首页|磁共振弥散加权成像与磁共振成像平扫检查在宫颈癌诊断中的效能比较

磁共振弥散加权成像与磁共振成像平扫检查在宫颈癌诊断中的效能比较

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目的:比较磁共振弥散加权成像(MRI-DWI)与磁共振成像(MRI)平扫检查在宫颈癌诊断中的效能.方法:选取2020年7 月至 2022 年 5 月清丰第一医院收治的 96 例疑似宫颈癌患者进行前瞻性研究,所有患者入院后均行MRI平扫和MRI-DWI检查,以病理活检为金标准,比较MRI-DWI与MRI平扫检查诊断宫颈癌的效能,对不同临床分期宫颈癌的诊断符合率.结果:经病理活检结果显示,96例疑似宫颈癌患者中阳性65例,其中Ⅰ期12例,Ⅱ期24例,Ⅲ期18例,Ⅳ期11例;阴性31例.MRI平扫检查结果显示,阳性51例,阴性 45 例;MRI-DWI检查结果显示,阳性 64 例,阴性 32 例.MRI-DWI检查诊断宫颈癌的灵敏度、准确度、阴性预测值均高于MRI平扫检查,漏诊率低于MRI平扫检查,差异有统计学意义(P<0.05).经MRI-DWI检查与病理活检诊断不同临床分期宫颈癌的一致性高于MRI平扫检查.结论:MRI-DWI检查在宫颈癌诊断中的效能高于MRI平扫检查.
Comparison of efficiencies of magnetic resonance imaging diffusion weighted imaging and magnetic resonance imaging plain scan in diagnosis of cervical cancer
Objective:To compare efficiencies of magnetic resonance imaging diffusion weighted imaging(MRI-DWI)and magnetic resonance imaging(MRI)plain scan in diagnosis of cervical cancer.Methods:A prospective study was conducted on 96 patients with suspected cervical cancer admitted to the first hospital of Qingfeng from July 2020 to May 2022.All patients underwent MRI plain and MRI-DWI scan after admission.Using the pathological biopsy as the gold standard,the efficiencies of MRI-DWI and MRI plain scan in the diagnosis of cervical cancer,and the diagnostic coincidence rates of the two kinds for cervical cancer with different clinical stages were compared.Results:The pathological biopsy showed that among the 96 patients with suspected cervical cancer,65 were positive,including 12 cases of phase Ⅰ,24 cases of phase Ⅱ,18 cases of phase Ⅲ,and 11 cases of phase Ⅳ;and 31 were negative.The MRI plain scan showed that 51 cases were positive and 45 cases were negative.The MRI-DWI showed that 64 cases were positive and 32 cases were negative.The sensitivity,the accuracy and the negative predictive value of MRI-DWI in the diagnosis of cervical cancer were higher than those of MRI plain scan,the rate of missed diagnosis was lower than that of MRI plain scan,and the differences were statistically significant(P<0.05).The consistency of MRI-DWI and pathological examination in the diagnosis of different clinical stages was higher than that of MRI plain scan.Conclusions:The efficiency of MRI-DWI in the diagnosis of cervical cancer is higher than that of MRI plain scan.

Magnetic resonance imaging plain scanDiffusion weighted imagingExaminationCervical cancerClinical stagingDiagnosis

徐俊利、岳胜男、郭艳娜

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清丰第一医院医学影像科,河南 濮阳 457300

郑州人民医院影像科,河南 郑州 450000

濮阳市人民医院影像科,河南 濮阳 457300

磁共振成像平扫 弥散加权成像 检查 宫颈癌 临床分期 诊断

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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