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《Chinese Journal of Medical Imaging Technology》 2005-01
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Standardized uptake value and influencing factors in diagnosis of lung neoplasms and its effect agents

KONG Ling shan *, LIU Jing, QIN Jie, XIE Ming xuan, ZHANG Zhi feng, PAN Wen zhou(PET Center of Changhai Hospital, the Second Military Medical University, Shanghai 200433, China)  
Objective To investigate the diagnostic value of standardized uptake value (SUV) of lung neoplasms, and to discuss relative affected factors such as pathological types and lesions sizes. Methods 18 F FDG PET was performed on 48 patients with lung occupying lesions and 20 normal subjects. All patients had results of pathology or follow up (6 months to 3 years) for analysis. Results There were significant differences of SUV among lung cancer group, lung benign lesion group and normal group each other ( P 0.05). Lung cancer group had the highest average value of SUV, but normal group had the lowest one. Combined with other clinical materials, the sensitivity of PET on lung neoplasms was 93.62%, the specificity was 77.08%, the positive predictive value was 83.02% and the negative predictive value was 82.35%. There was no significant difference of SUV between adenocarcinoma and squamous carcinoma ( P 0.01). There were significant differences of SUV between group with 2.0 cm lesion and groups with ≥2.0 cm lesion ( P 0.01). Lesion size and SUV had positive correlation (correlation coefficient: 0.70). Conclusion Taking SUVmax 2.5 as threshold, benign and malignant lung occupying lesions can be differentiated effectively. Lesion size is an important affecting factors of SUV.
【CateGory Index】: R817
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