中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2012年
11期
1483-1485
,共3页
氟脱氧葡萄糖F18/诊断应用%食管肿瘤/放射摄影术%食管肿瘤/放射性核素显像%体层摄影术,X线计算机%体层摄影术,发射型计算机
氟脫氧葡萄糖F18/診斷應用%食管腫瘤/放射攝影術%食管腫瘤/放射性覈素顯像%體層攝影術,X線計算機%體層攝影術,髮射型計算機
불탈양포도당F18/진단응용%식관종류/방사섭영술%식관종류/방사성핵소현상%체층섭영술,X선계산궤%체층섭영술,발사형계산궤
Fluorodeoxyglucose F18/diagnostic use%Esophageal neoplasms/radiography%Esophageal neoplasms/radionuclide imaging%Tomography,X-ray computed%Tomography,emission-computed
目的 探讨病灶18-氟-脱氧葡萄糖(18F-FDG)摄取PET/CT记分对早期良恶性食管病变的诊断价值,为临床诊治提供依据.方法 对本院36例癌前或早期恶性食管病变患者与66例食管良性病变患者行18F-FDG摄取PET/CT记分,病变评价记分标准:FDG摄取强度低=0、中=1、高=2；FDP摄取表现同心圆=0、偏心圆形=1；FDG摄取能力弥散=0、弧形=1、局灶型=2；CT检查显示食管正常=0、增厚=1、团块=2；部位位于食管近端1/3 =0,中1/3=1、远端1/3 =2.结果 早期恶性病变组FDG摄取强度记分≥2分者15例(41.8％)、FDG摄取偏心率≥1分者20例(55.6％),良性病变组≥2分者12例(18.2％)、≥1分者7例(10.6％),两组间比较差异均有统计学意义(x2=16.22,24.18,P＜0.01).早期恶性病变组CT检查食管厚度记分≥2分者占22.2％(8/36),良性病变组为12.1％ (8/66),两组比较差异无统计学意义(P＞0.05).早期恶性病变组SUV最大值高于良性病变组(3.3 ±0.9 vs 5.3±4.1,t=11.04,P＜0.01).应用局灶-偏心性记分阈≥2分,区别良或恶性病变的敏感度为83.3％、特异度为68.3％.结论 FDG摄取能力和偏心率对区别食管良恶性病变有一定价值.
目的 探討病竈18-氟-脫氧葡萄糖(18F-FDG)攝取PET/CT記分對早期良噁性食管病變的診斷價值,為臨床診治提供依據.方法 對本院36例癌前或早期噁性食管病變患者與66例食管良性病變患者行18F-FDG攝取PET/CT記分,病變評價記分標準:FDG攝取彊度低=0、中=1、高=2；FDP攝取錶現同心圓=0、偏心圓形=1；FDG攝取能力瀰散=0、弧形=1、跼竈型=2；CT檢查顯示食管正常=0、增厚=1、糰塊=2；部位位于食管近耑1/3 =0,中1/3=1、遠耑1/3 =2.結果 早期噁性病變組FDG攝取彊度記分≥2分者15例(41.8％)、FDG攝取偏心率≥1分者20例(55.6％),良性病變組≥2分者12例(18.2％)、≥1分者7例(10.6％),兩組間比較差異均有統計學意義(x2=16.22,24.18,P＜0.01).早期噁性病變組CT檢查食管厚度記分≥2分者佔22.2％(8/36),良性病變組為12.1％ (8/66),兩組比較差異無統計學意義(P＞0.05).早期噁性病變組SUV最大值高于良性病變組(3.3 ±0.9 vs 5.3±4.1,t=11.04,P＜0.01).應用跼竈-偏心性記分閾≥2分,區彆良或噁性病變的敏感度為83.3％、特異度為68.3％.結論 FDG攝取能力和偏心率對區彆食管良噁性病變有一定價值.
목적 탐토병조18-불-탈양포도당(18F-FDG)섭취PET/CT기분대조기량악성식관병변적진단개치,위림상진치제공의거.방법 대본원36례암전혹조기악성식관병변환자여66례식관량성병변환자행18F-FDG섭취PET/CT기분,병변평개기분표준:FDG섭취강도저=0、중=1、고=2；FDP섭취표현동심원=0、편심원형=1；FDG섭취능력미산=0、호형=1、국조형=2；CT검사현시식관정상=0、증후=1、단괴=2；부위위우식관근단1/3 =0,중1/3=1、원단1/3 =2.결과 조기악성병변조FDG섭취강도기분≥2분자15례(41.8％)、FDG섭취편심솔≥1분자20례(55.6％),량성병변조≥2분자12례(18.2％)、≥1분자7례(10.6％),량조간비교차이균유통계학의의(x2=16.22,24.18,P＜0.01).조기악성병변조CT검사식관후도기분≥2분자점22.2％(8/36),량성병변조위12.1％ (8/66),량조비교차이무통계학의의(P＞0.05).조기악성병변조SUV최대치고우량성병변조(3.3 ±0.9 vs 5.3±4.1,t=11.04,P＜0.01).응용국조-편심성기분역≥2분,구별량혹악성병변적민감도위83.3％、특이도위68.3％.결론 FDG섭취능력화편심솔대구별식관량악성병변유일정개치.
Objective To study of the diagnostic value of 18 F-FDG(Fluorine-18-fluorodeoxyglucose) uptake PET/CT score of lesions for early esophageal lesions.Methods The study included 36 patients with early malignant esophageal lesions,and the 66 cases with 18 F-FDG uptake increased as benign esophageal lesions.The evaluation score standard for lesion were (1) FDG uptake strength:0 =low,1 =moderate,and 2 =high; (2) FDP intake performance:0 =concentric circles,and 1 =eccentric circular;(3) FDG uptake ability:dispersion =0,and arc =1,focal type =2 ; (3) CT examination showed esophageal normal =0,thickening =1,and mass =2; (5) Site was located in the proximal esophageal 1/3 =0,the intermediate 1/3 =1,and distal 1/3 =2.Results The FDG uptake strength score was 2 points or more for 15 patients (41.8％) and FDG uptake eccentricity ratio score was 1 points or more for 20 patients (55.6％) in early malignant lesion group,and for 12 patients (18.2％) and 7 (10.6％) in benign lesion group,respectively; there was significantly difference between the two groups (x2 =16.22,24.18,P ＜0.01).CT examination esophageal thickness score was 2 points or more for 8 patients (12.1％) in early malignant lesion group and 8 patients (22.2％) in benign lesion group; there was no significantly difference between the two groups (P ＞ 0.05).Early malignant lesion group's largest SUV was higher than benign lesion group (3.3 ±0.9 vs.5.3 ±4.1,t =11.04,P ＜0.01).Focal-partial eccentricity'score threshold was 2 or more,and was different between benign or malignant lesions had sensitivity of 83.3％ and a specificity of 68.3％.Conclusions FDG uptake ability and eccentricity have a certain value in discrimination of malignancy from benign esophageal lesions.
