基于影像后处理系统的CT诊断技术在肺癌早期诊断和治疗中的价值。

IF 1.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
American journal of translational research Pub Date : 2024-12-15 eCollection Date: 2024-01-01 DOI:10.62347/VJSR2965
Wanling Li, Xuelan Zheng, Jishui Huang
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引用次数: 0

摘要

目的:评价基于舒坤影像后处理系统的CT诊断技术在肺癌早期筛查和诊断中的应用价值。方法:回顾性研究福建省医科大学第二附属医院胸心血管外科于2020年1月至2023年12月收治的35例术后确诊肺癌患者和53例良性结节患者。所有患者均行胸部螺旋CT检查。利用Shukun软件对原始薄层轴向CT图像进行处理,对病灶、周围肺组织、气管进行三维重建。根据最终影像学结果确定肺结节的诊断及恶性危险指标。结果:统计分析显示,与术后病理分析相比,舒坤处理技术诊断早期肺癌的敏感性为82.86%,特异性为88.46%。单因素logistic回归分析显示,由舒堃处理得出的毛刺征、分叶征、胸膜牵拉征、血管会聚征、空泡征、结节大小等特征对恶性结节具有显著的预测价值(p)。舒坤处理技术可以有效地将普通CT断层图像重建为三维表示,增强肿瘤与邻近解剖结构(包括气管、胸膜、支气管、血管)空间关系的可视化。对恶性肺结节的早期诊断有很高的临床诊断价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Value of CT diagnostic techniques based on imaging post-processing systems in the early diagnosis and treatment of lung cancer.

Objective: To evaluate the application value of CT diagnostic technology based on the Shukun Imaging Post-Processing System for early screening and diagnosis of lung cancer.

Methods: A total of 35 patients diagnosed with lung cancer postoperatively and 53 patients with benign nodules were included in this retrospective study, all of whom were treated in the Department of Thoracic and Cardiovascular Surgery of the Second Affiliated Hospital of Fujian Medical University from January 2020 to December 2023. All patients underwent chest spiral CT examinations. Original thin-slice axial CT images were processed using Shukun software for three-dimensional reconstruction of the lesions, surrounding lung tissue, and trachea. The diagnoses and malignant risk indicators of pulmonary nodules were established based on the final imaging results.

Results: Statistical analysis showed that the sensitivity of Shukun processing technology in diagnosing early-stage lung cancer was 82.86%, with a specificity of 88.46%, when compared to postoperative pathological analysis. Univariate logistic regression analysis indicated that features such as burr sign, lobulation sign, pleural traction sign, vascular convergence sign, vacuole sign, and nodule size derived from Shukun processing had significant predictive value for malignant nodules (P<0.05).

Conclusion: Shukun processing technology can effectively reconstruct ordinary CT tomographic images into three-dimensional representations, enhancing the visualization of spatial relationships between the tumor and adjacent anatomical structures, including trachea, pleura, bronchi, and blood vessels. It has high clinical diagnostic value for the early diagnosis of malignant pulmonary nodules.

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来源期刊
American journal of translational research
American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
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