首页|磁共振多模态功能成像在膀胱癌分期及分级中的应用研究进展

磁共振多模态功能成像在膀胱癌分期及分级中的应用研究进展

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膀胱癌(bladder cancer,BC)是一种复发率高且易于进展的肿瘤,其治疗负担在所有癌症中位居第一,严重危害国民健康.精确的分期及分级对于BC诊疗决策有着重要的意义.近年来,随着膀胱成像与报告系统和MRI技术的飞速发展,扩散加权成像、动态对比增强MRI、扩散峰度成像、体素内不相干运动、分数阶微积分扩散模型、合成磁共振技术和化学交换饱和转移成像等功能MRI技术可以无创地从扩散、血供、组织定量及代谢等多个方面评估肿瘤性质,以期术前评估肿瘤生物学特性、预测肿瘤复发进而帮助临床医生早期诊断、制订最优手术方式,提高患者生存质量,减少不必要的经济负担.上述技术逐渐成为研究热点,故本文就近年来国内外多模态功能MRI在BC分期及分级中的应用予以综述,为临床诊疗提供更加可靠的影像学依据.
Research progress in multimodal function magnetic resonance imaging in staging and grading of bladder cancer
Bladder cancer(BC)is a kind of tumor with high recurrence rate and easy progression.The treatment burden ranks first among all cancers,which seriously endangers national health.Accurate staging and grading are of great significance for the diagnosis and treatment decisions.With the recent advancements in MRI technology and Vesical Imaging-Reporting and Data System,diffusion weighted imaging,dynamic contrast enhanced MRI,diffusion kurtosis imaging,intravoxel incoherent motion,fractional-order calculus diffusion model,synthetic MRI as well as chemical exchange saturation transfer imaging can noninvasively evaluate tumor quality in terms of diffusion,blood supply,tissue quantitative analysis and metabolism.It is expected that assess tumor biological characteristics preoperatively and predict tumor recurrence.Its clinical value lies in helping clinicians make early diagnosis,formulating optimal surgical methods,improving patients'quality of life and reducing unnecessary economic burden.At the same time,the above technology become a research hotspot gradually in the future.This review focuses on the application of multimodal function MRI in the staging and grading of BC both domestically and internationally in recent years,providing a more reliable imaging basis for clinical diagnosis and

bladder cancermagnetic resonance imagingmultimodaldiffusion weighted imagingstaginggrading

郭俊婷、王效春

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山西医科大学医学影像学院,太原 030001

山西医科大学第一医院影像科,太原 030001

膀胱癌 磁共振成像 多模态 扩散加权成像 分期 分级

国家自然科学基金山西省"四个一批"科技兴医创新计划重大科技攻关专项中华国际医学交流基金会sky影像科研基金

819715922023XM011z-2014-07-2301

2024

磁共振成像
中国医院协会 首都医科大学附属北京天坛医院

磁共振成像

CSTPCD北大核心
影响因子:1.38
ISSN:1674-8034
年,卷(期):2024.15(2)
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