首页|弥散加权成像参数联合血清LncRNA-NEAT1、miR-182-5p对脑胶质瘤术前分级的评估价值

弥散加权成像参数联合血清LncRNA-NEAT1、miR-182-5p对脑胶质瘤术前分级的评估价值

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目的:探讨弥散加权成像(DWI)参数联合血清长链非编码核糖核酸-核富集丰富转录本1(LncRNA-NEAT1)、microRNA(miR)-182-5p对脑胶质瘤术前分级的评估价值。方法:112例脑胶质瘤患者根据术后病理分级将其分为低级别组(60例)和高级别组(52例)。术前所有患者接受DWI检查获得表观弥散系数(ADC)、相对ADC(rADC)参数。检测脑胶质瘤患者的血清LncRNA-NEAT1、miR-182-5p表达。受试者工作特征(ROC)曲线分析DWI参数联合血清LncRNA-NEAT1、miR-182-5p诊断脑胶质瘤术前分级的价值。结果:高级别组ADC、rADC值低于低级别组(P<0。05),血清LncRNA-NEAT1、miR-182-5p高于低级别组(P<0。05)。ADC、rADC、LncRNA-NEAT1、miR-182-5p诊断脑胶质瘤术前高分级的曲线下面积(AUC)分别为0。834(95%CI:0。756~0。896)、0。840(95%CI:0。762~0。900)、0。784(95%CI:0。700~0。853)、0。812(95%CI:0。731~0。878),联合诊断 AUC 为 0。959(95%CI:0。907~0。987),高于单独指标诊断。结论:高级别脑胶质瘤患者ADC、rADC降低,血清LncRNA-NEAT1、miR-182-5p升高,联合DWI参数(ADC、rADC)和血清LncRNA-NEAT1、miR-182-5p检测对脑胶质瘤术前分级具有较高的诊断价值。
Value of Diffusion-Weighted Imaging Parameters Combined with Serum LncRNA-NEAT1 and miR-182-5p in the Evaluation of Preoperative Grading of Brain Glioma
Objective:To investigate the value of diffusion-weighted imaging(DWI)parameters combined with serum long-chain non-coding ribonucleic acids-nuclear enrichment rich transcript 1(LncRNA-NEAT1)and microRNA(miR)-182-5p in the evaluation of preoperative grading of brain glioma.Methods:112 brain glioma patients were divided into low-level group(60 cases)and high-level group(52 cases)according to postoperative pathological grading.All patients underwent DWI examination before operation to obtain apparent diffusion coefficient(ADC)and relative ADC(rADC)parameters.The expression of serum LncRNA-NEAT1 and miR-182-5p in brain glioma patients was detected.The value of DWI parameters combined with serum LncRNA-NEAT1 and miR-182-5p in the diagnosis of preoperative grading of brain glioma was analyzed by receiver operating characteristic(ROC)curve.Results:The ADC and rADC values in high-level group were lower than those in low-level group(P<0.05),and the serum LncRNA-NEAT1 and miR-182-5p were higher than those in low-level group(P<0.05).The area under the curve(AUC)of ADC,rADC,LncRNA-NEAT1 and miR-182-5p in the diagnosis of preoperative high-grade brain glioma was 0.834(95%CI:0.756~0.896),0.840(95%CI:0.762~0.900),0.784(95%CI:0.700~0.853),and 0.812(95%CI:0.731~0.878)respectively.AUC of combined diagnosis was 0.959(95%CI:0.907~0.987),which was higher than that of single index diagnosis.Conclusion:The ADC and rADC of patients with high-grade brain glioma decrease,and the serum LncRNA-NEAT1 and miR-182-5p increase,the combination of DWI parameters(ADC,rADC)and serum LncRNA-NEAT1 and miR-182-5p detection has high diagnostic value for preoperative grading of brain glioma.

Brain gliomaPreoperative gradingDiffusion-weighted imagingLncRNA-NEAT1miR-182-5p

赵志永、孙其中、丁旭东、王慧敏、刘囡囡

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山东第一医科大学附属省立医院医学影像科 山东济南 250021

脑胶质瘤 术前分级 弥散加权成像 LncRNA-NEAT1 miR-182-5p

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(20)