中央型肺癌狭窄部位的定位和形态——MDCT VB 和 FB 的敏感性和精确性。

Localization and shape of stenoses in central lung carcinoma - Sensitivity and precision of MDCT VB and FB.

机构信息

1Department of Medical Physics, Biophysics, Roentgenology and Radiology, Faculty of Medicine, Department of Diagnostic Imaging, St. Kirkovich University Hospital, Trakia University-Stara Zagora, Stara Zagora, Bulgaria; 2Department of Special Surgery/Thoracic Surgery, Vascular Surgery, Pediatric Surgery and Orthopedics and Traumatology, Faculty of Medicine, Division of Thoracic Surgery, St. Kirkovich University Hospital, Trakia University-Stara Zagora, Stara Zagora, Bulgaria.

出版信息

Acta Clin Croat. 2020 Jun;59(2):252-259. doi: 10.20471/acc.2020.59.02.08.

DOI:10.20471/acc.2020.59.02.08

PMID:33456112

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7808220/

Abstract

The objective is to present diagnostic capabilities of virtual bronchoscopy (VB) and fiberoptic bronchoscopy (FB) for determining the localization and shape of stenoses in patients with central lung carcinoma. A systematic study was performed on 220 patients aged 11-83 (54.36±17.24) years with endobronchial disease using the FB and VB methods during the 2013-2017 period. Central carcinoma of the lung was found on VB in 130 patients and on FB in 120 patients. Other nosologic diseases were found in 22 patients. Right localization of central carcinoma prevailed over left localization in both sexes. A significant difference in the localization criterion was found in female patients examined by VB (U-test, p=0.01). VB and FB yielded 86.5% . 91.60% precision and 85% . 94.5% sensitivity. In conclusion, VB was found to be a successful noninvasive method for determining the localization of lung tumors and shape of stenoses, which are essential in the diagnosis of malignant processes.

摘要

目的是展示虚拟支气管镜（VB）和纤维支气管镜（FB）在确定中央型肺癌患者狭窄的定位和形态方面的诊断能力。在 2013-2017 年期间，对 220 名年龄在 11-83 岁（54.36±17.24）岁的患有支气管内疾病的患者使用 FB 和 VB 方法进行了系统研究。在 130 名患者中通过 VB 发现中央型肺癌，在 120 名患者中通过 FB 发现中央型肺癌。在 22 名患者中发现了其他疾病。在男女患者中，中央型肺癌的右定位均超过左定位。在通过 VB 检查的女性患者中，定位标准存在显著差异（U 检验，p=0.01）。VB 和 FB 的精确率分别为 86.5%和 91.60%，灵敏度分别为 85%和 94.5%。总之，VB 被发现是一种成功的非侵入性方法，可用于确定肺部肿瘤的定位和狭窄的形态，这对于恶性过程的诊断至关重要。