口腔颌面部恶性肿瘤SUVmax的诊断价值

发布时间：2018-06-06 16:20

  本文选题：口腔 + 肿瘤　； 参考：《实用医学杂志》2014年14期

【摘要】：目的:探讨SUVmax(maximum standardized uptake value)应用于口腔颌面部良恶性病变的诊断阈值及比较鳞癌、腺源性癌、肉瘤、结外型淋巴瘤之间SUVmax值的差异;方法:收集2009-2011年在解放军307医院行口腔颌面部病灶PET/CT(positron emission tomography-computed tomography)检查且有病理确诊的患者资料。SUVmax的良恶性诊断阈值采用ROC曲线分析;口腔面部鳞癌、腺源性癌、肉瘤、结外型淋巴瘤SUVmax值的差异比较采用t检验;结果:ROC曲线下面积为0.983,SUVmax值为2.00,灵敏度为1.00,SUVmax值为3.65,(1-特异度)为0.00。鳞癌腺源性、癌肉瘤、淋巴瘤的SUVmax值分别为10.45±4.61、9.84±7.48、9.58±5.77、14.71±9.24;鳞癌、腺源性癌、肉瘤、结外型淋巴瘤之间比较差异无统计学意义(P0.05);结论 :SUVmax值不能作为判断恶性肿瘤病理类型的依据;SUVmax≤2.00为良性病变诊断阈值,SUVmax≥3.65为恶性病变诊断阈值。
[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 卤4.61 卤9.84 卤7.48 卤9.58 卤5.77 卤14.71 卤9.24, respectively. There was no significant difference between the two types of lymphoma (P 0.05). Conclusion the ratio of: SUVmax 鈮，

本文编号：1987354