Diffuse lung disease: Diagnostic accuracy of CT in patients undergoing surgical biopsy of the lung
Diffuse lung disease: Diagnostic accuracy of CT in patients undergoing surgical biopsy of the lung
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DOI：
10.1148/radiology.205.1.9314990
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发表时间：
1997-10-01
期刊：
影响因子：
19.7
通讯作者：
Myers, JL
中科院分区：
文献类型：
--
作者：
Swensen, SJ;Aughenbaugh, GL;Myers, JL
目得：为了确定是否有一个子集的患者进行手术活检弥漫性肺疾病，在其中准确的诊断可以与计算机断层扫描（CT）ONLY.MATERIALS和METHODS：两个胸部放射科回顾性审查了85例患者的CT扫描，其中弥漫性肺疾病的手术活检进行。在85例病例中，58例（68%）可获得薄层CT图像。一致认为，放射科医生列出了三个最有可能的诊断，以概率和评价他们的信心水平在第一choice.Results：85例弥漫性肺疾病的16种疾病之一。在79例（93%）病例中，正确的诊断是三种选择之一。54例（64%）患者的正确诊断是放射科医师的首选。在20例（24%）病例中，第一选择的置信度较高;所有20例病例均为慢性肺部疾病。在18（90%），这20例中，第一选择是正确的。结论：在一个子集的弥漫性肺疾病的患者进行手术活检，准确的诊断可以作出与CT表现。
PURPOSE: To determine if there is a subset of patients undergoing surgical biopsy for diffuse lung disease in whom accurate diagnosis can be made with computed tomography (CT) only.MATERIALS AND METHODS: Two chest radiologists retrospectively reviewed the CT scans of 85 patients in whom surgical biopsy for diffuse lung disease was performed. Thin-section CT images were available in 58 (68%) of the 85 cases. By consensus, the radiologists listed the three most likely diagnoses in order of probability and rated their level of confidence in the first choice.RESULTS: Each of 85 patients with diffuse lung disease had one of 16 diseases. In 79 (93%) cases, the correct diagnosis was one of the three choices. In 54 (64%) cases, the correct diagnosis was the radiologists' first choice. A high level of confidence in the first choice was reached in 20 (24%) cases; all 20 cases were forms of chronic lung disease. In 18 (90%) of these 20 cases, the first choice was correct.CONCLUSION: In a subset of patients with diffuse lung disease who undergo surgical biopsy, accurate diagnosis can be made with CT findings only.