Dual-source CT energy parameters in qualitative diagnosis of metastatic cervical lymph nodes after surgical resection of papillary thyroid carcinoma
10.13929/j.1003-3289.201808147
- Author:
Youyou GUO
1
Author Information
1. Department of Radiology, the First Affiliated Hospital of Chongqing Medical University
- Publication Type:Journal Article
- Keywords:
Lymph nodes;
Neck;
Spectral imaging;
Thyroid neoplasms;
Tomography, X-ray computed
- From:
Chinese Journal of Medical Imaging Technology
2019;35(5):669-972
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the diagnostic value of dual-source CT energy parameters in qualitative diagnosis of metastatic cervical lymph nodes after surgical resection of thyroid papillary carcinoma (PTC). Methods Totally 30 postoperative PTC patients with 74 enlarged cervical lymph nodes were enrolled, including 49 metastatic lymph nodes (metastatic group) and 25 non metastasis lymph nodes (non-metastatic group). In addition, 30 cases with benign enlarged cervical lymph nodes were taken as benign group. All subjects underwent dual-source CT scanning. The iodine concentration value of nonenhanced phase (ICNP), arterial phase (ICAP) and venous phase (ICVP), normalized iodine concentration (NIC) and slope of energy spectrum curve (K) were detected and compared among 3 groups. Results: There were significant differences in ICNP, ICAP, ICVP, NIC and K among 3 groups (all P<0.05). ICNP in metastatic group was lower than that in non-metastatic group and benign group (both P<0.05), while ICAP, NIC and K were higher than those in non-metastatic group and benign group (all P<0.05). No significant difference was found in ICNP, ICAP, ICVP, NIC and K between non-metastatic group nor benign hyperplasia group (all P>0.05). Conclusion: Dual-source CT energy parameters can be used to qualitatively diagnose cervical enlarged lymph nodes after surgical resection of PTC.
