中国临床医学影像杂志2024,Vol.35Issue(5) :347-350,359.DOI:10.12117/jccmi.2024.05.010

多层螺旋CT在宫颈癌FIGO分期及盆腔淋巴结转移诊断中的应用研究

Application of multi-slice spiral CT in the diagnosis of cervical cancer FIGO staging and pelvic lymph node metastasis

潘丹丹 吴磊 冯爱平
中国临床医学影像杂志2024,Vol.35Issue(5) :347-350,359.DOI:10.12117/jccmi.2024.05.010

多层螺旋CT在宫颈癌FIGO分期及盆腔淋巴结转移诊断中的应用研究

Application of multi-slice spiral CT in the diagnosis of cervical cancer FIGO staging and pelvic lymph node metastasis

潘丹丹 1吴磊 2冯爱平1
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作者信息

  • 1. 宜昌市妇幼保健院放射科,湖北宜昌 443000
  • 2. 枝江市人民医院放射科,湖北枝江 443200
  • 折叠

摘要

目的:分析多层螺旋CT在宫颈癌FIGO分期及盆腔淋巴结转移诊断中的应用价值.方法:选择2019年12月—2022年12月收治的136例宫颈癌患者作为研究对象,采用64排CT仪进行扫描检查;以手术病理结果作为金标准,绘制受试者工作特征(ROC)曲线对CT扫描评估宫颈癌FIGO分期及盆腔淋巴结转移的诊断价值,依照ROC曲线下面积(AUC)对诊断结果进行评估.结果:利用CT扫描检查诊断评估FIGO分期时Ⅰ~Ⅱ期60例,Ⅲ~Ⅳ期76例,利用CT扫描检查诊断评估盆腔淋巴结转移时未转移69例,转移67例;利用CT扫描方法诊断评估FIGO分期及盆腔淋巴结转移的敏感度、特异度及准确率均高于90%;CT扫描方法诊断评估FIGO分期的AUC为0.951,高于0.9,具有较高的临床诊断价值;CT扫描方法诊断评估盆腔淋巴结转移的AUC为0.933,高于0.9,具有较高的临床诊断价值.结论:多层螺旋CT在宫颈癌诊断和评估FIGO分期及盆腔淋巴结转移时AUC均>0.9,具有较高的应用价值.

Abstract

Objective:To analyze the application value of multi-slice spiral CT in the FIGO staging of cervical cancer and the diagnosis of pelvic lymph node metastasis.Methods:A total of 136 patients with cervical cancer who were treated between December 2019 and December 2022 were selected as the research objects,and were scanned by 64-slice CT,the receiver operating characteristic(ROC)curve was drawn with the surgical pathological results as the gold standard.The diag-nostic value of CT scan in evaluating the FIGO staging of cervical cancer and pelvic lymph node metastasis was evaluated ac-cording to the area under the ROC curve(AUC).Results:CT scanning was used to diagnose and evaluate FIGO staging in 60 cases from stage Ⅰ to Ⅱ,and 76 cases from stage Ⅲ to Ⅳ.When using CT scan to diagnose and evaluate pelvic lymph node metastasis,there were 69 cases without metastasis and 67 cases with metastasis.The sensitivity,specificity and accuracy of using CT scanning methods to diagnose and evaluate FIGO staging and pelvic lymph node metastasis were all higher than 90%,the AUC of CT scanning method for diagnosing and evaluating FIGO staging was 0.951,which was higher than 0.9,and has high clinical diagnostic value.The AUC of CT scanning methods for diagnosing and evaluating pelvic lymph node metas-tasis was 0.933,which was higher than 0.9,and had high clinical diagnostic value.Conclusion:The AUC of multi-slice spi-ral CT in the diagnosis of cervical cancer and the evaluation of FIGO staging and pelvic lymph node metastasis are all greater than 0.9,which has a high application value.

关键词

宫颈肿瘤/淋巴转移/体层摄影术,螺旋计算机

Key words

Uterine Cervical Neoplasms/Lymphatic Metastasis/Tomography,Spiral Computed

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基金项目

湖北省卫生健康委指导性项目(2021-2022)(WJ2021F013)

出版年

2024
中国临床医学影像杂志
中国医学影像技术研究会,中国医科大学

中国临床医学影像杂志

CSTPCDCSCD北大核心
影响因子:1.204
ISSN:1008-1062
参考文献量22
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