Comparison of clinical diagnostic value of spiral CT with different dose in patients with early‑stage peripheral lung cancer

• Y. J. Sun ^[1] ; J. Lou ^[2] ; Q. L. Xu ^[3] ; Y. G. Xing ^[4] ; X. Z. Zhao ^[5] ; L. L. Zhao ^[6] ; X. N. Wang ^[7]
  1. [1] Department of Radiology, People’s Hospital of Rizhao, Rizhao 276826, People’s Republic of China
  2. [2] Department of General Surgery Ward, Jinan Zhangqiu District Hospital of TCM, Jinan 250200, People’s Republic of China
  3. [3] Health Care Ward, The People’s Hospital of Zhangqiu Area, Jinan 250200, People’s Republic of China
  4. [4] Department of Ultrasound, The People’s Hospital of Zhangqiu Area, Jinan 250200, People’s Republic of China
  5. [5] Pediatric Ward 2, The People’s Hospital of Zhangqiu Area, Jinan 250200, People’s Republic of China
  6. [6] Department of Respiratory Medicine, People’s Hospital of Rizhao, Rizhao 276826, People’s Republic of China
  7. [7] Department of Radiology, Qingdao No. 6 People’s Hospital, No. 9 Fushun Road, Qingdao 266033, People’s Republic of China

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• Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 23, Nº. 6, 2021, págs. 1128-1133
• Idioma: inglés
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• Resumen

  • PurposeTo compare the clinical diagnostic value of spiral CT scan with different dose in patients with early-stage peripheral lung cancer.MethodsA total of 163 cases of patients with early-stage peripheral lung cancer who came to People’s Hospital of Rizhao for treatment from June 2014 to January 2017 were retrospectively analyzed. A total of 78 cases of patients who received low-dose CT scanning were the low-dose group, another 84 cases of patients who received routine dose CT scanning were the routine dose group. Multislice helical CT (MSCT) scanning was performed in both groups, with tube voltage of 120 kV. Tube current was 25 m A in the low-dose group and 250 m A in the routine dose group. In addition, a total of 80 patients with lobar pneumonia were added as the control group of diagnostic sensitivity, specificity and accuracy. Pathological diagnosis was taken as the gold standard to compare the diagnostic sensitivity, specificity and accuracy of the two groups.ResultsThe image quality, nodules and signs of the two groups were compared, and the results of radiation dose of the two groups were compared. The diagnostic sensitivity, specificity and accuracy of the low-dose group were 82.05%, 87.50% and 84.81%, respectively. The diagnostic sensitivity, specificity and accuracy of the routine dose group were 85.71%, 86.25% and 85.97%, respectively. The diagnostic value of the two groups was not statistically significant (p > 0.05). However, the radiation dose in the low-dose group was significantly lower than that in the routine group.ConclusionLow-dose MSCT scanning can meet the clinical requirements for imaging diagnosis of peripheral lung cancer, and can reduce the radiation dose of patients.