{"id":27858,"date":"2024-03-27T08:01:26","date_gmt":"2024-03-27T08:01:26","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=27858"},"modified":"2024-03-27T08:01:26","modified_gmt":"2024-03-27T08:01:26","slug":"%e3%80%90%e4%b8%93%e5%ae%b6%e8%ae%ba%e5%9d%9b%e3%80%91%e8%82%ba%e9%83%a8%e5%bd%b1%e5%83%8f%e6%8a%a5%e5%91%8a%e5%92%8c%e6%95%b0%e6%8d%ae%e7%b3%bb%e7%bb%9f2022%e7%89%88%e6%9b%b4%e6%96%b0%e8%a7%a3","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=27858","title":{"rendered":"\u3010\u4e13\u5bb6\u8bba\u575b\u3011\u80ba\u90e8\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edf2022\u7248\u66f4\u65b0\u89e3\u8bfb"},"content":{"rendered":"<\/p>\n

\u6587\u7ae0\u6765\u6e90\uff1a\u4e2d\u534e\u653e\u5c04\u5b66\u6742\u5fd7, 2023,57(09)\uff1a948-954.<\/p>\n

\u4f5c\u8005\uff1a\u6768\u5029 \u9648\u957f\u6625 \u5218\u7389\u6797 \u5415\u53d1\u91d1 \u5b8b\u98de\u9e4f<\/p>\n

\u901a\u4fe1\u4f5c\u8005\uff1a\u5b8b\u98de\u9e4f\uff0cEmail\uff1a630075359@qq.com<\/p>\n

\u6458\u8981  <\/p>\n

\u80ba\u90e8\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edf\uff08Lung-RADS\uff09\u662f\u7531\u7f8e\u56fd\u653e\u5c04\u5b66\u9662\uff08ACR\uff09\u53d1\u5e03\u7684\u80ba\u7ed3\u8282\u7b5b\u67e5\u5206\u7c7b\u7cfb\u7edf\u3002\u81ea2014\u5e74\u7b2c1\u7248Lung-RADS
\n 1.0\u53d1\u5e03\u4ee5\u6765\uff0cACR\u5206\u522b\u4e8e2019\u53ca2022\u5e74\u5bf9\u8be5\u7cfb\u7edf\u8fdb\u884c\u4e86\u66f4\u65b0\u3002Lung-RADS
\n2022\u7248\u66f4\u65b0\u7684\u4e3b\u8981\u5185\u5bb9\u5305\u62ec\uff1a\u589e\u52a0\u4e86\u80f8\u819c\u65c1\u7ed3\u8282\u3001\u6c14\u7ba1\u5185\u7ed3\u8282\u3001\u975e\u5178\u578b\u80ba\u56ca\u80bf\u3001\u7591\u4f3c\u611f\u67d3\u6216\u708e\u75c7\u53d1\u73b0\u7684\u4e13\u95e8\u5206\u7c7b\uff1b\u589e\u52a0\u4e86\u751f\u957f\u3001S\u4fee\u9970\u8bcd\u7684\u5b9a\u4e49\u53ca\u751f\u957f\u7f13\u6162\u7684\u5b9e\u6027\u3001\u90e8\u5206\u5b9e\u6027\u4ee5\u53ca\u78e8\u73bb\u7483\u7ed3\u8282\u7684\u5b9a\u4e49\u548c\u7ba1\u7406\u6307\u5bfc\uff1b\u63d0\u51fa\u4e86\u80ba\u7ed3\u8282\u7ba1\u7406\u5e94\u6ce8\u610f\u968f\u8bbf\u68c0\u67e5\u65f6\u95f4\uff1b\u5bf9Lung-RADS<\/p>\n

3\u7c7b\u548c4A\u7c7b\u7ed3\u8282\u7684\u7ba1\u7406\u4f5c\u4e86\u8c03\u6574\uff1b\u5220\u9664\u4e86\u201c\u6076\u6027\u80bf\u7624\u98ce\u9669\u201d\u4e00\u680f\uff1b\u6269\u5145\u4e86\u9644\u5f55\u5185\u5bb9\uff0c\u5e76\u5bf9\u8fd9\u4e9b\u53d8\u5316\u4f5c\u51fa\u4e86\u76f8\u5e94\u6ce8\u91ca\u3002\u672c\u6587\u65e8\u5728\u5bf9\u4ee5\u4e0a\u66f4\u65b0\u5185\u5bb9\u4f5c\u8fdb\u4e00\u6b65\u7684\u89e3\u8bfb\u548c\u8ba8\u8bba\uff0c\u5e76\u9644\u90e8\u5206\u5178\u578bCT\u56fe\u50cf\u4fbf\u4e8e\u7406\u89e3\u3002<\/p>\n

\u968f\u7740\u533b\u5b66\u5f71\u50cf\u8bbe\u5907\u548c\u6280\u672f\u7684\u5feb\u901f\u53d1\u5c55\uff0c\u5173\u4e8e\u4eba\u5de5\u667a\u80fd\u548c\u673a\u5668\u5b66\u4e60\u5e94\u7528\u4e8e\u75be\u75c5\u68c0\u51fa\u7684\u7814\u7a76\u5c42\u51fa\u4e0d\u7a77\uff0c\u4eba\u7fa4\u4e2d\u80ba\u7ed3\u8282\u7684\u68c0\u51fa\u7387\u660e\u663e\u589e\u9ad8\uff0c\u5355\u7eaf\u4f9d\u9760\u653e\u5c04\u79d1\u533b\u5e08\u7684\u4e2a\u4eba\u7ecf\u9a8c\u5bf9\u80ba\u7ed3\u8282\u8fdb\u884c\u8bca\u65ad\u53ef\u80fd\u5b58\u5728\u8f83\u5927\u7684\u504f\u5dee\u3002\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\uff0c\u5f88\u591a\u80ba\u7ed3\u8282\u90fd\u96be\u4ee5\u786e\u5b9a\u5176\u826f\u6076\u6027\uff0c\u5bf9\u4e8e\u5982\u4f55\u6b63\u786e\u89e3\u8bfb\u80f8\u90e8\u4f4e\u5242\u91cfCT\uff08low-dose
\n CT\uff0cLDCT\uff09\u7b5b\u67e5\u7684\u80ba\u7ed3\u8282\u5f71\u50cf\uff0c\u5e76\u5bf9\u5176\u8fdb\u884c\u6b63\u786e\u5206\u7c7b\u548c\u5904\u7406\uff0c\u5c24\u5176\u662f\u786e\u5b9a\u5408\u9002\u7684\u968f\u8bbf\u65f6\u95f4\uff0c\u662f\u80ba\u764c\u7b5b\u67e5\u7684\u5173\u952e\uff3b <\/sup>1 , 2 \uff3d<\/sup>\u30022014\u5e744\u6708\u7f8e\u56fd\u653e\u5c04\u5b66\u9662\uff08American
\n College of Radiology\uff0cACR\uff09\u53d1\u5e03\u4e86\u7b2c1\u7248\u7684\u80ba\u90e8\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edf\uff08lung imaging-report and
\ndata system\uff0cLung-RADS\uff09\uff0c\u76ee\u7684\u662f\u89c4\u8303\u5f71\u50cf\u62a5\u544a\uff0c\u4f7f\u5176\u80fd\u66f4\u597d\u5730\u670d\u52a1\u4e8e\u4e34\u5e8a\u53ca\u6559\u5b66\u79d1\u7814\u7684\u9700\u8981\uff3b <\/sup>3 , 4 \uff3d<\/sup>\u30022019\u5e747\u6708\uff0cACR\u53c8\u5728\u7b2c1\u7248\u7684\u57fa\u7840\u4e0a\u8fdb\u884c\u4e86\u4fee\u8ba2\uff0c\u53d1\u5e03\u4e86Lung-RADS 1.1\u7248\uff3b <\/sup>5 , 6 , 7 \uff3d<\/sup>\u3002Lung-RADS\u4e0e\u4e34\u5e8a\u5176\u4ed6\u6307\u5357\u4e00\u6837\uff0c\u662f\u4e00\u4e2a\u52a8\u6001\u53d8\u5316\u7684\u7cfb\u7edf\uff0cACR\u4f1a\u6839\u636e\u5f71\u50cf\u77e5\u8bc6\u7684\u66f4\u65b0\u79ef\u7d2f\u4ee5\u53ca\u4f7f\u7528\u8005\u7684\u7814\u7a76\u53cd\u9988\u8fdb\u884c\u76f8\u5e94\u7684\u4fee\u8ba2\u548c\u5185\u5bb9\u6269\u5145\u3002ACR\u4e8e2022\u5e7411\u6708\u53d1\u5e03\u4e86Lung-RADS 2022\u7248\uff3b <\/sup>8 \uff3d<\/sup>\uff08 \u88681 \uff09\uff0c\u672c\u6587\u5c31\u6b64\u7248\u7684\u66f4\u65b0\u5185\u5bb9\u8fdb\u884c\u8be6\u7ec6\u8bf4\u660e\u4e0e\u771f\u5b9e\u56fe\u4f8b\u6f14\u793a\uff0c\u4fbf\u4e8e\u56fd\u5185\u540c\u884c\u4e86\u89e3\u548c\u53c2\u8003\u3002<\/p>\n<\/p>\n

\u4e00\u3001\u589e\u52a0\u5bf9\u80f8\u819c\u65c1\u7ed3\u8282\u7684\u5206\u7c7b <\/p>\n

