摘要
目的了解我国PET/CT使用实际状况,为推广PET/CT提供数据。方法收集10家三甲医院PET/CT中心2006年6月-8月共3018例PET/CT受检者资料进行分析。结果(1)检查目的:诊断肿瘤、体格检查和其他目的的受检者构成比分别为63.0%,32.9%和4.1%。(2)诊断:PET/CT诊断恶性肿瘤的真阳性率93.5%;PET/CT为38.6%的单纯转移癌受检者找到原发灶;在病理检查结果为良性病变,但临床仍要求鉴别占位性病变良恶性的受检者中,PET/CT发现23.3%的受检查者有恶性肿瘤。(3)受检者个人情况:不同月收入受检者例数前3位的组内构成比:〉6000元者30.4%,4001~6000元者28.8%,2001~4000元者18.6%;不同医疗社会保障受检者例数前3位的组内构成比:自费医疗者55.6%,国家基本医疗保险者26.5%,公费医疗者11.4%;不同职业受检者例数前3位的组内构成比:机关事业单位工作人员21.9%,退休人员15.6%,企业领导11.8%;不同受教育程度受检者例数前3位的组内构成比:大学(含大专)48.2%,高中(含中专或技校)21.3%,初中13.8%。结论PET/CT在肿瘤学中有重要的临床应用价值。如何充分利用现有资源,充分发挥其效益是亟待解决的问题。
Objective The aim of this study was to analyze the current practical status of PET/CT application in China and for provision of data in support of promoting the utility of this imaging modality. Methods All 3018 PET/CT cases from 10 hospitals in the top 3 rankings were recruited in the data analysis from June to August, 2006. Results ( 1 ) Reason for referral : the proportions of patients referred for oncologic diagnosis, check-up and other reasons were 63.0% , 32.9% and 4. 1% , respectively. (2) Diagnosis: PET/CT had a 93.5% true positive value in diagnosing malignant tumors, 38.6% success rate in identifying the primary malignancy in patients presented with metastases, and 23.3% discovery rate of malignancy in patients with space-occupying lesions pathologically diagnosed as benign but clinically requested to differentiate between benignity and malignancy. (3) Patient data: the proportion of patients in the top 3 income groups (monthly) was: 〉 ¥ 6000, 30.4% ; ¥ 4001 - 6000, 28.8% ; and ¥ 2001 - 4000, 18. 6%. The proportion of patients in the top 3 medical insurance or security category: self-paid or uninsured, 55.6% ; national basic insurance scheme, 26.5% ; public paid fund, 11.4%. The top 3 groups of patients categorized according to profession were: departmental officials, 21.9% ; retiree, 15.6% ; company leaders, 11.8%. The top 3 groups according to level of education were: university (including college), 48.2% ; high school (including technical training schools), 21.3% ; primary school, 13.8%. Conclusions PET/ CT holds an essential clinical value in oncology. It is an utmost issue on how to fully utilize the existing resources with a purpose to achieve maximal benefit and return.
出处
《中华核医学杂志》
CAS
CSCD
北大核心
2008年第4期270-275,共6页
Chinese Journal of Nuclear Medicine
基金
2005年度国家软科学研究计划项目(2005DGS38041)