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非癌患者多排螺旋计算机断层扫描中肺结节的意义

Significance of pulmonary nodules in multi-detector computed tomography scan of noncancerous patients.

作者信息

Toghiani Ali, Adibi Atoosa, Taghavi Arash

机构信息

Young Researchers and Elite Club, Islamic Azad University, Najafabad Branch, Isfahan, Iran.

Department of Radiology, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2015 May;20(5):460-4. doi: 10.4103/1735-1995.163967.

Abstract

BACKGROUND

Computed tomography (CT) scan is one the most useful devices in chest imaging. CT scan can be used in mediastinal abnormality, lungs, and pleural evaluations. According to the high prevalence and different causes of pulmonary nodules, we designed this study to evaluate the prevalence and the types of pulmonary nodules in noncancerous patients who underwent chest multi-detector CT (MDCT) scan.

MATERIALS AND METHODS

This was a cross-sectional study which was in our hospital to evaluate the prevalence of pulmonary nodules in noncancerous patients who underwent MDCT. A checklist was used for data collection containing number, location, size, and shape of pulmonary nodules if present in CT scan, and we also included patient's age and history of smoking. We analyzed the data with Statistical Program for Social Sciences software (version 18).

RESULTS

In this study, 115 patients (40%) had a pulmonary nodule. The mean number of a total nodule in each patient was 0.8 ± 0.07. Mean number of intra-parenchymal, sub pleural, and perivascular nodules were 0.34 ± 0.04, 0.31 ± 0.04, and 0.14 ± 0.02, respectively. The mean number of calcified nodules was 0.13 ± 0.02. There was no significant correlation between age and nodule characteristics (P > 0.05).

CONCLUSION

The prevalence of pulmonary nodules was quite frequent in MDCT scan of noncancerous cases. So, it should not be overvalued in noncancerous cases.

摘要

背景

计算机断层扫描(CT)是胸部成像中最有用的设备之一。CT扫描可用于纵隔异常、肺部和胸膜评估。鉴于肺结节的高患病率和不同病因,我们设计了本研究,以评估接受胸部多排CT(MDCT)扫描的非癌症患者中肺结节的患病率和类型。

材料与方法

这是一项横断面研究,在我院进行,旨在评估接受MDCT扫描的非癌症患者中肺结节的患病率。使用一份清单收集数据,内容包括CT扫描中若存在肺结节的数量、位置、大小和形状,我们还纳入了患者的年龄和吸烟史。我们使用社会科学统计软件包(版本18)对数据进行分析。

结果

在本研究中,115名患者(40%)有肺结节。每位患者的总结节平均数为0.8±0.07。实质内、胸膜下和血管周围结节的平均数分别为0.34±0.04、0.31±0.04和0.14±0.02。钙化结节的平均数为0.13±0.02。年龄与结节特征之间无显著相关性(P>0.05)。

结论

在非癌症病例的MDCT扫描中,肺结节的患病率相当高。因此,在非癌症病例中不应高估其意义。

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