Lung-RADS
\n 2019\u7248\u57282\u7c7b\u7ed3\u8282\u4e2d\u5355\u72ec\u5217\u51fa\u4e86\u80ba\u88c2\u65c1\u7ed3\u8282\uff0c\u5e76\u5efa\u8bae\u5e73\u5747\u76f4\u5f84<10
\nmm\u4e14\u8fb9\u7f18\u5149\u6ed1\u3001\u5375\u5706\u5f62\u3001\u53cc\u51f8\u5f62\u6216\u4e09\u89d2\u5f62\u7684\u80ba\u88c2\u65c1\u5b9e\u6027\u7ed3\u8282\u5e94\u5b9a\u4e49\u4e3a2\u7c7b\u3002\u5728Lung-RADS
\n2022\u7248\u4e2d\u5c06\u5176\u6539\u79f0\u4e3a\u80f8\u819c\u65c1\u7ed3\u8282\uff0c\u4f9d\u7136\u5f52\u4e3a2\u7c7b\uff0c\u5206\u7c7b\u63cf\u8ff0\u4e3a\u57fa\u7ebf\u7b5b\u67e5\u6216\u65b0\u53d1\u7ed3\u8282\u76f4\u5f84<10 mm\uff08\u4f53\u79ef<524 mm3<\/sup>\uff09\u4e14\u5b9e\u6027\u3001\u8fb9\u7f18\u5149\u6ed1\u3001\u3b8b\u5706\u5f62\u3001\u53cc\u51f8\u5f62\u6216\u4e09\u89d2\u5f62\uff0c\u4e0e2019\u7248\u672c\u4e00\u81f4\u3002<\/p>\n

\u4e0eLung-RADS 2019\u7248\u7684\u5b9a\u4e49\u5bf9\u6bd4\uff0cLung-RADS 2022\u7248\u89c4\u5b9a\u7684\u80f8\u819c\u65c1\u8303\u56f4\u66f4\u5e7f\uff0c\u4e0d\u4ec5\u5c40\u9650\u4e8e\u53f6\u95f4\u88c210 mm\u5185\uff0c\u8fd8\u5305\u62ec\u5185\u5c42\u80f8\u819c\uff0c\u5982\u80ba\u88c2\u65c1\u7ed3\u8282\uff08 \u56fe1 \uff09\u3001\u808b\u80f8\u819c\u7ed3\u8282\uff08\u56fe2\uff09\u3001\u7eb5\u9694\u65c1\u7ed3\u8282\uff08\u56fe3\uff09\u548c\u8188\u65c1\u7ed3\u8282\uff08\u56fe4\uff09\uff3b <\/sup>9 \uff3d<\/sup>\u3002\u4e34\u5e8a\u5e94\u7528\u8fc7\u7a0b\u4e2d\uff0c\u9700\u6ce8\u610f\u5bf9\u80f8\u819c\u65c1\u7ed3\u8282\u5b9a\u4e49\u7684\u51c6\u786e\u628a\u63e1\uff0c\u9664\u7ed3\u8282\u5927\u5c0f\u548c\u7ed3\u8282\u4f4d\u7f6e\u6ee1\u8db3\u5176\u5b9a\u4e49\u4e2d\u7684\u8981\u6c42\u5916\uff0c\u7ed3\u8282\u6027\u8d28\uff08\u5b9e\u6027\uff09\u548c\u7ed3\u8282\u5f62\u72b6\u4ea6\u5fc5\u987b\u540c\u65f6\u6ee1\u8db3\uff0c\u4e5f\u5c31\u662f\u8bf4\u4ee5\u4e0a\u6761\u4ef6\u53ea\u8981\u67091\u9879\u4e0d\u7b26\u5408\u5b9a\u4e49\u5373\u4e0d\u80fd\u5224\u5b9a\u4e3a\u80f8\u819c\u65c1\u7ed3\u8282\u3002\u65e2\u5f80\u7814\u7a76\u62a5\u9053\uff0c\u5728\u80ba\u764c\u7b5b\u67e5\u4e2d\u7ea620%\u7684\u7ed3\u8282\u662f\u80f8\u819c\u65c1\u7ed3\u8282\uff0c\u5c5e\u4e8e\u826f\u6027\u7ed3\u8282\uff0c\u65e0\u9700\u968f\u8bbf\uff3b <\/sup>10 \uff3d<\/sup>\u3002Goo\uff3b <\/sup>9 \uff3d<\/sup>\u548cGodoy\uff3b <\/sup>10 \uff3d<\/sup>\u5bf9\u80f8\u819c\u65c1\u7ed3\u8282\u968f\u8bbf12\u4e2a\u6708\u540e\u53d1\u73b0\u5149\u6ed1\u6216\u80ba\u88c2\u9644\u7740\u7684\u76f4\u5f84\u4e3a5~10 mm\u7684\u7ed3\u8282\u4e2d\u672a\u53d1\u73b0\u764c\u53d8\u75c5\u7076\u3002\u53e6\u5916Fleischner\u6307\u5357\u4e2d\u5173\u4e8e\u5076\u53d1\u80ba\u7ed3\u8282\u7684\u7ba1\u7406\u5efa\u8bae\u4ea6\u4e0d\u63a8\u8350\u5bf9\u5177\u6709\u826f\u6027\u5f62\u6001\u7279\u5f81\u7684\u80f8\u819c\u65c1\u7ed3\u8282\u8fdb\u884c\u968f\u8bbf\u3002<\/p>\n<\/p>\n

\u56fe1~4 \u80ba\u90e8\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edf\uff08Lung-RADS\uff092\u7c7b\u80f8\u819c\u65c1\u7ed3\u8282CT\u56fe\u3002\u56fe1\u4e3a\u88c2\u65c1\u7ed3\u8282\uff08\u2191\uff09\uff0c\u56fe2\u4e3a\u808b\u80f8\u819c\u7ed3\u8282\uff08\u2191\uff09\uff0c\u56fe3\u4e3a\u7eb5\u9694\u65c1\u7ed3\u8282\uff08\u2191\uff09\uff0c\u56fe4\u4e3a\u8188\u65c1\u7ed3\u8282\uff08\u2191\uff09<\/p>\n

\u56fe5\uff0c6 \u53f3\u4fa7\u4e3b\u652f\u6c14\u7ba1\u5185\u7ed3\u8282\u7684CT\u56fe\u3002\u56fe5\u4e3a\u9996\u8bca\u53d1\u73b0\u53f3\u4fa7\u4e3b\u652f\u6c14\u7ba1\u5185\u7c7b\u5706\u5f62\u7ed3\u8282\uff08\u2191\uff09\uff0c\u8fb9\u7f18\u5149\u6ed1\uff0c\u5bc6\u5ea6\u5747\u5300\uff0cCT\u503c\u7ea610.7 HU\uff0c\u5448\u6db2\u6027\u5bc6\u5ea6\uff0c\u65e0\u8f6f\u7ec4\u7ec7\u6210\u5206\uff0c\u8003\u8651\u4e3a\u75f0\u6db2\uff0cLung-RADS\u5206\u7c7b\u4e3a2\u7c7b\uff1b\u56fe6\u4e3a2\u4e2a\u6708\u590d\u67e5CT\u7ed3\u8282\u6d88\u5931<\/p>\n

\u56fe7~9 \u5de6\u80ba\u4e0a\u53f6\u5c16\u540e\u6bb5\u652f\u6c14\u7ba1\u5185\u7ed3\u8282CT\u56fe\u3002\u56fe7\uff0c8\u5206\u522b\u4e3a\u80f8\u90e8CT\u80ba\u7a97\u6a2a\u65ad\u9762\u53ca\u77e2\u72b6\u9762\u793a\u5de6\u80ba\u4e0a\u53f6\u5c16\u540e\u6bb5\u652f\u6c14\u7ba1\u5185\u7ed3\u8282\uff08\u2191\uff09\uff0c\u5927\u5c0f\u7ea69.1
\n mm\u00d77.3
\nmm\uff0cLung-RADS\u5206\u7c7b\u4e3a4A\u7c7b\uff1b\u56fe9\u4e3a3\u4e2a\u6708\u540e\u590d\u67e5\u80f8\u90e8CT\u80ba\u7a97\u6a2a\u65ad\u9762\u793a\u5de6\u80ba\u4e0a\u53f6\u5c16\u540e\u6bb5\u652f\u6c14\u7ba1\u5185\u7ed3\u8282\u8f83\u524d\u7a0d\u589e\u5927\uff08\u2191\uff09\uff0c\u5927\u5c0f\u7ea610.3
\nmm\u00d78.0 mm\uff0cLung-RADS\u5206\u7c7b\u4e3a4B\u7c7b<\/p>\n

\u56fe10~12 \u975e\u5178\u578b\u80ba\u56ca\u80bf\u7684CT\u56fe\u3002\u56fe10\u663e\u793a\u53f3\u80ba\u4e0a\u53f6\u591a\u623f\u8584\u58c1\u56ca\u80bf\uff08\u2191\uff09\uff0c\u5927\u5c0f\u7ea630.0
\n mm\u00d728.6 mm\uff0cLung-RADS\u5206\u7c7b\u4e3a4A\u7c7b\uff1b\u56fe11\u663e\u793a\u53f3\u80ba\u4e0b\u53f6\u539a\u58c1\u56ca\u80bf\u4f34\u58c1\u7ed3\u8282\uff08\u2191\uff09\uff0c\u5927\u5c0f\u7ea627.1 mm\u00d723.3
\nmm\uff0cLung-RADS\u5206\u7c7b\u4e3a4B\u7c7b\uff1b\u56fe12\u663e\u793a\u53f3\u80ba\u4e0b\u53f6\u539a\u58c1\u56ca\u80bf\uff0c\u5927\u5c0f\u7ea619.5 mm\u00d713.3
\nmm\uff0c\u53ef\u89c1\u5206\u53f6\uff0c\u5b9e\u6027\u6210\u5206\u591a\u4e8e\u56ca\u6027\u6210\u5206\uff08\u2191\uff09\uff0c\u6309\u5b9e\u6027\u7ed3\u8282\u7ba1\u7406\uff0cLung-RADS\u5206\u7c7b\u4e3a4A\u7c7b<\/p>\n

