MDCT增强联合CTA复合多维技术在舌鳞状细胞癌评估中的诊断价值

doi:10.13701/j.cnki.kqyxyj.2023.03.012

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (3): 249-253.DOI: 10.13701/j.cnki.kqyxyj.2023.03.012

MDCT增强联合CTA复合多维技术在舌鳞状细胞癌评估中的诊断价值

张文欣¹, 林梓桐¹, 王铁梅^1*, 刘澍¹, 帕克扎提·色依提¹, 黄晓峰², 孙国文³

1.南京大学医学院附属口腔医院,南京市口腔医院口腔颌面医学影像科江苏南京 210008;
2.南京大学医学院附属口腔医院,南京市口腔医院口腔病理科江苏南京 210008;
3.南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科江苏南京 210008

收稿日期:2022-09-01 出版日期:2023-03-28 发布日期:2023-03-21
通讯作者: * 王铁梅,E-mail:tiemei106@263.net
作者简介:张文欣(1998~ ),女,江苏南京人,硕士在读,主要从事颌面医学影像学工作。
基金资助:
江苏省自然科学基金面上项目(编号:BK20150089);南京市科技发展计划(编号:201503038)

Diagnostic Value of MDCT Enhancement Combined with CTA Multidimensional Technique in the Evaluation of Tongue Squamous Cell Carcinoma

ZHANG Wenxin¹, LIN Zitong¹, WANG Tiemei^1*, LIU Shu¹, Pakezhati·SEYITI¹, HUANG Xiaofeng², SUN Guowen³

1. Department of Dentomaxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
2. Department of Oral Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
3. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China

Received:2022-09-01 Online:2023-03-28 Published:2023-03-21

摘要/Abstract

摘要： 目的: 验证多排螺旋CT(MDCT)增强联合CT血管成像(CTA)多维技术在舌鳞状细胞癌诊断中的应用价值。方法: 回顾性分析从2011年11月~2022年7月的44例舌鳞状细胞癌患者的影像学特征及指标,以病理检查结果作为诊断金标准,评价CT平扫及MDCT增强联合CTA多维技术对舌鳞状细胞癌定性、定量诊断的评估效能。结果: CT平扫对评估原发性舌鳞状细胞癌淋巴结转移的灵敏度及特异度分别为63.16%和55.56%,MDCT增强联合CTA多维技术的灵敏度及特异度分别为94.74%和55.56%。CT平扫对评估复发性舌鳞状细胞癌淋巴结转移的灵敏度及特异度均为50%,MDCT增强联合CTA多维技术的灵敏度及特异度分别为71.43%和66.67%。平扫时肿瘤面积及动、静脉期肿瘤面积与舌鳞状细胞癌淋巴结转移无显著相关。结论: MDCT增强联合CTA多维技术可用于舌鳞状细胞癌术前诊断与分期,对临床治疗方案制定具有一定指导意义。

关键词: 舌鳞状细胞癌, 多排螺旋CT, CT血管成像复合多维技术, 诊断价值

Abstract: Objective: To verify the application value of MDCT enhancement combined with CTA multidimensional technology in the diagnosis of tongue squamous cell carcinoma. Methods: The imaging features and indicators of 44 patients with tongue squamous cell carcinoma from November 2011 to July 2022 were retrospectively analyzed. The pathological results were used as the gold standard for diagnosis, and the evaluation efficacy of CT plain scan and MDCT enhancement combined with CTA multidimensional technology in the qualitative and quantitative diagnosis of tongue squamous cell carcinoma was evaluated. Results: The sensitivity and specificity of plain CT in the evaluation of lymph node metastasis of primary tongue squamous cell carcinoma were 63.16% and 55.56%, respectively. The sensitivity and specificity of MDCT enhancement combined with CTA multidimensional technique were 94.74% and 55.56%, respectively. The sensitivity and specificity of plain CT in the evaluation of lymph node metastasis of recurrent tongue squamous cell carcinoma were both 50%, and the sensitivity and specificity of MDCT enhancement combined with CTA multidimensional technique were 71.43% and 66.67%, respectively. There was no significant correlation between the tumor area at plain scan and the tumor area at arteriovenous stage and lymph node metastasis of tongue squamous cell carcinoma. Conclusion: MDCT enhancement combined with CTA can be used for preoperative diagnosis and staging of tongue squamous cell carcinoma, which has certain guiding significance for the development of clinical treatment plan.

Key words: tongue squamous cell carcinoma, multi-detector spiral computed tomography, CT angiography composite multidimensional technique, diagnostic value

张文欣, 林梓桐, 王铁梅, 刘澍, 帕克扎提·色依提, 黄晓峰, 孙国文. MDCT增强联合CTA复合多维技术在舌鳞状细胞癌评估中的诊断价值[J]. 口腔医学研究, 2023, 39(3): 249-253.

ZHANG Wenxin, LIN Zitong, WANG Tiemei, LIU Shu, Pakezhati·SEYITI, HUANG Xiaofeng, SUN Guowen. Diagnostic Value of MDCT Enhancement Combined with CTA Multidimensional Technique in the Evaluation of Tongue Squamous Cell Carcinoma[J]. Journal of Oral Science Research, 2023, 39(3): 249-253.

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MDCT增强联合CTA复合多维技术在舌鳞状细胞癌评估中的诊断价值

Diagnostic Value of MDCT Enhancement Combined with CTA Multidimensional Technique in the Evaluation of Tongue Squamous Cell Carcinoma

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