Regnard J F, Angel C, Marzelle J, Panebianco V, Rojas-Miranda A, Leriche H, Levasseur P
Centre Chirurgical Marie-Lannelongue, Le Plessis-Robinson.
Ann Chir. 1990;44(8):655-9.
The place of angiography-superior vena cavography in the assessment of the resectability of a lung cancer must be defined in comparison with the data provided by thoracic computed tomography. Sixty-six patients with proximal lung cancers of doubtful resectability were studied by means of angiography and computed tomography and the results of these preoperative investigations were correlated with the operative findings. The sensitivity of these two examinations for the diagnosis of vascular invasion preventing pulmonary resection is poor (53% and 47% respectively). The specificity and positive predictive value of angiography appear to be slightly superior to those of computed tomography (Sp: 96% and 82%, PPV: 78% and 47%, respectively). The diagnostic performance of these two examinations remains poor. Magnetic resonance imaging may replace these two examinations in the future.
在评估肺癌可切除性方面，血管造影 - 上腔静脉造影与胸部计算机断层扫描所提供的数据相比，其地位必须明确。通过血管造影和计算机断层扫描对66例可切除性存疑的近端肺癌患者进行了研究，并将这些术前检查结果与手术所见进行了对比。这两种检查对于诊断阻碍肺切除的血管侵犯的敏感性较差（分别为53%和47%）。血管造影的特异性和阳性预测值似乎略高于计算机断层扫描（特异性分别为96%和82%，阳性预测值分别为78%和47%）。这两种检查的诊断性能仍然较差。磁共振成像未来可能会取代这两种检查。