\u4e8c\u3001\u589e\u52a0\u4e86\u6c14\u7ba1\u7ed3\u8282\u7684\u5206\u7c7b <\/p>\n

\u65b0\u589e\u6c14\u7ba1\u7ed3\u8282\u7684\u5206\u7c7b\u662fLung-RADS
\n 2022\u7248\u7b2c\u4e00\u5927\u4eae\u70b9\u3002\u57282019\u7248\u672c\u4e2d\uff0c\u5c06\u652f\u6c14\u7ba1\u5185\u7ed3\u8282\u5355\u72ec\u5f52\u4e3a4A\u7c7b\uff0c\u4e0d\u8bba\u5176\u5927\u5c0f\u6216\u7ed3\u8282\u6240\u5904\u6c14\u7ba1\u7684\u89e3\u5256\u4f4d\u7f6e\u3002\u800c\u6700\u65b0\u7684Lung-RADS
\n2022\u7248\u4e2d\u5219\u8fdb\u4e00\u6b65\u8fdb\u884c\u4e86\u7ec6\u5316\uff0c\u57282\u7c7b\u548c4\u7c7b\u4e2d\u589e\u52a0\u4e86\u6c14\u7ba1\u7ed3\u8282\u7684\u5b9a\u4e49\u3002\u65b0\u4fee\u8ba2\u7684\u6c14\u7ba1\u7ed3\u8282\u7684\u5206\u7c7b\u548c\u7ba1\u7406\u6807\u51c6\u53cd\u6620\u4e86\u4e00\u4e2a\u65b0\u7684\u6570\u636e\u53d8\u5316\uff0c\u5373\u5728\u80ba\u764c\u7b5b\u67e5\u65f6\u53d1\u73b0\u7684\u6c14\u7ba1\u75c5\u53d8\u589e\u52a0\u4e86\u764c\u75c7\u7684\u60a3\u75c5\u7387\u3002<\/p>\n

2022\u7248\u5c06\u6c14\u7ba1\u7ed3\u8282\u5206\u4e3a4\u79cd\uff1a\uff081\uff09\u4e9a\u8282\u6bb5\u548c\uff08\u6216\uff09\u591a\u53d1\u7ba1\u72b6\u652f\u6c14\u7ba1\u5185\u75c5\u53d8\u503e\u5411\u4e8e\u611f\u67d3\u6027\u75c5\u53d8\u8fdb\u7a0b\uff1b\u5982\u679c\u6ca1\u6709\u53d1\u73b0\u6f5c\u5728\u7684\u6897\u963b\u6027\u7ed3\u8282\uff0c\u8fd9\u4e9b\u75c5\u53d8\u53ef\u88ab\u5f52\u7c7b\u4e3aLung-RADS<\/p>\n

0\u7c7b\uff08\u53ef\u80fd\u662f\u611f\u67d3\u6027\u6216\u708e\u6027\uff09\u62162\u7c7b\uff08\u826f\u6027\uff09\u3002\uff082\uff09\u5728\u57fa\u7ebf\u7b5b\u67e5\u3001\u65b0\u53d1\u6216\u7a33\u5b9a\u5b58\u5728\u7684\u4e9a\u6bb5\u5185\u7ed3\u8282\u5f52\u4e3a2\u7c7b\u3002\u5305\u62ec\u4e9a\u6bb5\u5185\u7ed3\u8282\u6216\u4efb\u610f\u6c14\u7ba1\u5185\u7ed3\u8282\u4f34\u6709\u503e\u5411\u4e8e\u826f\u6027\u7684\u5f81\u8c61\uff0c\u5982\u7a7a\u6c14\u7684\u5b58\u5728\uff0c\u6b64\u7c7b\u7ed3\u8282\u5e38\u503e\u5411\u4e8e\u5206\u6ccc\u7269\uff1b\u6ca1\u6709\u8f6f\u7ec4\u7ec7\u6210\u5206\u7684\u7ed3\u8282\uff0c\u5177\u6709\u8fd9\u4e9b\u7279\u5f81\u7684\u7ed3\u8282\u88ab\u5f52\u4e3aLung-RADS
\n 2\u7c7b\uff08 \u56fe5 , 6 , 7 \uff09\u3002\uff083\uff09\u57fa\u7ebf\u7b5b\u67e5\u6216\u65b0\u53d1\u7ed3\u8282\uff0c\u4f4d\u4e8e\u6bb5\u53ca\u6bb5\u4ee5\u4e0a\u6c14\u7ba1\u5185\u6216\u652f\u6c14\u7ba1\u5185\uff0c\u5f52\u4e3aLung-RADS 4A\u7c7b\uff08\u56fe8\uff0c9\uff09\u3002\uff084\uff09\u57283\u4e2a\u6708\u7684LDCT\u968f\u8bbf\u4e2d\uff0c\u5982\u679c\u6bb5\u53ca\u6bb5\u4ee5\u4e0a\u6c14\u7ba1\u5185\u7ed3\u8282\u53734A\u7c7b\u7a33\u5b9a\u6216\u751f\u957f\uff0c\u5219\u5347\u7ea7\u4e3aLung-RADS 4B\u7c7b\uff08 \u56fe10 \uff09\uff0c\u5e76\u5efa\u8bae\u8fdb\u884c\u8fdb\u4e00\u6b65\u7684\u4e34\u5e8a\u8bc4\u4f30\uff08\u901a\u5e38\u662f\u652f\u6c14\u7ba1\u955c\u68c0\u67e5\uff09\u3002<\/p>\n

\u6c14\u7ba1\u80bf\u7624\u5f88\u7f55\u89c1\uff0c\u5176\u53d1\u75c5\u7387\u5360\u6240\u6709\u5668\u5b98\u80bf\u7624\u76840.4%\u3002\u5176\u4e2d\u539f\u53d1\u6027\u6c14\u7ba1\u80bf\u7624\u7684\u53d1\u75c5\u7387\u4ec5\u5360\u6240\u6709\u5668\u5b98\u80bf\u7624\u76840.1%\uff3b <\/sup>11 \uff3d<\/sup>\u3002\u65e9\u671f\u8bc6\u522b\u6c14\u7ba1\u75c5\u53d8\u81f3\u5173\u91cd\u8981\uff0c\u53ca\u65f6\u5e72\u9884\u80fd\u5c3d\u91cf\u51cf\u5c11\u76f8\u5173\u7684\u6c14\u7ba1\u635f\u4f24\u5e76\u53d1\u75c7\uff0c\u800c\u80f8\u90e8LDCT\u7b5b\u67e5\u80fd\u591f\u589e\u52a0\u6c14\u7ba1\u7ed3\u8282\u7684\u68c0\u51fa\u7387\uff3b <\/sup>12 \uff3d<\/sup>\u3002\u7f8e\u56fd\u56fd\u7acb\u7efc\u5408\u764c\u75c7\u7f51\u7edc\uff08National Comprehensive Cancer Network\uff0cNCCN\uff09\u6307\u5357\u5efa\u8bae\uff3b <\/sup>13 \uff3d<\/sup>\uff0c\u5982\u679c\u6c14\u7ba1\u7ed3\u8282\u4e00\u76f4\u5b58\u5728\uff0c\u90a3\u4e481\u4e2a\u6708\u540e\u9700\u968f\u8bbf\u884cLDCT\u68c0\u67e5\u5e76\u8fdb\u884c\u652f\u6c14\u7ba1\u955c\u68c0\u67e5\u3002\u97e9\u56fd\u7684\u7814\u7a76\u8005Kim\u7b49\uff3b <\/sup>12 \uff3d<\/sup>\u8bc4\u4f30\u4e86LDCT\u7b5b\u67e5\u5076\u53d1\u6c14\u7ba1\u7ed3\u8282\u5728\u4e34\u5e8a\u4e0a\u7684\u91cd\u8981\u6027\uff0c\u786e\u5b9a\u4e86CT\u968f\u8bbf\u7684\u4ef7\u503c\uff0c\u5e76\u8ba4\u4e3aLDCT\u662f\u7b5b\u67e5\u65e9\u671f\u652f\u6c14\u7ba1\u764c\u7684\u4e00\u79cd\u6709\u6548\u65b9\u6cd5\u3002<\/p>\n

\u7eb5\u89c2Lung-RADS<\/p>\n

2022\u5173\u4e8e\u6c14\u7ba1\u7ed3\u8282\u7684\u5206\u7c7b\u65b9\u6cd5\uff0c\u53d1\u73b0\u5176\u5bf9\u6b64\u7c7b\u7ed3\u8282\u7684\u8bc4\u4ef7\u6001\u5ea6\u5b58\u5728\u4e24\u4e2a\u6781\u7aef\uff0c\u8981\u4e48\u662f0\u7c7b\u62162\u7c7b\uff08\u826f\u6027\uff09\uff0c\u8981\u4e48\u662f4A\u7c7b\u548c4B\u7c7b\uff08\u53ef\u7591\u6216\u975e\u5e38\u53ef\u7591\uff09\uff0c\u800c\u5e76\u6ca1\u6709\u5904\u4e8e\u4e2d\u95f4\u201c\u8fc7\u6e21\u5730\u5e26\u201d\u76843\u7c7b\uff0c\u4e5f\u4e0d\u5b58\u5728\u5176\u4ed6\u79cd\u7c7b\u7ed3\u8282\u7684\u964d\u7ea7\u7b56\u7565\uff0c\u53cd\u800c\u662f\u6076\u6027\u53ef\u80fd\u6027\u53ea\u5347\u4e0d\u964d\uff084A\u5347\u7ea7\u52304B\uff09\u3002\u6b64\u6b21Lung-RADS
\n 2022\u7248\u4e2d\u501f\u9274\u4e86NCCN\u7684\u5efa\u8bae\uff0c\u589e\u52a0\u4e86\u6c14\u7ba1\u7ed3\u8282\uff0c\u4f53\u73b0\u4e86\u5b66\u8005\u5bf9\u5176\u91cd\u89c6\u7684\u7a0b\u5ea6\uff0c\u5e76\u4e14\u4f7f\u80ba\u7ed3\u8282\u7b5b\u67e5\u66f4\u52a0\u5b8c\u6574\u3002<\/p>\n

