首页|结直肠腔内肿块MRI增强的血管特征对其良恶性的判断价值

结直肠腔内肿块MRI增强的血管特征对其良恶性的判断价值

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目的 探讨结直肠腔内肿块MRI增强的血管特征对其良恶性判断的价值.方法 收集我院2017年3月至2022年2月经手术病理证实的结直肠癌45例构成试验组和良性肿块35例构成对照组.收集病人的性别、年龄及结直肠腔内肿块发生的部位,并观测肿块的血管特征,包括肿块段肠管周血管数、血管达肿块段肠壁或延伸入肿块内数量,以及血管分布范围与肿块基底部的关系,计数并统计分析,并绘制血管分布的ROC曲线.结果 良恶性组在性别、肿块分布部位、肿块内血管数(>3)及肿块内血管不明显的例数间无明显差异,二组在年龄(良性56.88±11.66、恶性68.36±10.69)、瘤周血管数(>5)、血管伸入肿块内、血管达肿块边缘、血管范围未超出基底部、血管范围超出基底及血管范围超出0.5倍肠环方面差异有统计学意义(P<0.05),ROC曲线显示瘤周血管数(>5)、血管达肿块边缘及血管范围超出0.5倍肠环的价值较大.结论 熟悉结直肠腔内肿块的MRI增强血管特征有利于提高对其良恶性的诊断水平.
Value of MRI-Enhanced Vascular Features of Colorectal Mass of Benign and Malignant
Objective To investigate the value of MRI-enhanced vascular features of colorectal benign and malignant masses Methods 45 cases of colorectal cancer constituted the test group and benign masses 35 cases constituted the control group confirmed by surgery and pathology from March 2017 to February 2022.Collected the location of the gender,age of the patient and the location of the colorectal mass,and observed the vascular characteristics of the mass,including:the number of peripheral vessels of the mass,the number of intestinal wall or extending into the mass,and the relationship between vascular distribution and the base of the mass,counted and statistical analysis,and drew the ROC curve of vascular distribution.Results There was no obvious difference betweed the benign and malignant groups in gender,mass distribution site,the number of vessels in the mass(>3)and the number of insignificant vessels of the masses,and there were significant statistical differences(P<0.05)betweed two groups in ages(benign 56.88±11.66,malignant 68.36±10.69),the number of peritumoral vessels(>5),the extension of the vessels into the mass,the edge of the mass,the range of the vessels beyond the base,the range beyond the base and the range of the vessels beyond 0.5 times intestinal rings,The ROC curve showed larger value according to the number of peritumoral vessels(>5),the edge of the mass and the vascular range exceed 0.5 times intestinal rings of them.Conclusion Familiarity with the MRI-enhanced vascular features of colorectal luminal masses was beneficial to improve the diagnosis of their benign and malignant masses.

ColorectalVascularMRIBenign and Malignant

赵言、李文华、曾旭、徐世风

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上海健康医学院附属崇明医院放射科(上海 202150)

结直肠 血管 MRI 良恶性

上海市崇明区科委课题

CKY2017-06

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(9)
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