肾上腺的计算机断层扫描与超声检查：一项前瞻性研究。

Computed tomography versus ultrasound of the adrenal gland: a prospective study.

作者信息

Abrams H L, Siegelman S S, Adams D F, Sanders R, Finberg H J, Hessel S J, McNeil B J

出版信息

Radiology. 1982 Apr;143(1):121-8. doi: 10.1148/radiology.143.1.7063713.

DOI:10.1148/radiology.143.1.7063713

Abstract

A prospective study of the accuracy of computed tomography (CT) and ultrasound was undertaken in 112 consecutive patients with suspected adrenal disease. CT had a sensitivity of 84% (47/56), a specificity of 98% (55/56), and an accuracy of 90%. Ultrasound had a sensitivity of 79% (22/28), a specificity of 61% (14/23), and an overall accuracy of 70%. When patients with Cushing disease and adrenal hyperplasia were excluded, and only masses such as pheochromocytoma, adenoma, and carcinoma were considered, the sensitivity of both CT and ultrasound was increased. Receiver operating characteristic (ROC) curves differed for CT and ultrasound, and strongly supported the diagnostic superiority of CT.

摘要

对112例连续的疑似肾上腺疾病患者进行了一项关于计算机断层扫描（CT）和超声准确性的前瞻性研究。CT的敏感性为84%（47/56），特异性为98%（55/56），准确性为90%。超声的敏感性为79%（22/28），特异性为61%（14/23），总体准确性为70%。当排除库欣病和肾上腺增生患者，仅考虑嗜铬细胞瘤、腺瘤和癌等肿块时，CT和超声的敏感性均有所提高。CT和超声的受试者操作特征（ROC）曲线不同，有力地支持了CT的诊断优势。