15论著影像研究与医学应用2024年4月第8卷第7期能谱CT在卵巢肿瘤良恶性鉴别诊断中的应用观察及CT指标分析刘群星（菏泽市立医院CT室山东菏泽274000）ApplicationobservationandCTindexanalysisofenergyspectralCTforthedifferentialdiagnosisofbenignandmalignantovariantumorsLIUQunxingCTRoom,HezeMunicipalHospital,Heze,Shandong274000,China【Abstract】ObjectiveToexploretheapplicationvalueofenergyspectralcomputedtomography(CT)inthedifferentialdiagnosisofbenignandmalignantovariantumors,andanalyzeitsCTindicators.MethodsAtotalof85casesofovariantumorspatientsreceivedinHezeMunicipalHospitalfromJanuary2020toJanuary2022wereselected.AllpatientsunderwenthistopathologicalexaminationandenergyspectralCT.TheapplicationvalueofenergyspectralCTindifferentialdiagnosisofbenignandmalignantovariantumorswasanalyzedusingthehistopathologicalexaminationresultsasthegoldstandard.ResultsWithhistopathologicalexaminationresultsasthegoldstandard,malignanttumorsweredetectedin27of85cases.58patientswithbenignlesions;Theaccuracy,sensitivityandspecificityofenergyspectralCTindifferentialdiagnosisofbenignandmalignantovariancancerpatientswere91.76%,88.89%and93.10%.KappaanalysisshowedexcellentconsistencyindifferentialdiagnosisofovariancancerpatientswithenergyspectralCT(Kappa=0.812).Theslopeofspectralcurve(K)value,iodineconcentration(IC)valueandnormalizediodineconcentration(NIC)valueofmalignantovariancancerpatientswerelowerthanthoseofbenignpatients(P<0.05).ConclusionEnergyspectralCThasgoodvalueforthedifferentialdiagnosisofbenignandmalignantovariantumors,andclinicaldifferentialdiagnosiscanbebasedonCTindicators.【Keywords】Ovariantumor;EnergyspectralCT;Histopathologicalexamination;CTindicator【摘要】目的：探析能谱计算机断层扫描（CT）检查在卵巢肿瘤良恶性鉴别诊断中的应用价值，并分析其CT指标。方法：选取2020年1月—2022年1月菏泽市立医院接收的卵巢肿瘤患者85例，所有患者均接受组织病理检查、能谱CT检查，并以组织病理检查结果作为金标准，分析能谱CT检查在卵巢肿瘤良恶性鉴别诊断中的应用价值。结果：以组织病理学检查结果作为金标准，85例卵巢肿瘤检...
