王火强,吴吉勇,刘进军,潘惠忠,赵宪国.67-Ga显像对肺部良、恶性病变鉴别诊断的临床价值[J].中国医学影像技术,2005,21(11):1744~1746
67-Ga显像对肺部良、恶性病变鉴别诊断的临床价值
67Ga imaging for differential diagnosis of lung cancer and benign lung lesions
投稿时间:2005-06-11  修订日期:2005-07-20
DOI:
中文关键词:  肺部肿块  67Ga  放射性核素  体层摄影术,发射型计算机,单光子
英文关键词:Lung lesions  67Ga  Radionuclide  Tomography, emission-computed, single-photon
基金项目:
作者单位E-mail
王火强 上海市肺科医院核医学科,上海 200433 whq22162216@sina.com 
吴吉勇 上海市肺科医院核医学科,上海 200433  
刘进军 上海市肺科医院核医学科,上海 200433  
潘惠忠 上海市肺科医院核医学科,上海 200433  
赵宪国 上海市肺科医院核医学科,上海 200433  
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中文摘要:
      目的 探讨67Ga平面显像与断层显像对肺癌及肺部良性疾病鉴别诊断的临床应用价值。方法 对251例胸部X线或CT检查怀疑为肺癌的患者进行67Ga胸部平面显像,其中105例另行67Ga胸部断层显像。肺癌诊断全部由组织病理学检查确定;良性病变的诊断由病理、实验室检查及临床转归等确定。结果 67Ga平面显像对肺癌诊断的灵敏度、特异性和准确性分别为65%、85%和73%;而67
英文摘要:
      Objective To assess planar and tomographic Methods with 67Ga in differential diagnosis of lung cancer and benign lung lesions. Methods Two hundred and fifty-one suspected lung cancer patients with abnormal findings on chest radiography underwent 67Ga planar imaging, and 105 cases of them underwent 67Ga tomography imaging. The diagnosis of lung cancer was confirmed with pathology, the benign lung diseases were diagnosed with pathology, laboratory findings or the Results of clinical follow-up. Results The sensitivity, specificity and accuracy with 67Ga planar imaging in assessing lung cancer were 65%, 85% and 73%, and 82%, 84% and 83% for tomography, respectively. Active pulmonary tuberculosis was the main reason for the false positive Results of 67Ga imaging. Conclusion 67Ga imaging is a simple and useful tool in the assessment of lung cancer, and 67Ga tomography imaging is better than planar imaging in increasing the sensitivity and accuracy for the diagnosis of lung cancer.
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