首页|3.0T MRI诊断卵巢囊腺性肿瘤价值分析:与病理对照

3.0T MRI诊断卵巢囊腺性肿瘤价值分析:与病理对照

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目的:探讨卵巢囊腺性肿瘤在 3。0T MRI上的特征性表现,提高其诊断水平。资料与方法:收集我院经手术病理证实的 25 例卵巢囊腺性肿瘤,术前均行 3。0T MRI检查,回顾性分析其影像特征。结果:本组 25 例共 31个病灶,浆液性囊腺性肿瘤 14例共 18个病灶,黏液性囊腺性肿瘤 11例共 13个病灶。良性病灶多表现囊壁薄而光滑,分隔薄且规则,增强未见强化;交界性或恶性囊腺性肿瘤多为囊实性混杂信号,可见分隔、壁结节,增强后壁结节及分隔强化。对照病理结果,7 例出现诊断偏差,误诊 2 例,未诊断出交界性或恶性 5 例。囊腺性肿瘤MRI诊断率 92。0%(23/25),良恶性诊断相符率 80%(20/25)。结论:3。0T MRI能很好显示卵巢囊腺性肿瘤的信号特点,从而指导临床选择合理治疗方案。
Value analysis of 3.0T MRI in diagnosis of ovarian cystadenoid tumors:comparison with pathology
Objective:To investigate the characteristic features of ovarian cystadenoid tumors on 3.0T MRI and improve the diagnostic level.Materials and methods:A total of 25 cases of ovarian cystadenoid tumors confirmed by surgery and pathology were collected,and 3.0T MRI was performed before surgery.The imaging features were retrospectively analyzed.Results:There were 31 lesions in 25 cases,18 lesions in 14 serous cystadenous tumors and 13 lesions in 11 mucous cystadenous tumors.The benign lesions showed thin and smooth cyst wall,thin and regular separation,and no enhancement.Borderline or malignant cystadenoid tumors are mostly cystic solid mixed signals,visible septal and wall nodules,enhanced posterior wall nodules and strengthened septal.Compared with the pathological results,7 cases had diagnostic errors,2 cases were misdiagnosed,and 5 cases were not diagnosed with borderline or malignant.The MRI diagnosis rate of cystadenoid tumors was 92.0%(23/25),and the coincidence rate of benign and malignant tumors was 80%(20/25).Conclusion:3.0T MRI can well display the signal characteristics of ovarian cystadenoid tumors,so as to guide clinical selection of reasonable treatment.

magnetic resonance imaging(MRI)ovarian serous cystadenomaovarian mucinous cystadenoma

江正卫、王省伟、陈晓双、尉传社

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合肥京东方医院 医学影像科 安徽 合肥 230041

合肥京方医院 病理科 安徽 合肥 230041

磁共振成像 卵巢浆液性囊腺性肿瘤 卵巢黏液性囊腺性肿瘤

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(6)