Hounsfield 单位密度值能否准确预测喉癌病例的喉前侵犯？

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

Auris Nasus Larynx Pub Date : 2024-07-03 DOI:10.1016/j.anl.2024.06.003

Senem Kurt Dizdar , Egehan Salepci , Burçin Ağrıdağ , Nurullah Seyhun , Ali Gemalmaz , Suat Turgut

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引用次数: 0

摘要

目的：Hounsfield 单位密度值（HUDV）是放射科医生在解读计算机断层扫描（CT）图像时使用的一种无线电密度相对定量测量方法。我们的目的是研究 HUDV 在评估喉癌声门前间隙（PES）受累情况中的作用：研究纳入了 2014 年至 2019 年期间在我院接受喉癌治疗的 74 例患者。通过放射学和病理学确定 PES 的侵犯状态。HUDV 采用圆形选定感兴趣区进行测量，PES 的恒定大小为 10 平方毫米。评估了病理PES侵犯、放射学PES侵犯和HUDV之间的关系：测量 HUDV 来确定 PES 侵袭（74.3%）明显高于传统 CT 评估（59.5%）（p = 0.001）。传统 CT 评估与 HUDV 在 PES 受侵方面的一致性系数（kappa 值）为 0.673，被解释为 "良好"：结论：HUDV 可作为诊断喉癌会厌前间隙受侵的额外工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Can Hounsfield unit density value accurately predict prelaryngeal invasion in laryngeal carcinoma cases

Objective

The Hounsfield unit density value (HUDV) is a relative quantitative measurement of radio density used by radiologists in the interpretation of computed tomography (CT) images. Our aim is to investigate the role of HUDV in evaluating pre-epiglottic space (PES) involvement of laryngeal carcinoma.

Methods

Seventy-four patients treated for laryngeal carcinoma in our clinic between 2014 and 2019 were included in the study. The invasion status of PES was determined radiologically and pathologically. HUDV was measured with a circular selected region of interest, with a constant size of 10 mm² for PES. The relationship between patological PES invasion, radiological PES invasion, and HUDV was evaluated.

Results

Measuring HUDV to determine PES invasion (74.3 %) was significantly higher than conventional CT evaluation (59.5 %) (p = 0.001). The agreement coefficient (kappa value) of the conventional CT evaluation and the HUDV regarding PES involvement was 0.673, which was interpreted as ‘good’.

Conclusion

HUDV could be used as an additional tool in diagnosing pre-epiglottic space invasion in laryngeal cancer.

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.