体素内不相干运动扩散加权磁共振在食管癌术前分期及分化程度中的应用价值分析

Application Value of Incoherent Motion Diffusion-weighted MRI within Voxels in Preoperative Staging and Differentiation of Esophageal Cancer

孔琳 ¹朱华 ¹宫悦¹

扫码查看

作者信息

1. 东台市人民医院影像科,江苏东台 224200
折叠

摘要

目的探究体素内不相干运动扩散加权磁共振(incoherent motion diffusion-weighted MRI,IVIM-DWI)在食管癌术前分期及分化程度中的应用价值.方法选择2020年10月—2023年8月东台市人民医院收治的87例疑似食管癌患者作为研究对象,所有患者术前均接受IVIM-DWI扫描,以病理学检查为金标准,分析IVIM-DWI扫描对食管癌术前分期及分化程度的诊断效能及符合率.结果病理学检查结果显示,81例确诊为食管癌,IVIM-DWI扫描确诊80例,IVIM-DWI的准确度、灵敏度、特异度分别为97.70%、98.77%、83.33%,kappa值为0.821.经病理学检查检查,81例食管癌患者中,恶性肿瘤分期系统(tumor node metastasis classification,TNM)Ⅰ期39例,TNM Ⅱ期30例,TNM Ⅲ期12例;高分化15例,中分化26例,低分化40例.IVIM-DWI扫描TNM Ⅰ期40例(97.50%),TNM Ⅱ期30例(100.00%),TNM Ⅲ期 10 例(91.67%);IVIM-DWI扫描高分化 13 例(86.67%),中分化 27 例(96.30%),低分化40例(100.00%).结论 IVIM-DWI在食管癌术前分期及分化程度中具有较高的诊断效能,可作为食管癌术前分期、分化程度的优选诊疗方案.

Abstract

Objective To explore the application value of incoherent motion diffusion-weighted MRI(IVIM-DWI)within voxels in preoperative staging and differentiation of esophageal cancer.Methods A total of 87 patients with suspected esophageal cancer admitted to Dongtai People's Hospital from October 2020 to Au-gust 2023 were selected as study objects.All patients underwent IVIM-DWI scan before operation.With patho-logical examination as the gold standard,the diagnostic efficacy and coincidence rate of IVIM-DWI scan for preoperative staging and differentiation of esophageal cancer were analyzed.Results The results of pathological examination showed that 81 cases were diagnosed as esophageal cancer,and 80 cases were diagnosed by IVIM-DWI scan.The accuracy,sensitivity and specificity of IVIM-DWI were 97.70%,98.77%and 83.33%,respec-tively,and the kappa value was 0.821.By pathological examination,81 cases of esophageal cancer patients,tu-mor node metastasis classification(TNM)stage I 39 cases,TNM stage Ⅱ 30 cases,and TNM stage Ⅲ 12 cases,there were 15 cases of high differentiation,26 cases of moderate differentiation and 40 cases of low differentia-tion.IVIM-DWI scan TNM stage I in 40 cases(97.50%),TNM stage II in 30 cases(100.00%),TNM stage III in 10 cases(91.67%).IVIM-DWI scan showed that 13 cases(86.67%)were highly differentiated,27 cases(96.30%)were moderately differentiated,and 40 cases(100.00%)were poorly differentiated.Conclusion IVIM-DWI has high diagnostic efficacy in preoperative staging and differentiation of esophageal cancer,and can be used as the optimal diagnosis and treatment plan for preoperative staging and differentiation of esopha-geal cancer.

关键词

体素内不相干运动扩散加权磁共振/食管癌/分期及分化程度/诊断效能

Key words

Incoherent motion diffusion-weighted MRI within voxels/Esophageal cancer/Staging and degree of differentiation/Diagnostic efficacy

引用本文复制引用

出版年

2024

世界复合医学

ISSN：

参考文献量13

段落导航