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[1]忻岳軍,陳天亮,尹彬彬.基于CT周圍神經(jīng)重建圖像判斷骨和軟組織腫瘤與鄰近神經(jīng)的關(guān)系[J].中醫(yī)正骨,2021,33(10):41-43.
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基于CT周圍神經(jīng)重建圖像判斷骨和軟組織腫瘤與鄰近神經(jīng)的關(guān)系()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年10期
頁碼:
41-43
欄目:
影像診斷
出版日期:
2021-10-20

文章信息/Info

作者:
忻岳軍1陳天亮2尹彬彬1
(1.寧波市第六醫(yī)院,浙江 寧波 315040; 2.浙江省腫瘤醫(yī)院,浙江 杭州 310022)
關(guān)鍵詞:
骨腫瘤 軟組織腫瘤 周圍神經(jīng) 體層攝影術(shù) X線計算機 曲面重建
摘要:
目的:探討基于CT周圍神經(jīng)重建圖像判斷骨和軟組織腫瘤與鄰近神經(jīng)關(guān)系的價值。方法:選擇36例行手術(shù)治療的骨或軟組織腫瘤患者進行研究。所有患者術(shù)前均行CT檢查,并進行腫瘤鄰近神經(jīng)曲面重建。根據(jù)獲取的CT周圍神經(jīng)重建圖像判斷骨和軟組織腫瘤與鄰近神經(jīng)的關(guān)系,并以術(shù)中觀察判斷結(jié)果作為金標準計算診斷的靈敏度、特異度及約登指數(shù)。結(jié)果:33例完成腫瘤鄰近神經(jīng)CT圖像曲面重建,并成功判斷腫瘤與鄰近神經(jīng)的關(guān)系; 3例因腫瘤位于S3、S4水平,無法順利進行周圍神經(jīng)圖像重建。根據(jù)CT周圍神經(jīng)重建圖像,10例鄰近神經(jīng)受侵、18例鄰近神經(jīng)受壓、5例鄰近神經(jīng)未受侵或受壓; 根據(jù)術(shù)中觀察,8例鄰近神經(jīng)受侵、17例鄰近神經(jīng)受壓、8例鄰近神經(jīng)未受侵或受壓。以術(shù)中觀察判斷結(jié)果為金標準,基于CT周圍神經(jīng)重建圖像判斷鄰近神經(jīng)受侵的靈敏度為100%、特異度為92%、約登指數(shù)為0.92,判斷鄰近神經(jīng)受壓的靈敏度為94%、特異度為88%、約登指數(shù)為0.82。結(jié)論:基于CT周圍神經(jīng)重建圖像判斷骨和軟組織腫瘤與鄰近神經(jīng)關(guān)系的準確性較高,具有較高的臨床應(yīng)用價值。

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更新日期/Last Update: 1900-01-01