Department of Radiology, Hwa Mei Hospital, University of Chinese Academy of Sciences, Zhejiang 315000, China.
Department of Radiology, Ninghai First Hospital, Ningbo, Zhejiang 315600, China.
Scanning. 2022 Jun 25;2022:5314225. doi: 10.1155/2022/5314225. eCollection 2022.
In order to solve the problem of the effect of CT images on the diagnosis of lungs, the authors proposed a method for the diagnosis of invasive mucinous adenocarcinoma of the lungs based on CT radiomic features, and the modified method is found by reviewing past cases: among the 34 cases of primary pulmonary lymphoma, 12 cases were nodular mass type, 19 cases were nonnodular mass type, and 3 cases were mixed type; 13 cases involved bilateral lung lobes, 7 cases involved right lung, and 4 cases involved left lung example. There were 17 cases of tumor consolidation density shadow, 17 cases of mixed density shadow, the average CT value was about 32HU, 15 cases of cavitation sign, 6 cases of cavity, 9 cases of angiography sign, 30 cases of air bronchus sign, 22 cases of bronchiectasis, bronchial stenosis or amputation in 8 cases, pleural effusion in 12 cases, lymph node enlargement in 15 cases, and pleural metastasis in 2 cases. The final pathological results included 24 cases of membrane-associated lymphoid tissue (MALT) lymphoma, 9 cases of diffuse large B-cell lymphoma (DLBCL), and 1 case of T-cell lymphoma. The CT manifestations of primary pulmonary lymphoma (PPL) are diverse and do not have obvious specificity, the imaging manifestations are correlated with pathological types, and air bronchial signs, bronchiectasis, angiography signs, and other signs are used for the diagnosis of PPL. This is of great significance for the diagnosis of PPL.
为了解决 CT 图像对肺部诊断的影响问题,作者提出了一种基于 CT 放射组学特征的肺浸润性黏液腺癌诊断方法,并通过回顾既往病例发现了改良方法:在 34 例原发性肺淋巴瘤中,12 例为结节肿块型,19 例为非结节肿块型,3 例为混合型;13 例累及双侧肺叶,7 例累及右肺,4 例累及左肺。有 17 例肿瘤实变密度影,17 例混合密度影,平均 CT 值约为 32HU,15 例有空腔征,6 例有空腔,9 例血管造影征,30 例空气支气管征,22 例支气管扩张,8 例支气管狭窄或截断,12 例胸腔积液,15 例淋巴结肿大,2 例胸膜转移。最终的病理结果包括 24 例黏膜相关淋巴组织(MALT)淋巴瘤、9 例弥漫性大 B 细胞淋巴瘤(DLBCL)和 1 例 T 细胞淋巴瘤。原发性肺淋巴瘤(PPL)的 CT 表现多种多样,没有明显的特异性,影像学表现与病理类型相关,空气支气管征、支气管扩张、血管造影征等征象有助于 PPL 的诊断。这对 PPL 的诊断具有重要意义。