundred and f iftywt o cases w ith p atho log ica lly or clinica lly proved SPN ( m a lignancy n = 135, ben ign ity n = 2 17) w ere retrospec tive ly stu died T he like lihood ra ti os of clinica l and CT features w ere der ived from the ratio o f their respec tive frequ ency o ccurred in the m a lignant and ben ign SPN s Results: A cco rding to the su ccessive decrease o f likelihood ratio s, vacuo le sign ( LR = 4 9 8) , sho rt sp eculation s ( LR = 4 57) , deep lobu lation ( LR = 3 88) etc w e re those fea tures w h ich w ere s ignif icant fo r the d iagno sis of m a lignant SPN s, and be