中华核医学杂志
中華覈醫學雜誌
중화핵의학잡지
CHINESE JOURNAL OF NUCLEAR MEDICINE
2010年
1期
15-18
,共4页
王晓燕%张祥松%陈志丰%李芳%李子平%饶国辉%史新冲%胡平
王曉燕%張祥鬆%陳誌豐%李芳%李子平%饒國輝%史新遲%鬍平
왕효연%장상송%진지봉%리방%리자평%요국휘%사신충%호평
肝肿瘤%肿瘤复发%局部%体层摄影术,发射型计算机%体层摄影术,X线计算机%脱氧葡萄糖
肝腫瘤%腫瘤複髮%跼部%體層攝影術,髮射型計算機%體層攝影術,X線計算機%脫氧葡萄糖
간종류%종류복발%국부%체층섭영술,발사형계산궤%체층섭영술,X선계산궤%탈양포도당
Liver neoplasms%Neoplasm recurrence,local%Tomography,emission-computed%Tomography,X-ray computed%Deoxyglucose
目的 比较~(18)F-脱氧葡萄糖(FDG)PET/CT与增强CT对原发性肝癌或肝癌术后复发的诊断价值.方法 回顾性分析诊断为原发性肝癌或肝癌术后复发且进行~(18)F-FDG PET/CT与增强CT检查的病例共25例,2种检查间隔时间在1周内.其中原发性肝癌经手术或穿刺证实,肝癌术后复发经临床随访证实.结果 25例患者中,确诊为原发性肝癌14例,其中肝细胞肝癌13例,胆管细胞癌1例;肝癌术后复发11例.~(18)F-FDG PET/CT对原发性肝癌的诊断阳性率为78.6%(11/14),增强CT阳性率为92.9%(13/14).在肝癌术后复发中,~(18)F-FDG PET/CT诊断阳性率为100.0%(11/11),增强CT阳性率为63.6%(7/11).结论 在原发性肝癌诊断中,增强CT优于~(18)F-FDG PET/CT,~(18)F-FDG PET/CT显像联合增强CT可明显提高诊断率.而住肝癌术后复发检测中,~(18)F-FDGPET/CT优于增强CT.
目的 比較~(18)F-脫氧葡萄糖(FDG)PET/CT與增彊CT對原髮性肝癌或肝癌術後複髮的診斷價值.方法 迴顧性分析診斷為原髮性肝癌或肝癌術後複髮且進行~(18)F-FDG PET/CT與增彊CT檢查的病例共25例,2種檢查間隔時間在1週內.其中原髮性肝癌經手術或穿刺證實,肝癌術後複髮經臨床隨訪證實.結果 25例患者中,確診為原髮性肝癌14例,其中肝細胞肝癌13例,膽管細胞癌1例;肝癌術後複髮11例.~(18)F-FDG PET/CT對原髮性肝癌的診斷暘性率為78.6%(11/14),增彊CT暘性率為92.9%(13/14).在肝癌術後複髮中,~(18)F-FDG PET/CT診斷暘性率為100.0%(11/11),增彊CT暘性率為63.6%(7/11).結論 在原髮性肝癌診斷中,增彊CT優于~(18)F-FDG PET/CT,~(18)F-FDG PET/CT顯像聯閤增彊CT可明顯提高診斷率.而住肝癌術後複髮檢測中,~(18)F-FDGPET/CT優于增彊CT.
목적 비교~(18)F-탈양포도당(FDG)PET/CT여증강CT대원발성간암혹간암술후복발적진단개치.방법 회고성분석진단위원발성간암혹간암술후복발차진행~(18)F-FDG PET/CT여증강CT검사적병례공25례,2충검사간격시간재1주내.기중원발성간암경수술혹천자증실,간암술후복발경림상수방증실.결과 25례환자중,학진위원발성간암14례,기중간세포간암13례,담관세포암1례;간암술후복발11례.~(18)F-FDG PET/CT대원발성간암적진단양성솔위78.6%(11/14),증강CT양성솔위92.9%(13/14).재간암술후복발중,~(18)F-FDG PET/CT진단양성솔위100.0%(11/11),증강CT양성솔위63.6%(7/11).결론 재원발성간암진단중,증강CT우우~(18)F-FDG PET/CT,~(18)F-FDG PET/CT현상연합증강CT가명현제고진단솔.이주간암술후복발검측중,~(18)F-FDGPET/CT우우증강CT.
Objective To compare diagnostic value of ~(18)F-fluoredeoxyglucose (FDG) PET/CT with contrast-enhanced CT in detecting primary hepatic carcinoma and postoperative recurrence.Methods Twenty-five cases of primary hepatic carcinoma or postoperative recurrent tumor underwent whole-body ~(18)F-FDG PET/CT and contrast-enhanced CT within one week's interval.They were retrospectively reviewed and the difierences between these two modalities were investigated.Results Of these 25 cases,there were 13 cases with primary hepatocellular carcinoma.1 case with intrahepatic cholangiocarcinoma and 11 cases with postoperative recurrence.The sensitivity of 18 F-FDG PET/CT and contrast-enhanced CT in diagnosing primary hepatic carcinoma was 78.6%(11/14) and 92.9%(13/14),and sensitivity in diagnosing postoperative recurrent was 100.0%(11/11) and 63.6%(7/11) respectively.Conclusion Contrast-enhanced CT may have a slight advantage over PET/CT in detecting primary hepatic carcinoma,but ~(18)F-FDG PET/CT combined with contrast-enhanced CT has even greater accuracy.Meanwhile,~(18)F-FDG PET/CT has better diagnostic accuracy in detection of postoperative recurrent tumor.
