全身磁共振弥散加权成像联合多层螺旋CT对多发性骨髓瘤的诊断价值
Diagnostic value of whole body magnetic resonance diffusion weighted imaging combined with multi-slice spiral CT in multiple myeloma
黄雪莹 1党佩 1杨瑞 2田博 1王晓东1
作者信息
- 1. 宁夏医科大学总医院放射科,宁夏 银川 750004
- 2. 宁夏医科大学总医院血液科,宁夏 银川 750004
- 折叠
摘要
目的 探究全身磁共振弥散加权成像(WB-DWI)联合多层螺旋CT对多发性骨髓瘤的诊断价值.方法 选取2019年6月～2023年1月于我院收治的80例多发性骨髓瘤患者为研究对象,并按照检测方式将其分为WB-DWI组(n=25)、多层螺旋CT组(n=25)、联合组(n=30).分析WB-DWI、多层螺旋CT单一及联合对患者累及部位的检出率,分析两种检查方式单一及联合对多发性骨髓瘤的检出情况,通过ROC曲线分析WB-DWI、多层螺旋CT联合诊断多发性骨髓瘤的临床价值.结果 检测结果主要与Durie-Salmon分期、国际骨髓瘤分期相关(P<0.05).与WB-DWI、多层螺旋CT单一检测对比,联合检测患者累及部位的检出率较高(P<0.05).在多发性骨髓瘤诊断中WB-DWI、多层螺旋CT联合检测高于单一检测(P<0.05).与WB-DWI、多层螺旋CT单项诊断对比,两项联合诊断多发性骨髓瘤的敏感度、特异性、准确性均较高(P<0.05).结论 相较于WB-DWI、多层螺旋CT单项检测,联合检测可有效提升患者病理检出情况,提高对多发性骨髓瘤的诊断价值.
Abstract
Objective To explore the diagnostic value of whole body magnetic resonance diffusion weighted imaging(WB-DWI)combined with multi-slice spiral CT in multiple myeloma.Methods A total of 80 patients with multiple myeloma admitted to our hospital from June 2019 to January 2023 were selected as study subjects and divided into WB-DWI group(n=25),multi-slice spiral CT group(n=25)and combined group(n=30).The detection rates of WB-DWI and multi-slice spiral CT alone and combined in the involved sites of patients were analyzed,and the detection of multiple myeloma by the two methods alone and combined was analyzed.The clinical value of WB-DWI and multi-slice spiral CT combined in the diagnosis of multiple myeloma was analyzed by ROC curve.Results The results were mainly correlated with Durie-Salmon stage and international myeloma stage(P<0.05).Compared with the single detection of WB-DWI and multi-slice spiral CT,the detection rate of the involved sites in the combined detection was higher(P<0.05).The combined detection of WB-DWI and multi-slice spiral CT was higher than that of single detection in the diagnosis of multiple myeloma(P<0.05).Compared with the single diagnosis of WB-DWI and multi-slice spiral CT,the sensitivity,specificity and accuracy of the combined diagnosis of multiple myeloma were higher(P<0.05).Conclusion Compared with WB-DWI and multi-slice spiral CT single tests,the combined test can effectively improve the pathological detection of patients and improve the diagnostic value of multiple myeloma.
关键词
多发性骨髓瘤/全身磁共振弥散加权成像/多层螺旋CT/国际肿瘤分期Key words
multiple myeloma/whole body magnetic resonance diffusion weighted imaging/multi-slice spiral CT/international tumor staging引用本文复制引用
基金项目
宁夏回族自治区重点研发计划(科技支撑)项目(2019BEG03037)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据