F18―FDG PETCT在直肠癌诊断中价值分析.docVIP

F18―FDG PETCT在直肠癌诊断中价值分析 　　摘要：目的 探讨F18-FDG PET/CT在直肠癌诊断中的价值。方法 选择临床高度怀疑直肠恶性肿瘤的患者，行F18-FDG PET/CT检查，部分患者行CT增强及2 h后的延迟扫描，筛选出检查后确诊为直肠癌的患者259例，并将所得PET/CT检查结果与临床病理结果进行回顾性对照、分析，判断PET/CT在直肠癌诊断中的价值。结果 直肠条状高代谢PET/CT诊断阳性准确率为83.52%；常规扫描后，结合餐后2 h后行局部延迟扫描，诊断准确率提高到90.11%。直肠局限性结节状高代谢灶PET/CT诊断阳性准确率为91.03%；直肠灌水并CT增强加PET延迟扫描后，准确率提高至96.79%。F18-FDG PET/CT阴性显像12例，阴性显像率为4.63% 。 结论 F18-FDG PET/CT直肠癌诊断中具有明显优势，如能恰当运用延迟扫描、直肠灌水及CT增强检查，可显著提高诊断准确率。 　　关键词：直肠癌：PET/CT；CT增强；延迟扫描 　　中图分类号：R735.3 文献标识码：A 文章编号：1006-1959（2017）16-0177-02 　　Value of F18-FDG and PET/CT in the Diagnosis of Rectal Cancer 　　MENG Wei，GUO Xiao-jun，XIAO Yong 　　（PET/CT Center，General Hospital of Armed Police Frontier Force，Shenzhen 518029，Guangdong，China） 　　Abstract：Objective To study the value of F18-FDG PET/CT in the diagnosis of rectal carcinoma.Methods The clinical suspicion of rectal cancer patients underwent F18-FDG PET/CT examination，some patients underwent CT enhanced and delayed scan after 2 h，were diagnosed in 259 cases of rectal cancer patients，and the results of PET/CT and clinical pathological results were reviewed in the analysis，value judgment of PET/CT in the diagnosis of rectal cancer.Results The positive rate of diagnosis of rectal stripe metabolic PET/CT was 83.52%.After conventional scan，local delayed scan was combined with 2 h after meal.The accuracy of diagnosis was increased to 90.11%.The positive rate of PET/CT diagnosis was 91.03% in rectal localized nodular high metabolic lesions.Rectal irrigation enhanced CT plus PET and delayed scanning， improve the accuracy to 96.79%.F18-FDG imaging in 12 cases with PET/CT negative，negative imaging rate was 4.63%.Conclusion F18-FDG has obvious advantages in the diagnosis of rectal cancer PET/CT，if the proper use of delayed scanning，rectal irrigation and CT inspection，can significantly improve the accuracy of diagnosis. 　　Key words：Rectal cancer；PET/CT；CT enhancement；Delayed scan 　　直?c癌是常见的恶性肿瘤之一，近年来一直呈持续上升的状态，目前在消化系统恶性肿瘤发病率中已达到第2位[1]。直肠癌的早期发现、早期诊断及早期治疗是关系到患者