\u4e09\u3001\u589e\u52a0\u4e86\u975e\u5178\u578b\u80ba\u56ca\u80bf\u7684\u5206\u7c7b <\/p>\n

\u589e\u52a0\u4e86\u975e\u5178\u578b\u80ba\u56ca\u80bf\u8fd9\u4e00\u6982\u5ff5\u5e76\u5bf9\u5176\u8fdb\u884c\u5206\u7c7b\uff0c\u8fd9\u662fLung-RADS 2022\u7248\u7684\u53c8\u4e00\u5927\u4eae\u70b9\u3002\u5728Lung-RADS 3\u7c7b\u548c4\u7c7b\u4e2d\uff0c\u51fa\u73b0\u4e86\u975e\u5178\u578b\u80ba\u56ca\u80bf\u8fd9\u4e00\u65b0\u7c7b\u578b\u7ed3\u8282\u53ca\u5bf9\u5e94\u7684\u7ba1\u7406\u5efa\u8bae\u3002\u65e2\u5f80\u7814\u7a76\u8bc1\u5b9e\u4e0e\u80ba\u56ca\u80bf\u76f8\u5173\u7684\u80ba\u764c\u5e76\u4e0d\u7f55\u89c1\uff3b <\/sup>14 , 15 \uff3d<\/sup>\u3002\u56e0\u6b64Lung-RADS 2022\u7248\u4e2d\u5f15\u5165\u4e86\u975e\u5178\u578b\u80ba\u56ca\u80bf\u7684\u5206\u7c7b\u548c\u7ba1\u7406\u7684\u65b0\u6807\u51c6\uff0c\u8fd9\u4e5f\u7b26\u5408\u4e34\u5e8a\u5b9e\u8df5\u9700\u6c42\u3002<\/p>\n

\u5bf9\u4e8e\u975e\u5178\u578b\u80ba\u56ca\u80bf\u7684Lung-RADS\u5206\u7c7b\u5177\u4f53\u5b9a\u4e49\u5982\u4e0b\uff1a\uff081\uff09\u539a\u58c1\u56ca\u80bf\u7684\u56ca\u6027\u6210\u5206\uff08\u5e73\u5747\u76f4\u5f84\uff09\u589e\u52a0\uff0c\u5f52\u7c7b\u4e3aLung-RADS
\n 3\u7c7b\u3002\uff082\uff09\u57fa\u7ebf\u7b5b\u67e5\u65f6\u4e3a\u591a\u623f\u56ca\u80bf\uff08\u56fe11\uff09\u6216\u539a\u58c1\u56ca\u80bf\uff08\u58c1\u539a\u22652 mm\uff09\uff0c\u6216\u8584\u58c1\/\u539a\u58c1\u56ca\u80bf\u53d8\u4e3a\u591a\u623f\u56ca\u80bf\uff0c\u5f52\u7c7b\u4e3aLung-RADS
\n4A\u7c7b\u3002\uff083\uff09\u56ca\u58c1\u539a\u5ea6\u589e\u52a0\u6216\u5448\u7ed3\u8282\u72b6\u7684\u539a\u58c1\u56ca\u80bf\uff08\u56fe11\uff09\uff1b\u5e73\u5747\u76f4\u5f84\u589e\u52a0\u7684\u591a\u623f\u56ca\u80bf\uff1b\u591a\u623f\u6027\u56ca\u80bf\u7684\u623f\u8154\u589e\u591a\u6216\u65b0\u53d1\/\u589e\u591a\u7684\u4e0d\u900f\u5149\u5bc6\u5ea6\u5f71\uff08\u7ed3\u8282\u6027\u3001\u78e8\u73bb\u7483\u6216\u4e8c\u8005\u517c\u6709\uff09\uff0c\u5f52\u7c7b\u4e3aLung-RADS
\n 4B\u7c7b\u3002<\/p>\n

\u975e\u5178\u578b\u80ba\u56ca\u80bf\u7684\u5b9a\u4e49\u3001\u5206\u7c7b\u53ca\u7ba1\u7406\u63aa\u65bd\u5305\u62ec\uff1a\uff081\uff09\u8584\u58c1\u56ca\u80bf\u662f\u6307\u5355\u623f\u4e14\u56ca\u58c1\u539a\u8584\u5747\u5300\uff0c\u539a\u5ea6<2
\n mm\u3002\u8584\u58c1\u56ca\u80bf\u4e3a\u826f\u6027\u75c5\u53d8\uff0c\u4e0d\u4f7f\u7528Lung-RADS\u8fdb\u884c\u5206\u7c7b\u548c\u7ba1\u7406\u3002\uff082\uff09\u539a\u58c1\u56ca\u80bf\u662f\u6307\u5355\u623f\u4f34\u56ca\u58c1\u539a\u5ea6\u5747\u5300\u3001\u56ca\u58c1\u4e0d\u5bf9\u79f0\u589e\u539a\u6216\u7ed3\u8282\u6027\u56ca\u58c1\u589e\u539a\u22652
\nmm\uff08\u4ee5\u56ca\u6027\u6210\u5206\u4e3a\u4e3b\uff09\uff0c\u6309\u975e\u5178\u578b\u80ba\u56ca\u80bf\u8fdb\u884c\u7ba1\u7406\u3002\uff083\uff09\u591a\u623f\u56ca\u80bf\u662f\u6307\u539a\u58c1\u6216\u8584\u58c1\u56ca\u80bf\uff0c\u5185\u6709\u5206\u9694\uff0c\u6309\u975e\u5178\u578b\u80ba\u56ca\u80bf\u8fdb\u884c\u7ba1\u7406\u3002\uff084\uff09\u7a7a\u8154\u7ed3\u8282\u4ee5\u56ca\u58c1\u589e\u539a\u4e3a\u4e3b\u8981\u8868\u73b0\u65f6\u6309\u5b9e\u6027\u7ed3\u8282\uff08\u603b\u5e73\u5747\u76f4\u5f84\uff0c\u56fe12\uff09\u8fdb\u884c\u7ba1\u7406\u3002\uff085\uff09\u5bf9\u4e8e\u4f34\u6709\u76f8\u5173\u7ed3\u8282\u7684\u56ca\u80bf\u65f6\uff0c\u5f53\u4efb\u4f55\u56ca\u80bf\u6709\u76f8\u90bb\u7684\u5185\u90e8\uff08\u5185\u751f\uff09\u6216\u5916\u90e8\uff08\u5916\u751f\u6027\uff09\u7ed3\u8282\uff08\u5b9e\u6027\u3001\u90e8\u5206\u5b9e\u6027\u6216\u78e8\u73bb\u7483\uff09\u6309Lung-RADS\u6807\u51c6\u4e2d\u6700\u5173\u6ce8\u7684\u7279\u5f81\u8fdb\u884c\u7ba1\u7406\u3002\uff086\uff09\u975e\u5178\u578b\u80ba\u56ca\u80bf\u589e\u957f\u5b9a\u4e49\u4e3a12\u4e2a\u6708\u5185\uff0c\u7ed3\u8282\u5927\u5c0f\uff08\u5e73\u5747\u76f4\u5f84\uff09\u3001\u58c1\u539a\u548c\uff08\u6216\uff09\u56ca\u6027\u6210\u5206\u5927\u5c0f\uff08\u5e73\u5747\u76f4\u5f84\uff09\u589e\u52a01.5<\/p>\n

mm\u3002\uff087\uff09\u542b\u6709\u6db2\u4f53\u7684\u56ca\u80bf\u53ef\u80fd\u63d0\u793a\u4e00\u4e2a\u611f\u67d3\u7684\u8fc7\u7a0b\uff0c\u9664\u975e\u6709\u5176\u4ed6\u76f8\u5173\u56e0\u7d20\uff0c\u5426\u5219\u4e0d\u8fdb\u884cLung-RADS\u5206\u7c7b\u3002\uff088\uff09\u591a\u53d1\u6027\u56ca\u80bf\u53ef\u80fd\u63d0\u793a\u5176\u4ed6\u8bca\u65ad\uff0c\u5982\u80ba\u6717\u683c\u6c49\u65af\u7ec6\u80de\u7ec4\u7ec7\u7ec6\u80de\u589e\u591a\u75c7\u6216\u6dcb\u5df4\u7ba1\u5e73\u6ed1\u808c\u7624\u75c5\uff0c\u9664\u975e\u53d1\u73b0\u5176\u4ed6\u76f8\u5173\u7279\u5f81\uff0c\u5426\u5219\u4e0d\u7eb3\u5165Lung-RADS\u5206\u7c7b\uff3b <\/sup>16 \uff3d<\/sup>\u3002<\/p>\n

