首页|T2WI 3D-SPACE+RS-EPI DWI检查对直肠癌术前肿瘤淋巴结分期诊断准确率的影响

T2WI 3D-SPACE+RS-EPI DWI检查对直肠癌术前肿瘤淋巴结分期诊断准确率的影响

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目的 探究T2WI 3D-SPACE联合RS-EPI DWI检查在直肠癌术前肿瘤淋巴分期诊断准确率的影响.方法 收集2020年7月-2022年2月在本院确诊直肠癌并进行影像学检查的96名患者作为此次的研究对象,将所有的研究对象随机进行分组,对照组选择T2WI 3D-SPACE进行检查,研究组采用T2WI 3D-SPACE联合RS-EPI DWI进行检查,由盲选形式经检查结果呈现给2位资历较高的临床医师对直肠癌术前肿瘤淋巴分期的结果进行鉴别,分析两组肿瘤淋巴结分期阳性诊断的准确性的差异.结果 研究组在直肠癌术前是肿瘤淋巴结分期的准确率高于对照组,尤其是在T3期和T4期,对照组的准确率分别为75.61%和84.38%,研究组为97.56%和 100%,有差异纳入统计(P<0.05);对照组的总准确率和淋巴结阳性准确率分别为70%和79.55%,研究组的总准确率和淋巴结阳性准确率分别为95%和97.73%,研究组总准确率和淋巴结阳性准确率高于对照组,有差异纳入统计(P<0.05).结论 T2WI 3D-SPACE联合RS-EPI DWI检查能提高直肠癌术前肿瘤淋巴分期诊断的准确性,具有较高的诊断价值,可用于直肠癌术前的肿瘤淋巴结的扫描,为临床医生的确诊提供了重要的理论依据.
Effect of T2WI 3D-space+RS-EPI DWI on the Diagnostic Accuracy of Preoperative Lymph Node Staging of Rectal Cancer
Objective To investigate the influence of T2WI 3D-space combined with RS-EPI DWI on the diagnostic accuracy of preoperative lymphatic staging of rectal cancer.Methods 96 patients diagnosed with rectal cancer and underwent imaging examination in our hospital from July 2020 to February 2022 were collected as the subjects of this study,and all the subjects were randomly divided into groups.The control group was selected for T2-WI 3D-space examination.In the study group,T2WI 3D-space and RS-EPI DWI were used for examination.The results of blind selection were presented to 2 highly qualified clinicians for differentiation of preoperative lymph node staging of rectal cancer,and the difference in accuracy of positive diagnosis of lymph node staging between the two groups was analyzed.Results The accuracy of lymph node staging in the study group was higher than that in the control group before rectal cancer operation,especially in T3 and T4,75.61%and 84.38%in the control group and 97.56%and 100%in the study group,the difference was statistically included(P<0.05).The total accuracy rate and lymph node positive accuracy rate in the control group were 70%and 79.55%,respectively.The total accuracy rate and lymph node positive accuracy rate in the study group were 95%and 97.73%,respectively.The total accuracy rate and lymph node positive accuracy rate in the study group were higher than those in the control group,and the differences were included in statistics(P<0.05).Conclusion T2-WI 3D-space combined with RS-EPI DWI can improve the accuracy of preoperative lymph node staging diagnosis of rectal cancer,and has high diagnostic value.It can be used for preoperative lymph node scanning of rectal cancer,providing an important theoretical basis for the diagnosis of clinicians.

T2WI 3D-spaceRS-EPI DWICan Rectal cancerLymphatic Stage of TumorDiagnostic Accuracy

王俊波、王晋君、丁建峰、张崇杰、焦玉泉

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运城市中心医院影像科(山西 运城 044000)

T2WI 3D-SPACE RS-EPI DWI 直肠癌 肿瘤淋巴分期 诊断准确率

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(6)