余丰文,冯彦林,刘德军,袁建伟,贺小红,黄克敏.18F-FDG符合显像在肺部肿瘤诊断中的临床应用[J].中国医学影像技术,2004,20(6):922~924 |
18F-FDG符合显像在肺部肿瘤诊断中的临床应用 |
Evaluation of 18F-FDG imaging of coincidence SPECT in pulmonary lesions |
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DOI: |
中文关键词: 肺肿瘤 体层摄影术 发射型计算机 脱氧葡萄糖 |
英文关键词:Lung neoplasms Tomography Emission-computed Deoxyglucose |
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中文摘要: |
目的 探讨18F-脱氧葡萄糖(FDG)符合显像在肺部肿瘤诊断中的临床应用价值。方法 回顾性分析98例临床怀疑肺部肿瘤患者术前18F-FDG 符合显像结果,观察各种病变摄取18F-FDG的情况及特征。结果 98例被怀疑肺部肿瘤的病例中确诊为肺癌60例,其18F-FDG符合显像结果全部为阳性;肺部良性肿瘤9例,8例为阳性;确诊为肺结核20例,11例显像阳性;炎症9例,4例显像阳性。结论 18F-FDG 符合显像诊断肺部肿瘤具有很高的敏感性和准确性。对肺癌的分期亦具有重要的价值,但须结合临床对显像的特征进行分析,以提高对肺癌诊断的特异性。 |
英文摘要: |
Objective To discuss the clinical value of 18F-FDG imaging with coincidence SPECT in detecting pulmonary lesions. Methods Images of 98 cases with suspicious lung tumors using 18F-FDG with coincidence SPECT before surgical treatment were reviewed to observe the uptake values and image characteristics of the lesions. Results In the 98 cases, 60 had lung cancer, 9 had benign pulmonary tumors, 20 had pulmonary tuberculosis and the other 9 had inflammation. All the 60 lung cancer, 8 benign pulmonary tumors, 11 tuberculosis and 4 inflammationary lesions showed increased 18F-FDG uptake. Conclusion 18F-FDG imaging with coincidence SPECT is of high sensitivity and accuracy in detection of pulmonary lesions,and is also helpful in staging of lung cancer. However, positive results should be analyzed with clinical information to increase the specificity. |
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