\u968f\u7740CT\u7684\u5e7f\u6cdb\u666e\u53ca\uff0c\u8d8a\u6765\u8d8a\u591a\u7684\u80ba\u90e8\u75be\u75c5\u88ab\u68c0\u51fa\uff0c\u9664\u4f20\u7edf\u7684CT\u8868\u73b0\u4e3a\u5b9e\u6027\u3001\u90e8\u5206\u5b9e\u6027\u4ee5\u53ca\u78e8\u73bb\u7483\u5bc6\u5ea6\u7684\u80ba\u7ed3\u8282\u5916\uff0c\u8fd8\u6709\u4e00\u79cd\u7279\u6b8a\u7c7b\u578b\u7684\u80ba\u764c\uff0c\u5f71\u50cf\u5b66\u4e0a\u8868\u73b0\u4e3a\u56ca\u6ce1\u72b6\u5f71\uff0c\u5bb9\u6613\u88ab\u8bef\u8ba4\u4e3a\u662f\u80ba\u5927\u75b1\u3002\u7136\u800c\u8fd9\u79cd\u7279\u6b8a\u7684\u80ba\u5927\u75b1\u6709\u53ef\u80fd\u662f\u56ca\u8154\u578b\u80ba\u764c\u3002\u56ca\u8154\u578b\u80ba\u764c\u662f\u4e00\u79cd\u4ee5\u8584\u58c1\u56ca\u8154\u4e3a\u4e3b\u8981\u8868\u73b0\u6216\u80ba\u764c\u5b9e\u6027\u75c5\u7076\u7ee7\u53d1\u56ca\u8154\u7684\u7279\u6b8a\u7c7b\u578b\u80ba\u764c\uff0c\u53d1\u75c5\u7387\u4f4e\uff0c\u5360\u80ba\u764c\u76841%~3.7%\uff3b <\/sup>14 , 15 \uff3d<\/sup>\u3002\u6b64\u7c7b\u578b\u80ba\u764c\u4e2d\u7ea62\/3\u7684\u60a3\u8005\u6709\u5438\u70df\u53f2\uff0c\u65e9\u671f\u8868\u73b0\u4e0d\u5178\u578b\uff0c\u4e34\u5e8a\u8868\u73b0\u7f3a\u4e4f\u7279\u5f02\u6027\uff0c\u90e8\u5206\u60a3\u8005\u4e8e\u4f53\u68c0\u5076\u7136\u53d1\u73b0\uff0c\u5176\u4ed6\u60a3\u8005\u53ef\u4f34\u6709\u54b3\u55fd\u3001\u80f8\u75db\u3001\u54af\u8840\u7b49\u547c\u5438\u7cfb\u7edf\u75c7\u72b6\uff0c\u6613\u8bef\u8bca\u6216\u6f0f\u8bca\u3002Lung-RADS
\n 2022\u7248\u7eb3\u5165\u542b\u6c14\u56ca\u6216\u7a7a\u6d1e\u7684\u75c5\u53d8\uff0c\u5176\u5b9e\u6b63\u662f\u9488\u5bf9\u6b64\u7c7b\u80ba\u764c\u7684\u7b5b\u67e5\uff0c\u8fd9\u4e5f\u4f7f\u5f97Lung-RADS 2022\u7248\u8f83\u65e2\u5f80\u4e24\u4e2a\u7248\u672c\u66f4\u52a0\u5b8c\u5584\u3002<\/p>\n

\u56db\u3001\u4fee\u6539\u4e86\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387 <\/p>\n

\u4e0eLung-RADS
\n 2019\u7248\u672c\u6bd4\u8f83\uff0c\u96640\u7c7b\u548cS\u7c7b\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387\u65e0\u53d8\u5316\u5916\uff08\u5206\u522b\u4e3a0~1%\u548c10%\uff09\uff0c\u5176\u4f59\u7c7b\u522b\u5747\u6709\u8f83\u5927\u8c03\u6574\u3002\u7b2c\u4e00\uff0cLung-RADS
\n1\u7c7b\u75312019\u7248\u672c\u4e2d\u76841\u7c7b\u548c2\u7c7b\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387\u517190%\u4fee\u6539\u4e3a1\u7c7b\u548c2\u7c7b\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387\u5206\u522b\u4e3a39%\u548c45%\uff1b\u7b2c\u4e8c\uff0cLung-RADS
\n3\u7c7b\u7684\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387\u75312019\u7248\u76845%\u4e0a\u5347\u4e3a9%\uff1b\u7b2c\u4e09\uff0c\u4e0e2019\u7248\u76f8\u6bd4\uff0cLung-RADS
\n4A\u5206\u7c7b\u7684\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387\u75312%\u4e0a\u5347\u4e3a4%\uff0c\u589e\u52a0\u4e861\u500d\uff1b\u7b2c\u56db\uff0cLung-RADS
\n4B\u7c7b\u57282019\u7248\u672c\u4e2d\u4e0e4X\u7c7b\u4e8c\u8005\u5408\u8ba1\u7684\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387\u4e3a2%\uff0c\u73b0\u5355\u72ec\u8c03\u65744B\u7c7b\u4e3a2%\uff1b\u800cLung-RADS 4X\u7c7b\u4f30\u8ba1\u7fa4\u4f53\u7f79\u60a3\u7387<1%\u3002<\/p>\n

\u4e0a\u8ff0\u53d8\u5316\u662fLung-RADS\u57fa\u4e8e\u5faa\u8bc1\u533b\u5b66\u7684\u65b9\u6cd5\u9002\u65f6\u8fdb\u884c\u4e86\u76f8\u5e94\u8c03\u6574\u3002\u6709\u7814\u7a76\u6307\u51fa\uff0c\u9996\u6b21CT\u7b5b\u67e5\u672a\u53d1\u73b0\u7ed3\u8282\u65f6\uff0c\u5176\u672a\u67652\u5e74\u5185\u7f79\u60a3\u80ba\u90e8\u6076\u6027\u80bf\u7624\u7684\u53ef\u80fd\u6027\u975e\u5e38\u4f4e\uff3b <\/sup>17 , 18 \uff3d<\/sup>\u3002\u4f46\u662f\u9700\u8981\u6ce8\u610f\u7684\u662f\u6b64\u7f79\u60a3\u7387\u5e94\u4ec5\u4f9b\u53c2\u8003\uff0c\u56e0\u4e3a\u4e0d\u540c\u56fd\u5bb6\u548c\u5730\u533a\u80ba\u7ed3\u8282\u7684\u7f79\u60a3\u7387\u53ef\u80fd\u4f1a\u5b58\u5728\u8f83\u5927\u7684\u5dee\u5f02\uff0c\u4e2d\u56fd\u4eba\u7fa4\u4e0d\u540c\u7c7b\u522b\u80ba\u7ed3\u8282\u7684\u7fa4\u4f53\u7f79\u60a3\u7387\u8fd8\u9700\u8981\u5b66\u8005\u8fdb\u884c\u76f8\u5e94\u7684\u7edf\u8ba1\u4e4b\u540e\u83b7\u5f97\u3002<\/p>\n

\u4e94\u3001\u91cd\u65b0\u5b9a\u4e49\u4e86\u589e\u957f<\/p>\n

Lung-RADS 2022\u7248\u7684\u9644\u5f55\u5e94\u7528\u8bf4\u660e\u91cd\u65b0\u5b9a\u4e49\u4e86\u589e\u957f\u7684\u6982\u5ff5\uff0c\u537312\u4e2a\u6708\u5185\u5e73\u5747\u76f4\u5f84\u589e\u59271.5 mm\uff08\u4f53\u79ef>2 mm3<\/sup>\uff09\u3002\u4e0e\u65e2\u5f80\u7248\u672c\u76f8\u6bd4\uff0c\u589e\u52a0\u4e86\u65f6\u95f4\u9650\u5236\uff0c\u5bf9\u968f\u8bbf\u65f6\u95f4\u7684\u7ba1\u7406\u66f4\u4e25\u683c\u3002<\/p>\n

Lung-RADS
\n 2022\u7248\u8865\u5145\u4e86\u7f13\u6162\u589e\u957f\u975e\u5b9e\u6027\uff08\u78e8\u73bb\u7483\uff09\u7ed3\u8282\u7684\u5b9a\u4e49\uff1a\u78e8\u73bb\u7483\u7ed3\u8282\u5728\u591a\u6b21\u7b5b\u67e5\u4e2d\u663e\u793a\u589e\u957f\uff0c\u4f46\u572812\u4e2a\u6708\u4efb\u4f55\u95f4\u9694\u5185\u5747\u672a\u8fbe\u5230>1.5
\nmm\u7684\u589e\u957f\u9608\u503c\uff0c\u53ef\u88ab\u5f52\u4e3aLung-RADS 2\u7c7b\uff0c\u76f4\u81f3\u8be5\u7ed3\u8282\u6ee1\u8db3\u53e6\u4e00\u5206\u7c7b\u7684\u5f81\u8c61\u6807\u51c6\uff0c\u5982\u5f62\u6210\u5b9e\u6027\u6210\u5206\uff0c\u6b64\u65f6\u5e94\u6309\u7167\u90e8\u5206\u5b9e\u6027\u7ed3\u8282\u7684\u6807\u51c6\u8fdb\u884c\u7ba1\u7406\u3002<\/p>\n

\u53e6\u5916\uff0cLung-RADS<\/p>\n

2022\u7248\u4e5f\u5bf9\u589e\u957f\u7f13\u6162\u7684\u5b9e\u6027\u6216\u90e8\u5206\u5b9e\u6027\u7ed3\u8282\u8fdb\u884c\u4e86\u660e\u786e\uff1a\u4e0e\u78e8\u73bb\u7483\u7ed3\u8282\u7c7b\u4f3c\uff0c\u7f13\u6162\u589e\u957f\u662f\u6307\u5b9e\u6027\u6216\u90e8\u5206\u5b9e\u6027\u7ed3\u8282\u5728\u591a\u6b21\u7b5b\u67e5\u4e2d\u663e\u793a\u589e\u957f\uff0c\u4f46\u572812\u4e2a\u6708\u4efb\u4f55\u95f4\u9694\u5185\u5747\u672a\u8fbe\u5230>1.5
\n mm\u7684\u589e\u957f\u9608\u503c\uff0c\u53ef\u88ab\u5206\u7c7b\u4e3aLung-RADS
\n4B\u7c7b\u3002PET\/CT\u4e0a\u751f\u957f\u7f13\u6162\u7684\u7ed3\u8282\u53ef\u80fd\u4e0d\u4f1a\u663e\u793a\u4ee3\u8c22\u6d3b\u6027\u589e\u52a0\u3002\u56e0\u6b64\uff0c\u5728\u53ef\u884c\u7684\u524d\u63d0\u4e0b\u884c\u6d3b\u4f53\u7ec4\u7ec7\u68c0\u67e5\u6216\u624b\u672f\u5207\u9664\u8bc4\u4f30\u53ef\u80fd\u662f\u6700\u5408\u9002\u7684\u6cbb\u7597\u5efa\u8bae\u3002<\/p>\n

