Clinical evaluation and clinical pathological analysis of dual-source CT in patients with central nervous cell tumor
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摘要:
目的探讨双源CT在中枢神经细胞瘤病情评估中的应用价值。 方法选择2017年3月~2019年2月在本院进行治疗的原发性神经细胞瘤110例,男性59例,女性51例,年龄27~81岁(51.34±4.71岁),均进行双源CT和常规平扫检查,比较二者区别。 结果双源CT图像质量符合率高于常规平扫(P<0.05)。双源CT对钙化灶的检出率高于常规平扫(P<0.05)。双源CT肿瘤组织虚拟平扫图像CT值与常规平扫图像CT值差异无统计学意义(P>0.05),两种方法检测结果内在一致性较好(Cronbach α=0.91)。双源CT的病变检出率高于对照组,差异有统计学意义(P<0.05)。 结论相对于常规平扫,双源CT可提高病变检出率,改善图像质量,更有助于临床准确评估神经细胞瘤患者病情。 Abstract:ObjectiveTo explore the value of dual-source CT in the evaluation of central neurocytoma. MethodsA total of 110 cases of primary neuronal tumor treated in our hospital from March 2017 to February 2019 were examined by dual source CT and conventional plain scan. There were 59 males and 51 females with the age from 27 to 81 (average 51.34±4.71) included. ResultsThe coincidence rate of double source CT images was significantly higher than that of conventional plain scan (P<0.05). The detection rate of calcified foci by dual source CT was significantly higher than that of conventional plain scan (P<0.05). The difference between the CT value of the virtual plain scan image and the CT value of the conventional plain scan image was not significant (P>0.05). The results of the two methods were consistent (Cronbach α=0.91). The detection rate of double source CT was significantly higher than that of control group (P<0.05). ConclusionCompared with conventional plain scan, dual source CT can improve the detection rate and image quality of neuroma. -
Key words:
- dual source CT /
- central nervous cell tumor /
- evaluation /
- application value
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表 1 双源CT与常规平扫图像质量比较(n)
Table 1. Comparison of image quality between dual source CT and conventional plain scan
方法 1分 2分 3分 4分 5分 符合率[n(%)] 常规平扫 5 12 11 33 49 82(74.54) 双源CT 2 7 10 35 56 91(82.73) Z/χ2 1.371 2.141 P 0.168 0.043 表 2 双源CT及常规平扫对钙化灶检出情况(n)
Table 2. Detection of calcification foci by double CT and routine plain scan
方法 细沙样钙化 颗粒钙化 团块状钙化 钙化灶检出率[n(%)] 常规平扫 12 28 33 73(66.36) 双源CT 11 37 40 88(80.0) Z/χ2 0.27 5.211 P 0.787 0.022 表 3 双源CT与常规平扫检查CT值(Mean±SD)
Table 3. CT value of dual source CT and routine plain scan
方法 CT值(HU) CT值平均差值(95%CI) 内在一致性 常规平扫 33.23±1.84 −3.0(−5.2~−1.1) 0.91 双源CT 30.24±1.44 t 1.773 P 0.127 表 4 双源CT及常规平扫检查结果[n(%)]
Table 4. Results of double source CT and routine plain scan
方法 异常异常率 病变检出率 常规平扫 96(87.27) 75(68.18) 双源CT 103(93.64) 89(80.91) χ2 2.581 4.701 P 0.103 0.031 -
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