首页|MRI动态增强联合CT检查在子宫内膜癌中的诊断价值

MRI动态增强联合CT检查在子宫内膜癌中的诊断价值

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目的 探讨采用磁共振成像(MRI)动态增强联合电子计算机断层扫描(CT)诊断子宫内膜癌的价值。方法 选取50例子宫内膜癌患者,分别开展MRI动态增强、CT与术后病理学检查,比较诊断符合率、理学分期的准确率。结果 较之单纯CT[受试者工作特征曲线下面积(AUC)为0。863]、MRI增强扫描(AUC为0。920)检查,MRI动态增强+CT有着更高的诊断准确率(AUC为0。953)。与单纯CT(Kappa值为0。669)、MRI(Kappa值是0。742)相比,MRI动态增强+CT与病理学分期之间的一致性Kappa值(0。882)更高。结论 以MRI动态增强与CT相联合方案对子宫内膜癌进行检查,可提高诊断准确率,并能明确其术前分期,为临床治疗方案的选定提供辅助。
The diagnostic value of MRI dynamic enhancement combined with CT in endometrial carcinoma
Objective To evaluate the value of dynamic enhanced magnetic resonance imaging(MRI)combined with computed tomography(CT)in the diagnosis of endometrial carcinoma.Methods 50 patients with endometrial carcinoma were selected to carry out MRI dynamic enhancement,CT and postoperative pathological examination,respectively,to compare the diagnostic coincidence rate and the accuracy of physical staging.Results Compared with simple CT(AUC 0.863)and enhanced MRI(AUC 0.920),dynamic MRI+CT had a higher diagnostic accuracy(AUC 0.953).Compared with CT alone(Kappa value 0.669)and MRI(Kappa value 0.742),the consistency of Kappa value between MRI dynamic enhancement plus CT and pathological stage was higher(0.882).Conclusion The combination of MRI dynamic enhancement and CT can improve the diagnostic accuracy and determine the preoperative stage of endometrial carcinoma,so it can provide assistance for the selection of clinical treatment.

Endometrial cancerMagnetic resonance imagingElectronic computed tomographyDiagnostic value

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南京市高淳人民医院 医学影像科,江苏南京 211300

子宫内膜癌 磁共振成像 电子计算机断层扫描 诊断价值

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(18)