延边大学医学学报2024,Vol.47Issue(4) :440-442,446.DOI:10.16068/j.1000-1824.2024.04.020

3.0T MRI联合IVIM-DWI在直肠癌术前T、N分期中的诊断价值

The diagnostic value of 3.0T MRI combined with IVIM-DWI in preoperative T and N staging of rectal cancer

罗元满 孟庆涛 张月君 魏洁
延边大学医学学报2024,Vol.47Issue(4) :440-442,446.DOI:10.16068/j.1000-1824.2024.04.020

3.0T MRI联合IVIM-DWI在直肠癌术前T、N分期中的诊断价值

The diagnostic value of 3.0T MRI combined with IVIM-DWI in preoperative T and N staging of rectal cancer

罗元满 1孟庆涛 2张月君 3魏洁4
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作者信息

  • 1. 滁州城市职业学院外科教研室,安徽 滁州 239000
  • 2. 滁州市第一人民医院影像中心,安徽 滁州 239000
  • 3. 滁州市第一人民医院普外一科,安徽 滁州 239000
  • 4. 滁州市第一人民医院肿瘤四科,安徽 滁州 239000
  • 折叠

摘要

目的:探讨3.0T磁共振(MRI)联合体素内不相干运动扩散加权成像(IVIM-DWI)对于直肠癌术前T、N分期的诊断价值.方法:选取2018年7月—2023年12月在滁州市第一人民医院诊治的40例直肠癌患者,以术后病理诊断结果为金标准,分别计算MRI及MRI联合IVIM-DWI诊断直肠癌T、N分期的准确率,并评估两者与病理分期的一致性.结果:MRI联合IVIM-DWI诊断T分期的总正确率(95.00%)高于MRI诊断的总正确率(75.00%)(P<0.05).MRI联合IVIM-DWI诊断N分期的总正确率(97.50%)高于MRI诊断的总正确率(90.00%),但差异无统计学意义(P>0.05).MRI联合IVIM-DWI对T1、T2、N0、N1、N2 期的诊断结果与病理诊断结果具有高度一致性,对T3、T4 期的诊断结果与病理诊断结果一致性较好(P<0.05).结论:MRI联合IVIM-DWI检查可以为直肠癌术前的精准分期提供可靠的影像学支持,其诊断效能优于单独进行MRI检查,可作为直肠癌术前诊断的重要辅助手段.

Abstract

Objective:To investigate the diagnostic value of 3.0T MRI combined with IVIEM-DWI in preoperative T and N stages of rectal cancer.Methods:40 patients with rectal cancer treated at Chuzhou First People's Hospital from July 2018 to December 2023 were selected.With postoperative pathological diagnosis results as the gold standard,the accuracy rates of MRI and MRI combined with IVIM-DWI for T and N stages of rectal cancer were calculated respectively,then the consistency between them and pathological stages was evaluated.Results:The results showed that the total accuracy of MRI combined with IVIM-DWI in the diagnosis of T stage(95.00%)was higher than that of MRI(75.00%)(P<0.05)and the total accuracy of MRI combined with IVIM-DWI in the diagnosis of N stage(97.50%)was higher than that of MRI(90.00%),but the difference was not statistically significant(P>0.05).The diagnosis results of MRI combined with IVIEM-DWI for T1,T2,N0,N1 and N2 were highly consistent with the pathological diagnosis results,and the diagnosis results for T3 and T4 were well consistent with the pathological diagnosis results(P<0.05).Conclusion:MRI combined with IVIEM-DWI can provide reliable imaging support for the accurate staging of rectal cancer before surgery,and its diagnostic efficacy is superior to that of MRI alone,which can be used as an important auxiliary means for the preoperative diagnosis of rectal cancer.

关键词

磁共振/体素内不相干运动扩散加权成像/直肠癌/T、N分期

Key words

MRI/IVIM-DWI/Rectal cancer/Stages T and N

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出版年

2024
延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
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