\u516d\u3001\u5bf9Lung-RADS 0\u7c7b\u8fdb\u884c\u4e86\u589e\u8865 <\/p>\n

\u5728Lung-RADS<\/p>\n

2022\u7248\u4e2d\u5bf90\u7c7b\u6240\u5305\u542b\u7684\u5f81\u8c61\u8fdb\u884c\u4e86\u589e\u8865\uff0c\u5373\u5f71\u50cf\u5b66\u8868\u73b0\u7591\u4f3c\u611f\u67d3\u6216\u708e\u75c7\u3002\u540c\u65f6\u5bf9\u6b64\u5b9a\u4e49\u4ea6\u8fdb\u884c\u4e86\u8be6\u7ec6\u7684\u63cf\u8ff0\u548c\u7ba1\u7406\u5efa\u8bae\uff0c\u5177\u4f53\u5305\u62ec\uff1a\uff081\uff09\u80ba\u90e8\u5f71\u50cf\u5b66\u8868\u73b0\u63d0\u793a\u4e0d\u786e\u5b9a\u611f\u67d3\u6216\u708e\u75c7\u8fc7\u7a0b\u65f6\uff0c\u5efa\u8bae\u8fdb\u884c1~3\u4e2a\u6708\u7684LDCT\u968f\u8bbf\uff0c\u5f52\u4e3aLung-RADS
\n 0\u7c7b\u3002\u8fd9\u4e9b\u5f81\u8c61\u53ef\u80fd\u5305\u62ec\u8282\u6bb5\u6027\u6216\u5927\u53f6\u6027\u5b9e\u53d8\u3001\u591a\u4e2a\u65b0\u53d1\u7ed3\u8282\uff08\u8d85\u8fc76\u4e2a\uff09\u3001\u77ed\u65f6\u95f4\u5185\u51fa\u73b0\u7684\u5927\u5b9e\u6027\u7ed3\u8282\uff08\u22658
\nmm\uff09\u4ee5\u53ca\u67d0\u4e9b\u7279\u5b9a\u4e34\u5e8a\u60c5\u51b5\u4e0b\u7684\u65b0\u53d1\u7ed3\u8282\uff08\u5982\u514d\u75ab\u529f\u80fd\u4f4e\u4e0b\u7684\u60a3\u8005\uff09\u3002\u5728\u968f\u8bbf1~3\u4e2a\u6708\u65f6\uff0c\u5e94\u6839\u636e\u6700\u53ef\u7591\u7684\u7ed3\u8282\u63d0\u4f9b\u65b0\u7684Lung-RADS\u5206\u7c7b\u548c\u6cbb\u7597\u5efa\u8bae\u3002\uff082\uff09\u5bf9\u4e8e\u65b0\u53d1\u7684\u5b9e\u6027\u6216\u90e8\u5206\u5b9e\u6027\u7ed3\u8282\uff0c\u5176\u5f71\u50cf\u5b66\u7279\u5f81\u66f4\u503e\u5411\u4e8e\u6076\u6027\u80bf\u7624\uff0c\u800c\u4e0d\u662f\u611f\u67d3\u6216\u708e\u75c7\u8fc7\u7a0b\uff0c\u7b26\u5408Lung-RADS<\/p>\n

4B\u7c7b\u6807\u51c6\u65f6\uff0c\u53ef\u6839\u636e\u9002\u5f53\u7684\u8bca\u65ad\u548c\uff08\u6216\uff09\u4e34\u5e8a\u8bc4\u4f30\u8fdb\u884c\u5206\u7c7b\u3002\uff083\uff09\u4e00\u4e9b\u8c61\u5f81\u611f\u67d3\u6216\u611f\u67d3\u8fc7\u7a0b\u7684\u5f81\u8c61\u53ef\u80fd\u4e0d\u503c\u5f97\u8fdb\u884c\u77ed\u671f\u968f\u8bbf\uff08\u5982\u6811\u82bd\u5f81\u7ed3\u8282\u6216\u65b0\u53d1\u7684\u76f4\u5f84<3
\n cm\u7684\u78e8\u73bb\u7483\u7ed3\u8282\uff09\uff0c\u53ef\u4ee5\u4f9d\u636e\u73b0\u6709\u7684\u5927\u5c0f\u6807\u51c6\u8fdb\u884c\u8bc4\u4f30\uff0c\u5e76\u6839\u636e\u6700\u53ef\u7591\u7684\u7ed3\u8282\u8fdb\u884cLung-RADS\u5206\u7c7b\u548c\u7ba1\u7406\u5efa\u8bae\u3002<\/p>\n

\u4e03\u3001\u5bf9S\u4fee\u9970\u8bcd\u7684\u8bf4\u660e\u8fdb\u884c\u4e86\u66f4\u65b0 <\/p>\n

\u65e0\u8bba2019\u7248\u672c\u8fd8\u662f2022\u7248\u672c\uff0cS\u4fee\u9970\u8bcd\u5747\u53ef\u88ab\u6dfb\u52a0\u5230Lung-RADS<\/p>\n

0~4\u7c7b\u4e2d\uff0c\u7528\u4e8e\u4e0e\u80ba\u764c\u65e0\u5173\u7684\u4e34\u5e8a\u663e\u8457\u6216\u6f5c\u5728\u4e34\u5e8a\u663e\u8457\u5f81\u8c61\u3002\u4f46\u57282022\u7248\u4e2d\uff0c\u5bf9\u4e8eS\u4fee\u9970\u8bcd\u8fdb\u884c\u4e86\u7ec6\u5316\u8bf4\u660e\uff0c\u5177\u4f53\u5305\u62ec\uff1a\uff081\uff09\u5e94\u8be5\u9075\u5b88ACR\u5076\u53d1\u5f81\u8c61\u7ba1\u7406\u5efa\u8bae\u3002\u53e6\u5916ACR\u80ba\u764c\u7b5b\u67e5CT\u5076\u53d1\u5f81\u8c61\u5feb\u901f\u53c2\u8003\u6307\u5357\u4e5f\u603b\u7ed3\u4e86\u5e38\u89c1\u7684\u5f81\u8c61\u548c\u7ba1\u7406\u5efa\u8bae\u3002\uff082\uff09\u5df2\u77e5\u3001\u5df2\u7ecf\u6216\u6b63\u5728\u8fdb\u884c\u4e34\u5e8a\u8bc4\u4f30\u7684\u80ba\u7ed3\u8282\u4e0d\u9700\u8981S\u4fee\u9970\u8bcd\u3002\u4efb\u4f55\u5df2\u77e5\u7684\u91cd\u5927\u6216\u6f5c\u5728\u7684\u91cd\u5927\u5f81\u8c61\u53d1\u751f\u610f\u5916\u4e25\u91cd\u53d8\u5316\u65f6\u5747\u5e94\u91cd\u65b0\u4f7f\u7528S\u4fee\u9970\u8bcd\u3002<\/p>\n

\u516b\u3001Lung-RADS\u7ed3\u8282\u7ba1\u7406\u8c03\u6574 <\/p>\n

Lung-RADS 2022\u7248\u4e3aLung-RADS 3\u548c4A\u7c7b\u7ed3\u8282\u5f15\u5165\u4e86\u9636\u68af\u5f0f\u7ba1\u7406\u5efa\u8bae\uff0c\u6b64\u53d8\u66f4\u4e3aLung-RADS 2022\u7248\u7684\u7b2c\u4e09\u5927\u4eae\u70b9\u3002<\/p>\n

