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检测非小细胞肺癌患者的淋巴结转移疾病:正电子发射断层扫描 (PET)、增强对比 CT 与 PET-CT 联合的比较。

Detection of nodal metastatic disease in patients with non-small cell lung cancer: comparison of positron emission tomography (PET), contrast-enhanced computed tomography (CT), and combined PET-CT.

机构信息

Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

出版信息

Clin Imaging. 2010 Jan-Feb;34(1):20-8. doi: 10.1016/j.clinimag.2009.03.012.

DOI:10.1016/j.clinimag.2009.03.012
PMID:20122515
Abstract

Of 31 patients with lung cancer, 19 underwent PET-CT and 12 had CT followed by PET. Thoracic lymph nodes were sampled by mediastinoscopy or thoracotomy. Sensitivities, specificities, positive (PPV), and negative predictive values (NPV) were calculated based on histopathology. Ninety nodes (41 malignant) were identified. Sensitivity, specificity, PPV, and NPV were 94%, 73%, 66%, and 96% for PET-CT, respectively. In 12 patients who underwent PET and CT separately, these values were 90%, 31%, 64%, and 71% for PET and 81%, 50%, 69%, and 66% for CT, respectively.

摘要

在 31 名肺癌患者中,19 名接受了 PET-CT 检查,12 名接受了 CT 检查后再进行 PET 检查。经纵隔镜或开胸术对胸内淋巴结进行了取样。根据组织病理学计算了敏感性、特异性、阳性预测值(PPV)和阴性预测值(NPV)。共确定了 90 个淋巴结(41 个恶性)。PET-CT 的敏感性、特异性、PPV 和 NPV 分别为 94%、73%、66%和 96%。在单独接受 PET 和 CT 检查的 12 名患者中,这些值分别为 PET 的 90%、31%、64%和 71%,以及 CT 的 81%、50%、69%和 66%。

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