Journal of Oral Science Research ›› 2022, Vol. 38 ›› Issue (12): 1134-1138.DOI: 10.13701/j.cnki.kqyxyj.2022.12.007

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Predictive Analysis of MDCT Combined with CTA Visualization in Diagnosis of Parotid Tumor

ZHANG Wenxin1, Pakezhati·SEYI TI1, WANG Tiemei1*, LIU Shu1, ZHANG Lei2, Sun Guowen3   

  1. 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:2022-05-15 Online:2022-12-28 Published:2022-12-26

Abstract: Objective: To predict and analyze the value of MDCT enhancement combined with CTA visualization in distinguishing benign and malignant tumors of parotid gland. Methods: The clinical and imaging features and indexes of 35 cases of parotid tumors with complete data were analyzed retrospectively. The pathological results were used as the golden standard for diagnosis. The sensitivity and specificity of MDCT plain scan and enhancement combined with CTA visualization in the qualitative diagnosis of parotid tumors were evaluated, and the ROC curve was drawn to analyze and evaluate the efficiency. Results: Lymph node enlargement and recurrence were independent predictors of tumor malignancy. ROC curve analysis showed that the AUC of recurrent history, lymph node enlargement, and net enhancement in venous phase were 0.76, 0.70, and 0.95, the sensitivity were 0.57, 0.62, and 0.95, and the specificity were 0.94, 0.78, and 0.89, respectively. Conclusion: MDCT combined with CTA visualization technique has certain advantages in predicting benign and malignant parotid tumors before operation, and has certain guiding significance for clinical treatment.

Key words: parotid gland tumor, multi-detector spiral computed tomography, CT angiography visualization technology, analysis and prediction