首页|MRI在胶质瘤不同病变恶性程度患者中的诊断价值及临床应用

MRI在胶质瘤不同病变恶性程度患者中的诊断价值及临床应用

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目的 探讨动态对比增强磁共振成像(DCE-MRI)在不同恶性程度胶质瘤中的诊断价值及临床应用.方法 收集2019年1月至2024年1月80例胶质瘤患者,均接受病理检查和DCE-MRI检查.根据恶性程度分为低级别(n=24)和高级别(n=56)两组,分析其预测价值及相关性.结果 低级别组Ktrans、Ve、MVD值高于高级别组,ADC值低于高级别组(P<0.05).DCE-MRI在诊断胶质瘤恶性程度方面表现出高灵敏度(95.83%)和特异度(92.86%).ROC曲线分析显示,Ktrans、Ve、ADC和MVD的ROC分别为0.747、0.810、0.687、0.664(P<0.05).相关性分析显示Ktrans和Ve与MVD正相关(r=0.527,P<0.001),ADC与 MVD负相关(r=-0.563,P<0.001).结论 DCE-MRI在不同恶性程度胶质瘤的诊断中具有重要价值,相关参数与微血管密度和病变恶性程度密切相关,为胶质瘤的诊断和预后提供重要参考.
Diagnostic Value and Clinical Application of MRI in Patients with Gliomas of Varying Malignancy
Objective To investigate the diagnostic value and clinical application of dynamic contrast-enhanced magnetic resonance imaging(DCE-MRI)in gliomas of varying malignancy.Methods A total of 80 glioma patients,treated between January 2019 and January 2024,were enrolled in this study.All patients underwent pathological examination and DCE-MRI.Based on the degree of malignancy,patients were divided into low-grade(n=24)and high-grade(n=56)groups,and their predictive value and correlations were analyzed.Results The low-grade group exhibited higher Ktrans,Ve,and MVD values,while ADC values were lower compared to the high-grade group(P<0.05).DCE-MRI demonstrated high sensitivity(95.83%)and specificity(92.86%)in diagnosing the malignancy of gliomas.ROC curve analysis revealed that the ROC values for Ktrans,Ve,ADC,and MVD were 0.747,0.810,0.687,and 0.664,respectively(P<0.05).Correlation analysis indicated a positive correlation between Ktrans,Ve,and MVD(r=0.527,P<0.001),and a negative correlation between ADC and MVD(r=-0.563,P<0.001).Conclusion DCE-MRI holds significant diagnostic value in assessing gliomas of different malignancy levels,with relevant parameters closely correlated with microvascular density and the degree of malignancy,thus providing critical insights for the diagnosis and prognosis of gliomas.

GliomaMalignancyDCE-MRIImaging CharacteristicsDiagnostic Value

徐敬轩、杨操、郝璐、葛畅、栾新平

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新疆医科大学第二附属医院神经外科

新疆医科大学第二附属医院影像科(新疆乌鲁木齐 830028)

胶质瘤 恶性程度 DCE-MRI 影像特征 诊断价值

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(12)