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中华胸部外科电子杂志 ›› 2024, Vol. 11 ›› Issue (02) : 120 -129. doi: 10.3877/cma.j.issn.2095-8773.2024.02.08

综述

CT影像组学在肺结节鉴别诊断中的价值
刘云泽1, 李宬润1, 任红1, 郭俊唐1, 刘阳1,()   
  1. 1. 100853 北京,中国人民解放军总医院研究生院,第一医学中心胸外科
  • 收稿日期:2024-02-07 修回日期:2024-03-07 接受日期:2024-03-22 出版日期:2024-05-28
  • 通信作者: 刘阳
  • 基金资助:
    北京市首都临床特色诊疗技术研究(Z221100007422124)

Value of CT radiomics in the differential diagnosis of lung nodules

Yunze Liu1, Chengrun Li1, Hong Ren1, Juntang Guo1, Yang Liu1,()   

  1. 1. Department of Thoracic Surgery, First Medical Centre, Graduate School, General Hospital of the Chinese People’s Liberation Army, Beijing 100853, China
  • Received:2024-02-07 Revised:2024-03-07 Accepted:2024-03-22 Published:2024-05-28
  • Corresponding author: Yang Liu
引用本文:

刘云泽, 李宬润, 任红, 郭俊唐, 刘阳. CT影像组学在肺结节鉴别诊断中的价值[J]. 中华胸部外科电子杂志, 2024, 11(02): 120-129.

Yunze Liu, Chengrun Li, Hong Ren, Juntang Guo, Yang Liu. Value of CT radiomics in the differential diagnosis of lung nodules[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2024, 11(02): 120-129.

"新冠后时代"到来,胸部CT的应用更加广泛,导致肺结节的检出率越来越高,不同种类结节的治疗和预后区别很大,所以准确鉴别诊断有重要意义。传统的临床特征和影像学对于结节的鉴别存在较高的差错率,而影像组学的研究在近十年内迅速兴起,通过计算机挖掘影像中的高通量数据来辅助临床决策,提高了诊断效能,使得患者获益。本文综述了CT影像组学概述及其在肺结节鉴别诊断中的价值,并且讨论了其优势、挑战和不足,展望了未来影像组学的发展方向。

In the post-COVID era, the application of chest CT has become increasingly widespread, leading to a higher detection rate of pulmonary nodules. Given the substantial variability in treatment and prognosis among different types of nodules, accurate identification and diagnosis are of paramount importance. Traditional clinical features and radiographic assessments for nodule differentiation still bear a significant risk of error. However, the field of radiomics has emerged in the past decade, utilizing computer algorithms to seek high-throughput data from images to aid clinical decision-making, thus enhancing diagnostic efficacy and benefiting patients. This article presents an overview of CT radiomics and its value in the differential diagnosis of pulmonary nodules. It also discusses the advantages, challenges, and limitations of this approach and looks forward to the future directions in the development of radiomics.

图1 影像组学流程简图
表1 CT影像组学对于肺结节诊断治疗价值汇总表
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