\u5728Lung-RADS\u8fc7\u53bb\u7684\u7248\u672c\u4e2d\uff0c\u8bbe\u7f6e\u5e74\u5ea6\u968f\u8bbf\u65f6\u95f4\u662f\u4ece\u57fa\u7ebf\u7b5b\u67e5\u65e5\u671f\u5f00\u59cb\u3002\u7531\u4e8e\u5728\u65e5\u5e38\u4e34\u5e8a\u5b9e\u8df5\u4e2d\uff0c\u60a3\u8005\u5bf9\u968f\u8bbf\u65f6\u95f4\u7684\u4f9d\u4ece\u6027\u901a\u5e38\u4e0eLung-RADS\u7684\u5efa\u8bae\u4e0d\u540c\uff0c\u5bfc\u81f4\u968f\u8bbf\u95f4\u9694\u7684\u4e0d\u89c4\u8303\u3002\u57fa\u4e8e\u6b64\uff0cACR\u4f9d\u636e\u56fd\u5bb6\u80ba\u764c\u7b5b\u67e5\u767b\u8bb0\u5904\u548c\u6709\u9650\u7684\u7814\u7a76\u6570\u636e\u8ba4\u4e3a\u65b0\u7248\u4e2d\u66f4\u65b0\u7684\u9636\u68af\u5f0f\u7ba1\u7406\u65b9\u6cd5\u662f\u5408\u7406\u7684\u3002\u5177\u4f53\u7684\u66f4\u65b0\u5efa\u8bae\u5982\u4e0b\uff1a\uff081\uff09CT\u968f\u8bbf\u68c0\u67e5\u7684\u65f6\u95f4\u662f\u4ece\u89e3\u91ca\u68c0\u67e5\u7684\u65e5\u671f\u5f00\u59cb\u3002\uff082\uff09Lung-RADS
\n 3\u7c7b\u7ed3\u8282\u57286\u4e2a\u6708\u968f\u8bbf\u65f6\u7a33\u5b9a\u6216\u53d8\u5c0f\uff0c\u5219\u5c06\u5176\u91cd\u65b0\u5206\u4e3a2\u7c7b\uff0c\u968f\u8bbf\u65f6\u95f4\u4ece\u672c\u6b21\u68c0\u67e5\u7684\u65e5\u671f\u5f00\u59cb\uff0c\u800c\u975e\u57fa\u7ebf\u6216\u5e74\u5ea6\u7b5b\u67e5\u68c0\u67e5\u65e5\u671f\u3002\uff083\uff09Lung-RADS
\n4A\u7c7b\u7ed3\u8282\u57283\u4e2a\u6708\u968f\u8bbf\u65f6\u7a33\u5b9a\u6216\u53d8\u5c0f\uff0c\u5219\u5c06\u5176\u91cd\u65b0\u5206\u4e3a3\u7c7b\uff0c\u5e76\u4ece\u5f53\u6b21\u68c0\u67e5\u65e5\u671f\u5f00\u59cb\u8fdb\u884c6\u4e2a\u6708\u7684\u968f\u8bbf\u3002\u57286\u4e2a\u6708\u968f\u8bbf\u7ed3\u675f\u65f6\uff0c\u5982\u679c\u7ed3\u8282\u4f9d\u7136\u7a33\u5b9a\u6216\u53d8\u5c0f\uff0c\u5219\u5c06\u8be5\u7ed3\u8282\u518d\u6b21\u5212\u5206\u4e3a2\u7c7b\uff0c\u5e76\u5f00\u59cb\u8fdb\u884c12\u4e2a\u6708\u7684LDCT\u968f\u8bbf\uff0c\u65e5\u671f\u4ecd\u7136\u662f\u4ece\u672c\u6b21\u68c0\u67e5\u65e5\u671f\u5f00\u59cb\u3002\uff084\uff09Lung-RADS<\/p>\n

3\u7c7b\u62164A\u7c7b\u7ed3\u8282\u5728\u968f\u8bbf\u65f6\u7ed3\u8282\u6d88\u6563\uff0c\u62164B\u7c7b\u7ed3\u8282\u4f9d\u636e\u9002\u5f53\u7684\u68c0\u67e5\u8bc1\u5b9e\u4e3a\u826f\u6027\uff0c\u5c31\u65e0\u9700\u8fdb\u884c\u9636\u68af\u5f0f\u7ba1\u7406\u3002\u6b64\u65f6\u5e94\u6839\u636e\u80ba\u90e8CT\u56fe\u50cf\u4e2d\u4f9d\u7136\u5b58\u5728\u7684\u6700\u53ef\u7591\u7684\u7ed3\u8282\u91cd\u65b0\u5206\u7c7b\u3002\u5982\u679c\u672c\u6b21\u68c0\u67e5\u6ca1\u6709\u65b0\u53d1\u6216\u589e\u5927\u7684\u7ed3\u8282\uff0c\u5219\u5212\u5206\u4e3a2\u7c7b\u5e76\u4ece\u672c\u6b21\u68c0\u67e5\u4e4b\u65e5\u8d77\u8fdb\u884c\u5e74\u5ea6LDCT\u590d\u67e5\u3002<\/p>\n

\u901a\u8fc7\u4ee5\u4e0a\u7ba1\u7406\u5efa\u8bae\u4e0d\u96be\u53d1\u73b0\uff0c\u65b0\u7248Lung-RADS\u5bf9\u4e8e\u7ed3\u8282\u7684\u5206\u7c7b\u9636\u68af\u5f0f\u7ba1\u7406\u66f4\u52a0\u65b9\u4fbf\uff0c\u4e5f\u66f4\u52a0\u7b26\u5408\u4e34\u5e8a\u5b9e\u8df5\u7684\u7279\u70b9\u3002\u5f53\u7136\u9636\u68af\u5f0f\u7ba1\u7406\u662f\u5426\u6709\u53ef\u80fd\u4f1a\u9020\u6210\u6076\u6027\u7ed3\u8282\u7684\u6f0f\u8bca\u5219\u6709\u5f85\u4e8e\u5c06\u6765\u5b66\u8005\u4eec\u7684\u4e34\u5e8a\u6570\u636e\u9a8c\u8bc1\u3002<\/p>\n

\u4e5d\u3001\u5220\u9664\u4e86\u6076\u6027\u80bf\u7624\u98ce\u9669 <\/p>\n

\u4e0e2019\u7248\u672c\u5bf9\u7167\u53d1\u73b0\uff0c\u6076\u6027\u80bf\u7624\u98ce\u9669\u8fd9\u4e00\u680f\u5e76\u672a\u51fa\u73b0\u57282022\u7248\u672c\u4e2d\u3002\u867d\u7136\u6709\u7edf\u8ba1\u6570\u636e\u53ef\u6309Lung-RADS\u5206\u7c7b\u91cf\u5316\u80ba\u764c\u7684\u53d1\u751f\u7387\uff0c\u4f462022\u7248\u4e2d\u65b0\u589e\u7684\u6709\u5173\u4e0d\u5178\u578b\u80ba\u56ca\u80bf\u7684\u6570\u636e\u5e76\u4e0d\u5145\u8db3\uff0c\u56e0\u6b64\u6076\u6027\u80bf\u7624\u98ce\u9669\u767e\u5206\u6bd4\u53ef\u80fd\u5b58\u5728\u6f5c\u5728\u7684\u8bef\u5bfc\u6027\u3002\u6b64\u5916\uff0c\u6076\u6027\u80bf\u7624\u98ce\u9669\u662f\u9ad8\u5ea6\u53ef\u53d8\u7684\uff0c\u5e76\u4e14\u4e5f\u5177\u6709\u75be\u75c5\u7279\u5f02\u6027\uff0c\u7b14\u8005\u5bf9\u6b64\u7684\u7406\u89e3\u4e3a\u540c\u4e00Lung-RADS\u5206\u7c7b\u4f46\u4e0d\u540c\u7c7b\u578b\u7684\u7ed3\u8282\u53ef\u80fd\u6076\u6027\u98ce\u9669\u5e76\u4e0d\u540c\u3002\u867d\u7136Lung-RADS\u9488\u5bf9\u7684\u662f\u9ad8\u5371\u4eba\u7fa4\u7684\u80ba\u764c\u7b5b\u67e5\uff0c\u4f46\u662f\u9ad8\u5371\u4eba\u7fa4\u7684\u9ad8\u5371\u56e0\u5b50\u6570\u76ee\u548c\u7a0b\u5ea6\u4e5f\u56e0\u5177\u4f53\u4eba\u7fa4\u800c\u5b58\u5728\u8f83\u5927\u53d8\u5f02\uff0c\u56e0\u6b64\u7b14\u8005\u8ba4\u4e3a\u5373\u4f7f\u672a\u6765Lung-RADS\u91cd\u65b0\u589e\u52a0\u6076\u6027\u80bf\u7624\u98ce\u9669\u8fd9\u4e00\u9879\u76ee\uff0c\u4ea6\u4e0d\u80fd\u4ee3\u8868\u5168\u90e8\u4eba\u7fa4\uff0c\u5e94\u4e3a\u4ec5\u4f9b\u53c2\u8003\u3002<\/p>\n

\u5341\u3001Lung-RADS 2022\u7248\u7684\u5c40\u9650\u6027\u4e0e\u5c55\u671b <\/p>\n

