目的 探讨18F-FDG PET/CT最大标准摄取值(SUVmax)在非小细胞肺癌(NSCLC)中的适宜诊断界值.资料与方法 102例行胸部或全身PET/CT检查并经支气管内镜病理、肿块穿刺细胞学检查、术后病理确诊证实的肺部良、恶性病变患者,根据Youden指数最大原则、误诊率与漏诊率同等重要原则、正确率最大原则寻找18F-FDG PET/CT SUVmax鉴别NSCLC与肺良性病变的适宜诊断标准.结果 18F-FDG PET/CT诊断NSCLC与肺良性病变时,Youden指数最大原则下的适宜诊断界值为S UVmax=2.8,误诊率与漏诊率同等重要原则下的适宜诊断界值为SUVmax=5.45,正确率最大原则下的适宜诊断界值为SUVmax=2.8.结论 SUVmax鉴别NSCLC与肺良性病变的适宜诊断标准为2.8.%Purpose To investigate the suitable cutoff value of maximum standardized uptake value (SUVmax) for diagnosing non-small cell lung cancer (NSCLC) using 18F-FDG PET/CT. Materials and Methods 102 patients with malignant or benign pulmonary lesions proved by pathology underwent PET/CT The suitable cutoff value of SUVmax for 18F-FDG PET/CT was determined to differentiate NSCLC from pulmonary benign lesions based on Youden's index maximum, rate of equal false positive and false negative and accuracy maximum principle. Results The optimal cutoff values of SUVmax were 2.8, 5,45 and 2.8, respectively according to the rule of Youden's index maximum, rate of equal false positive and false negative, and the accuracy maximum. Conclusion The optimal cutoff value of SUVmax to differentiate NSCLC from pulmonary benign lesions is 2.8.
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机译:目的:通过使用组织学结果作为参考标准,研究ELASTPQ测量对良性和恶性局灶性肝病变(FLLS)的鉴别诊断的价值。材料和方法:共有154名患者。对测量剪切波速度(SWS)的每个病变进行ELASTPQ测量。评估了FL1与周围肝脏的SWS和SWS比的差异,研究了切断值。接收器操作特征(ROC)曲线被绘制以评估诊断性能。组织学作为金标准通过患者的手术获得。结果:共有154例病变,包括129名(83.7%)恶性FLLS和25(16.3%)良性物质。 SWS的恶性和良性FLLS显着差异,2.77±0.68 m / s和1.57±0.55 m / s(p <0.05)。对于良性FLL的恶性为2.23±0.36,每个FL1与周围肝实质的SWS比为2.23±0.36(P <0.05)。差分诊断的切断值为SWS和SWS比率为2.06米/秒。结论:ELASTPQ测量提供了FLLS的可靠定量刚度信息,可能有助于恶性和良性FLL之间的差异诊断。