首页|3.0 T磁共振DWIBS技术在淋巴瘤诊断中的应用价值

3.0 T磁共振DWIBS技术在淋巴瘤诊断中的应用价值

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目的 重点观察3.0 T磁共振全身背景信号抑制弥散加权成像(DWIBS)技术在淋巴瘤患者诊断中的效能分析,以期提高临床淋巴瘤检出率.方法 回顾性分析,采集医院2020年1月至2022年12月收治的100例淋巴瘤患者的基线资料,入组患者均行术中快速病理检查与3.0T磁共振DWIBS技术检查,将术中快速病理检查作为金标准,分析3.0 T磁共振DWIBS技术的诊断效能.结果 纳入对象经病理检出,结内病灶72例,占比72.00%,结外病灶28例,占比28.00%.诊断结内病灶效能:阳性检出率69.00%,敏感度90.28%,特异度85.71%,准确度89.00%,将术中快速病理结果作为金标准,3.0 T磁共振DWIBS检查结内病灶与金标准一致性检验K值=0.736(P<0.001).诊断结外病灶效能:阳性检出率31.00%,敏感度92.86%,特异度93.06%,准确度93.00%,3.0 T磁共振DWIBS技术检查结外病灶与金标准一致性检验K值=0.832(P<0.001).该技术诊断淋巴瘤结内病灶总准确率为75.00%,诊断淋巴瘤结外病灶总准确率为75.00%.结论 3.0T磁共振DWIBS技术可提高淋巴瘤及其分期检出率,针对临床高度疑似淋巴瘤患者,可通过采取3.0 T磁共振DWIBS技术,旨在提高临床淋巴瘤检出率.
Study on the Value of 3.0 T Magnetic Resonance Whole-body Background Signal Suppression Diffusion Weighted Imaging in the Diagnosis of Lymphoma
Objective To observe the efficacy of 3.0 T magnetic resonance diffusion weighted imaging with background suppression(DWIBS)in the diagnosis of lymphoma patients,and to improve the detection rate of clinical lymphoma.Methods The baseline data of 100 patients with lymphoma admitted to hospital from January 2020 to December 2022 were retrospectively analyzed.All the patients in the group underwent intraoperative rapid pathological examination and 3.0 T magnetic resonance DWIBS.The intraoperative rapid pathological examination was used as the gold standard to analyze the diagnostic efficacy of 3.0 T magnetic resonance DWIBS.Results Pathological examination showed that 72 cases(72.00%)were intranodal lesions and 28 cases(28.00%)were extranodal lesions.Efficiency of diagnosis of intranodal lesions:positive detection rate was 69.00%,sensitivity was 90.28%,specificity was 85.71%,accuracy was 89.00%.Taking the intraoperative rapid pathological results as the gold standard,the consistency between 3.0 T magnetic resonance DWIBS and the gold standard K value=0.736(P<0.001).The efficiency of diagnosis of extranodal lesions:positive detection rate was 31.00%,sensitivity was 92.86%,specificity was 93.06%,accuracy was 93.00%,and the consistency between the extranodal lesions examined by 3.0 T magnetic resonance DWIBS and the gold standard K value=0.832(P<0.001).The total accuracy of this technique in diagnosing intranodal lesions and extranodal lesions of lymphoma was 75.00%and 75.00%,respectively.Conclusion 3.0 T magnetic resonance DWIBS can significantly improve the detection rate of lymphoma and its stages.For clinical patients with highly suspected lymphoma,3.0 T magnetic resonance DWIBS technology can be adopted to improve the detection rate of clinical lymphoma.

lymphomamagnetic resonance diffusion weighted imaging with background suppressiondiagnostic effectiveness

何艳、李国文

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郑州大学基础医学院,河南郑州 450000

河南中医药大学第三附属医院放射科,河南郑州 450000

淋巴瘤 磁共振全身背景信号抑制弥散加权成像 诊断效能

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(9)
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