状腺瘤的MRI和CT成像特征与错误负的细针吸收
Hyun Jee Lee1, Hee Jin Kang1, Jong Hwan Lee1
1Department of Otolaryngology Head & Neck Surgery, Kyung Hee University School of Medicine, Kyung Hee University Medical Center, Seoul, Korea.
Head & face medicine
|October 27, 2024
概括
术前成像,包括MRI和CT扫描,有助于区分腺瘤. 像不规则的形状和入侵等成像特征可以预测恶性瘤,即使是良性细针吸收 (FNA) 结果.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 在手术前区分良性和恶性腺瘤是具有挑战性的.
- 磁共振成像 (MRI) 和计算机断层扫描 (CT) 是关键的成像方式.
- 关于超声导向细针吸收 (FNA) 对状体质的诊断准确性仍在争论中.
研究的目的:
- 评估手术前成像与FNA结合用于腺瘤的作用.
- 识别状腺瘤中恶性瘤的成像预测因子,特别是当FNA结果不确切或假负时.
主要方法:
- 对347名患有腺瘤的患者进行了回顾性分析,这些患者接受了FNA和手术前成像 (CT或MRI).
- 2008年1月至2023年5月期间从两个中心收集的数据.
- 手术和组织病理学的结果与FNA和成像发现进行了比较.
主要成果:
- 精细针吸收 (FNA) 显示了92%的良性和3%的恶性诊断,错误阴性率为10.6%.
- 最终的组织病理学证实87%的良性病变和13%的恶性病变.
- 在多变量分析中,不规则的形状 (OR 3.06) 和入侵 (OR 12.73) 是恶性瘤的独立预测因素.
结论:
- 手术前的成像特征,特别是不规则的形状和入侵,是恶性瘤的有价值指标.
- 这些成像特征可以表明恶性瘤,即使FNA产生良性或不满意的结果.
- 将成像检测结果与FNA整合起来,可以改善腺瘤的术前诊断.
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