宝石能谱ct在肺占位性病变诊断中初步应用-preliminary application of gem energy spectrum ct in diagnosis of lung space-occupying lesions.docxVIP

ThePreliminaryApplicationofGemstonespectralCTinthediagnosisoflungspaceoccupyinglesionsAbstractObjective：ApreliminarystudyofgemstonespectralCTinthediagnosisanddifferentialdiagnosisoflungspaceoccupyinglesions.Materialsandmethod：Aretrospectiveselectionof51caseswithpulmonaryoccupyinglesionsconfirmedbypathologywerecollected,including19casesofbenigngroupand32casesofmalignantgroup,selectionof28lymphnodesoperatedtoobtainpathological,including16metastaticlymphnodes,12benignnonmetastaticlymphnode,allusedgemstonespectralCTenergyspectrummodescanning,reconstructioninto70KeVsingleenergyimage,storingroisavedatain.Csvformatfromtheworkstation,extracted(1)theCTvalue(HU)of40-140keV(10keVintervals)energylevels,slopecalculationeachCTspectrumcurveofthelesionROI;(2)theiodineradicalfocusvalue(100ug/ml)andwater-basedvalue(mg/ml),thevalueofiodineradical(100ug/ml)andwater-basedvalue(mg/ml)withthesamelevelofthedescendingaorta/leftsubclavianartery,standardiodinebasedvaluesandstandardizationofwater-basedvalueandstandardizationvaluedifferencecalculationofeachlesion;(3)theeffective-zofthelesionsROI.Thedataobtainedcomparedbythemethodofindependentsamplettest,P0.05saidwithstatisticallysignificantdifference.Result：1.Comparisoneachparameterofbenignandmalignantlungspaceoccupyinggroups:inthearterialphasetheCTvalueof40keV,50keVlevelandtheenergyspectrumcurveslopecomparedwithstatisticallysignificantdifference(P0.05);inthevenousphaseCTvalueof40keV-120keVlevelandtheenergyspectrumcurveslopecomparedwithstatisticallysignificantdifference(P0.05);theCTvalueofarterialandvenousphasedifferenceof40keV-80keVlevelcomparedwithstatisticallysignificantdifference(P0.05).Inthearterialphaseandvenousphaseiodinebasedimagesthestandardizationofiodineconcentrationsofthebenigngroupwerelowerthanmalignantgroup,thisdifference英文摘要宝石能谱CT在肺占位性病变诊断中的初步应用hasstatisticaldifference(P0.05);Inthevenousphasethebenignandmalignantlesionsgroupiodinevaluewereincreasedthanthearterialphase;therewasalsosignificantdifferenceofiodinestandarddifference(P0