\u9996\u5148\uff0c\u867d\u7136\u80ba\u7ed3\u8282\u7684\u5f62\u6001\u548c\u5927\u5c0f\u662f\u9884\u6d4b\u826f\u6027\u4e0e\u6076\u6027\u80bf\u7624\u7684\u4e3b\u8981\u5f71\u50cf\u5b66\u4f9d\u636e\uff0c\u4f46\u5438\u70df\u53f2\u3001\u5bb6\u65cf\u53f2\u3001\u6027\u522b\u3001\u5e74\u9f84\u3001\u80ba\u6c14\u80bf\u3001\u7ea4\u7ef4\u5316\u3001\u80bf\u7624\u751f\u7269\u6807\u8bb0\u7269\u3001\u8840\u751f\u5316\u3001\u81f4\u764c\u7269\u7684\u66b4\u9732\u7b49\u5176\u4ed6\u98ce\u9669\u56e0\u7d20\u540c\u6837\u5177\u6709\u91cd\u8981\u53c2\u8003\u4ef7\u503c\uff3b <\/sup>19 \uff3d<\/sup>\uff0cLung-RADS\u5e76\u672a\u5c06\u5176\u7eb3\u5165\u8bc4\u4ef7\u3002\u800c\u7ecf\u5178\u7684\u6885\u5965\u80ba\u764c\u9884\u6d4b\u6a21\u578b\u4ee5\u53ca\u6e29\u54e5\u534e\u98ce\u9669\u8ba1\u7b97\u5668\uff08Vancouver
\n risk
\ncalculator\uff0cVRC\uff09\u7b49\u5747\u56ca\u62ec\u4e86\u591a\u79cd\u98ce\u9669\u56e0\u7d20\uff0c\u5305\u62ec\u6570\u91cf\u3001\u5927\u5c0f\u3001\u7c7b\u578b\u3001\u5f62\u6001\u3001\u4f4d\u7f6e\u548c\u80ba\u6c14\u80bf\u7b49\u57fa\u4e8eCT\u56fe\u50cf\u7684\u53c2\u6570\u4ee5\u53ca\u5e74\u9f84\u3001\u6027\u522b\u548c\u5bb6\u65cf\u53f2\u7b49\u4e34\u5e8a\u8d44\u6599\u3002\u6709\u7814\u7a76\u8868\u660e\uff0cVRC\u5728\u9884\u6d4b\u80ba\u7ed3\u8282\u6076\u6027\u98ce\u9669\u65b9\u9762\uff0c\u603b\u4f53\u4e0a\u4f18\u4e8eLung-RADS\uff3b <\/sup>20 \uff3d<\/sup>\u3002\u4f46\u5b9e\u9645\u4e0aLung-RADS 2019\u7248\u4e2d\u7684\u6076\u6027\u98ce\u9669\u662f\u57fa\u4e8eBrock\u6a21\u578b\u8fdb\u884c\u7684\u8ba1\u7b97\uff0c\u65e0\u8bba\u662fBrock\u6a21\u578b\u8fd8\u662fMayo\u6a21\u578b\u5df2\u7ecf\u88ab\u591a\u6b21\u8bc1\u660eCT\u56fe\u50cf\u5f81\u8c61\u548c\u4e34\u5e8a\u8d44\u6599\u662f\u4e0d\u9002\u5408\u76f4\u63a5\u5e94\u7528\u4e8e\u4e34\u5e8a\u5de5\u4f5c\uff0c\u5c24\u5176\u662f\u4e9a\u6d32\u4eba\u7fa4\uff3b <\/sup>21 \uff3d<\/sup>\u3002\u8be5\u6307\u5357\u4e2d\u5173\u4e8e\u7ed3\u8282\u5f71\u50cf\u7279\u5f81\u7684\u7eb3\u5165\u8fc7\u5c11\uff0c\u5982\u8fb9\u7f18\u3001\u5f62\u6001\u3001\u6bdb\u523a\u3001\u80f8\u819c\u7275\u62c9\u3001\u7a7a\u6ce1\u7b49\uff1b\u53e6\u5916\uff0c\u5173\u4e8e\u5b9e\u6027\u7ed3\u8282\u7684\u8fdb\u4e00\u6b65\u68c0\u67e5\u53ea\u6709PET\/CT\uff0c\u8fd9\u4e0d\u5b8c\u5168\u7b26\u5408\u76ee\u524d\u4e2d\u56fd\u7684\u56fd\u60c5\u3002\u5728\u4e2d\u56fd\uff0c\u5b9e\u6027\u7ed3\u8282\u672f\u524d\u4e3b\u8981\u7684\u68c0\u67e5\u65b9\u6cd5\u662f\u589e\u5f3aCT\uff3b <\/sup>22 \uff3d<\/sup>\u3002\u6b64\u5916\uff0cLung-RADS\u662f\u57fa\u4e8e\u7b5b\u67e5\u6570\u636e\u7684Brock\u6a21\u578b\u5efa\u7acb\u7684\uff0c\u9488\u5bf9\u9ad8\u5371\u4eba\u7fa4\u7684\u80ba\u764c\u7b5b\u67e5\uff0c\u56e0\u6b64\u5e76\u4e0d\u5b8c\u5168\u9002\u5408\u76f4\u63a5\u5e94\u7528\u4e8e\u975e\u7b5b\u67e5\u7684\u4e34\u5e8a\u75c5\u4f8b\u8bc4\u4ef7\u3002<\/p>\n

\u5176\u6b21\uff0cLung-RADS<\/p>\n

2022\u7248\u5bf9\u4e8e\u591a\u53d1\u80ba\u7ed3\u8282\u7684\u8bc4\u4f30\u7f3a\u4e4f\u5177\u4f53\u7684\u63cf\u8ff0\u4e0e\u6ce8\u91ca\u3002\u968f\u7740LDCT\u7684\u666e\u53ca\u548c\u80ba\u764c\u7b5b\u67e5\u7684\u5e7f\u6cdb\u5f00\u5c55\uff0c\u8d8a\u6765\u8d8a\u591a\u7684\u80ba\u7ed3\u8282\u88ab\u53d1\u73b0\uff0c\u5176\u4e2d\u4e0d\u4e4f\u540c\u4e00\u60a3\u8005\u591a\u53d1\u80ba\u7ed3\u8282\u7684\u60c5\u51b5\uff0c\u800c\u8fd9\u4e9b\u7ed3\u8282\u75c5\u7406\u4e0a\u5e38\u88ab\u8bca\u65ad\u4e3a\u591a\u53d1\u80ba\u539f\u4f4d\u764c\u6216\u591a\u53d1\u5fae\u6d78\u6da6\u817a\u764c\u3002\u5bf9\u4e8e\u5177\u6709\u4e0d\u540c\u5f71\u50cf\u5b66\u7279\u5f81\u7684\u591a\u53d1\u80ba\u7ed3\u8282\u7684\u5904\u7406\u65b9\u6cd5Lung-RADS\u5e76\u672a\u8be6\u7ec6\u63cf\u8ff0\u3002\u7b14\u8005\u8ba4\u4e3a\u5728\u5b9e\u9645\u4e34\u5e8a\u5de5\u4f5c\u4e2d\uff0c\u5f71\u50cf\u79d1\u533b\u5e08\u53ef\u6682\u65f6\u4f9d\u636e2017\u5e74Fleischner\u6307\u5357\u5bf9\u591a\u53d1\u7ed3\u8282\u8fdb\u884c\u7ba1\u7406\uff3b <\/sup>23 \uff3d<\/sup>\u6216\u5bf9\u6bcf\u4e00\u4e2a\u80ba\u7ed3\u8282\u4f9d\u636eLung-RADS\u8bc4\u5206\u9010\u4e00\u8fdb\u884c\u5206\u7c7b\uff0c\u7ba1\u7406\u7b56\u7565\u53ef\u4f9d\u636e\u6700\u53ef\u7591\u7684\u7ed3\u8282\u8fdb\u884c\u3002<\/p>\n

\u518d\u6b21\uff0c\u5bf9\u4e8e\u5177\u6709\u65e2\u5f80\u6076\u6027\u80bf\u7624\u75c5\u53f2\u7684\u60a3\u8005\uff0c\u80f8\u90e8CT\u968f\u8bbf\u53d1\u73b0\u7684\u80ba\u7ed3\u8282\u65e0\u7279\u6b8a\u7684\u7ba1\u7406\u63a8\u8350\uff0cLung-RADS\u4e5f\u7f3a\u4e4f\u5177\u4f53\u63cf\u8ff0\u548c\u8bf4\u660e\u3002\u5927\u591a\u6570\u6076\u6027\u80bf\u7624\u4f1a\u53d1\u751f\u80ba\u5185\u591a\u53d1\u8f6c\u79fb\uff0c\u4e5f\u53ef\u4ee5\u53d1\u751f\u80ba\u5185\u5b64\u7acb\u6027\u7ed3\u8282\u8f6c\u79fb\uff0c\u4e14\u51e0\u4e4e\u5747\u4e3a\u5b9e\u6027\u7ed3\u8282\u3002\u5c11\u6570\u826f\u6027\u80bf\u7624\u4e5f\u4f1a\u51fa\u73b0\u80ba\u5185\u8f6c\u79fb\uff0c\u5982\u5b50\u5bab\u5e73\u6ed1\u808c\u7624\u3001\u8461\u8404\u80ce\u3001\u816e\u817a\u591a\u5f62\u6027\u817a\u7624\u3001\u8111\u819c\u7624\u3001\u9020\u91c9\u7ec6\u80de\u7624\u3001\u9aa8\u5de8\u7ec6\u80de\u7624\u3001\u8f6f\u9aa8\u6bcd\u7ec6\u80de\u7624\u7b49\uff3b <\/sup>24 , 25 , 26 , 27 , 28 \uff3d<\/sup>\u3002\u5bf9\u8fd9\u4e9b\u7279\u6b8a\u7c7b\u578b\u7684\u8f6c\u79fb\uff0cLung-RADS\u662f\u5426\u5177\u6709\u53ef\u884c\u6027\u6216\u8005\u8bc4\u4ef7\u6548\u80fd\u5982\u4f55\uff0c\u5747\u6709\u5f85\u5b66\u8005\u7684\u8fdb\u4e00\u6b65\u7814\u7a76\u3002<\/p>\n

\u603b\u4e4b\uff0cLung-RADS<\/p>\n

2022\u7248\u76f8\u8f83\u4e8e\u4ee5\u524d\u65e7\u7248\u672c\u5185\u5bb9\u66f4\u52a0\u4e30\u5bcc\u3001\u5b8c\u5584\uff0c\u4e3a\u5f71\u50cf\u533b\u5e08\u63d0\u4f9b\u66f4\u52a0\u89c4\u8303\u7684CT\u62a5\u544a\u7684\u6807\u51c6\uff0c\u53ef\u6307\u5bfc\u4e34\u5e8a\u533b\u5e08\u8fdb\u884c\u80ba\u7ed3\u8282\u7684\u7ba1\u7406\u3002\u76f8\u4fe1\u968f\u7740\u4e16\u754c\u8303\u56f4\u5185\u80ba\u764c\u7814\u7a76\u6570\u636e\u7684\u8fdb\u4e00\u6b65\u5b8c\u5584\u4e0e\u8865\u5145\uff0cLung-RADS\u5c06\u4f1a\u4e0d\u65ad\u5730\u8fdb\u884c\u81ea\u6211\u5b8c\u5584\u548c\u63d0\u9ad8\uff0c\u80fd\u591f\u66f4\u597d\u5730\u670d\u52a1\u4e8e\u4e34\u5e8a\u3002<\/p>\n

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