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口腔頜面部惡性腫瘤SUVmax的診斷價值

發(fā)布時間:2018-06-06 16:20

  本文選題:口腔 + 腫瘤; 參考:《實用醫(yī)學雜志》2014年14期


【摘要】:目的:探討SUVmax(maximum standardized uptake value)應用于口腔頜面部良惡性病變的診斷閾值及比較鱗癌、腺源性癌、肉瘤、結(jié)外型淋巴瘤之間SUVmax值的差異;方法:收集2009-2011年在解放軍307醫(yī)院行口腔頜面部病灶PET/CT(positron emission tomography-computed tomography)檢查且有病理確診的患者資料。SUVmax的良惡性診斷閾值采用ROC曲線分析;口腔面部鱗癌、腺源性癌、肉瘤、結(jié)外型淋巴瘤SUVmax值的差異比較采用t檢驗;結(jié)果:ROC曲線下面積為0.983,SUVmax值為2.00,靈敏度為1.00,SUVmax值為3.65,(1-特異度)為0.00。鱗癌腺源性、癌肉瘤、淋巴瘤的SUVmax值分別為10.45±4.61、9.84±7.48、9.58±5.77、14.71±9.24;鱗癌、腺源性癌、肉瘤、結(jié)外型淋巴瘤之間比較差異無統(tǒng)計學意義(P0.05);結(jié)論 :SUVmax值不能作為判斷惡性腫瘤病理類型的依據(jù);SUVmax≤2.00為良性病變診斷閾值,SUVmax≥3.65為惡性病變診斷閾值。
[Abstract]:Objective: to investigate the diagnostic threshold of standardized uptake value) in benign and malignant lesions of oral and maxillofacial region and the difference of SUVmax value between squamous cell carcinoma, adenogenic carcinoma, sarcoma and nodal lymphoma. Methods: the threshold value of benign and malignant diagnosis of PET / CTpositron emission tomography-computed tomographywas collected from 2009 to 2011 in PLA 307 Hospital, and the diagnostic threshold of SUVmax was analyzed by ROC curve, oral and facial squamous cell carcinoma, adenogenic carcinoma, sarcoma, oral and facial squamous cell carcinoma, adenogenic carcinoma, sarcoma, T test was used to compare the SUVmax value of nodal lymphoma. Results the area under the 1: ROC curve was 2. 00, the sensitivity was 1. 00 and the SUVmax value was 3. 65%. The SUVmax values of adenogenic, carcinosarcoma and lymphoma in squamous cell carcinoma were 10.45 鹵4.61 鹵9.84 鹵7.48 鹵9.58 鹵5.77 鹵14.71 鹵9.24, respectively. There was no significant difference between the two types of lymphoma (P 0.05). Conclusion the ratio of: SUVmax 鈮,

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