Robbins A H, Pugatch R D, Gerzof S G, Faling L J, Johnson W C, Sewell D H
AJR Am J Roentgenol. 1978 Jul;131(1):15-9. doi: 10.2214/ajr.131.1.15.
In a retrospective study of 687 computed tomographic (CT) examinations of the chest and abdomen performed over a 1 year period, 16% of the examinations produced information not otherwise available which altered patient diagnosis, prognosis, or therapy. Sixteen thoracotomies and 18 laparotomies were avoided as a result of information available only from CT examinations. CT was of particular value in the evaluation of mediastinal masses, in the assessment of suspected or proven lung cancer, and in the evaluation of pleural and extrapleural masses. It was of notable clinical value in evaluating patients with intraabdominal abscesses, pancreatic disease, staging of malignancies for radiation therapy and surgery, and excluding the presence of suspected masses.
在一项对687例胸部和腹部计算机断层扫描（CT）检查的回顾性研究中，这些检查在1年期间进行，16%的检查产生了通过其他方式无法获得的信息，这些信息改变了患者的诊断、预后或治疗方案。由于仅从CT检查中获得的信息，16例开胸手术和18例剖腹手术得以避免。CT在评估纵隔肿块、评估疑似或确诊的肺癌以及评估胸膜和胸壁外肿块方面具有特殊价值。在评估腹腔脓肿、胰腺疾病患者、恶性肿瘤放疗和手术分期以及排除疑似肿块的存在方面具有显著的临床价值。
