孤立性肺结节的影像学研究进展

王利伟; 王自正; 顾建平; 王丽萍; 王峰

孤立性肺结节的影像学研究进展

王利伟 , 王自正 , 顾建平 , 王丽萍 , 王峰

文章导航 > 国际放射医学核医学杂志 > 2005, 29 > 6: (248-251)

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孤立性肺结节的影像学研究进展

1. 210006 南京, 南京医科大学附属南京第一医院放射科;
2. 210006 南京, 南京医科大学附属南京第一医院核医学中心
中图分类号: R814.4;R817.4

The development in imaging of the solitary pulmonary nodules

1. Department of Radiology, Nartjing First Hospital, Nanjing Medical University, Nanjing 210006, China;
2. Department of Nuclear Medcine, Nartjing First Hospital, Nanjing Medical University, Nanjing 210006, China
CLC number: R814.4;R817.4

摘要: 孤立性肺结节的鉴别诊断非常困难,在诊断不明确而手术切除的结节中约有一半是良性。可选择的检查方法较多且各有特点,CT是最有价值且应用最广泛的检查方法,CT导向穿刺活检假阳性极低,但有较高的假阴性。磁共振成像一般不用于孤立性肺结节的常规检查。PET有较好的敏感性和特异性,但价格昂贵,生长抑素受体显像的效果与¹⁸F-氟代脱氧葡萄糖PET相近,而且更廉价易得,应重视其应用。
- 肺结节 /
- 计算机体层成像 /
- 磁共振成像 /
- 正电子发射体层显像 /
- 生长抑素受体
Abstract: It is very difficult to differentiate correctly between the benign and malignant solitary pulmonary nodules. About half of the resected indefinite solitary pulmonary nodules are benign. The present available methods are many and each of them has its own strength and weakness. In almost of all patients CT is the optimal test. Transthoracic fine needle biopsy is invasive and has very low false positive and high false negative. MRI is currently not a regular workup. PET has high sensitivity and specificity with high costliness. Somatostatin receptor imaging is readily available and more cost-effective in comparison with ¹⁸F-FDG PET. The routine use of somatostatin receptor imaging should receive strong consideration.
- pulmonary nodule /
- computed tomography /
- magnetic resonance imaging /
- positron emission tomography /
- somatostatin receptor
本作品遵循Signature-Non-Commercial Use 4.0 International (CC BY-NC 4.0)协议

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孤立性肺结节的影像学研究进展

1. 210006 南京, 南京医科大学附属南京第一医院放射科;
2. 210006 南京, 南京医科大学附属南京第一医院核医学中心

收稿日期: 2005-04-06

关键词:

摘要: 孤立性肺结节的鉴别诊断非常困难,在诊断不明确而手术切除的结节中约有一半是良性。可选择的检查方法较多且各有特点,CT是最有价值且应用最广泛的检查方法,CT导向穿刺活检假阳性极低,但有较高的假阴性。磁共振成像一般不用于孤立性肺结节的常规检查。PET有较好的敏感性和特异性,但价格昂贵,生长抑素受体显像的效果与¹⁸F-氟代脱氧葡萄糖PET相近,而且更廉价易得,应重视其应用。