首页|DCE-MRI辅以DWI对直肠癌患者术前分期的诊断价值

DCE-MRI辅以DWI对直肠癌患者术前分期的诊断价值

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目的 探究DCE-MRI辅以DWI对直肠癌患者术前分期的诊断价值.方法 对 155 例直肠癌患者实施DCE-MRI辅以DWI诊断,分析其对术前分期的诊断效果.结果 将手术病理检查结果作为诊断金标准,DWI、DCE-MRI以及DWI +DCE-MRI术前分期诊断符合率分别为73.55%、74.84%、96.13%,组间相比,差异有统计学意义(P<0.05).在不同分期DCE-MR参数中,N0 期Ktrams、Kep、Ve 值和N1~N2 期相比较小,差异有统计学意义(P<0.05);T1~T2 期Ktrams、Kep、Ve 值与T3~T4 期相比较小,差异有统计学意义(P<0.05).结论 DCE-MRI辅以DWI对直肠癌患者术前分期的诊断效果显著,能够提高患者治愈率,值得研究和推广.
Diagnostic Value of DCE-MRI Combined with DWI in Preoperative Staging of Rectal Cancer Patients
Objective To explore the diagnostic value of DCE-MRI combined with DWI in preoperative staging of rectal cancer patients.Methods DCE-MRI combined with DWI diagnosis was performed on 155 patients with rectal cancer,and its di-agnostic effect on preoperative staging was analyzed.Results Using the surgical pathological examination results as the diagnostic gold standard,the accuracy rates of preoperative staging diagnosis for DWI,DCE-MRI,and DWI + DCE-MRI were 73.55%,74.84%,and96.13%,respectively.There was a statistically significant difference between the groups(P<0.05).In different stages of DCE-MR parameters,Ktrams,Kep,Ve values in N0 stage were relatively small compared to N1-N2 stage,and the differences were statistically significant(P<0.05);The Ktrams,Kep,and Ve values in T1-T2 phase were smaller than those in T3-T4 phase,and the differences were statistically significant(P<0.05).Conclusion DCE-MRI combined with DWI has a significant diagnostic effect on preoperative staging of rectal cancer patients,which can improve the cure rate of patients and is worthy of research and promotion.

Rectal cancerDCE-MRIDWIPreoperative stagingDiagnostic effectiveness

张首宁、张孝先、张宏凯、吴越、曲金荣

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450008 郑州大学附属肿瘤医院,河南省肿瘤医院

直肠癌 DCE-MRI DWI 术前分期 诊断效果

国家自然科学基金面上项目河南省卫生健康科技创新领军人才培养项目

82271979YXKC2020011

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(4)
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