首页|动态增强磁共振成像与弥散加权成像联合诊断前列腺癌的效果分析

动态增强磁共振成像与弥散加权成像联合诊断前列腺癌的效果分析

扫码查看
目的:探究应用动态增强磁共振成像(DCE-MRI)联合弥散加权成像(DWI)对前列腺癌患者提供诊断的价值.方法:选取2021年10月~2022年10月本院收治的前列腺癌患者50例为观察组,选取同期收治的良性前列腺增生患者共计50例作为对照组,均为其提供DCE-MRI与DWI诊断,对比两组患者经检查后的差异性.结果:观察组和对照组的高信号占比为76.00%(38/50)和0(0/50),稍高信号占比为24.00%(12/50)和68.00%(34/50),低、等、混杂信号占比为0(0/50)和32.00%(16/50);观察组、对照组的Kep、Ktrans等指标水平相比,前组更高,两组表观弥散系数(ADC)指标相比,前组更低(P均<0.05);经病理检查结果提示,阳性47例,阴性3例;经联合诊断提示,阳性44例,阴性6例;经DWI诊断提示,阳性28例,阴性22例;DCE-MRI与DWI联合诊断的灵敏度、准确度等均显著高于DWI诊断技术(P<0.05),但是两种方式的诊断价值无统计学意义(P>0.05).结论:对于前列腺癌患者而言,为患者提供DCE-MRI与DWI联合诊断进行干预,这种方式有助于明确患者的病情状况,且检查价值确切.
The Analysis of the Effectiveness of Dynamic Enhanced Magnetic Resonance Imaging Combined with Diffusion-Weighted Imaging in the Diagnosis of Prostate Cancer
Objective:To explore the diagnostic value of dynamic enhanced magnetic resonance imaging combined with diffusion-weighted imaging in patients with prostate cancer.Methods:From October 2021 to October 2022,a total of 50 patients with prostate cancer were selected as the observation group,and 50 patients with benign prostatic hyperplasia were included as the control group.Dynamic enhanced magnetic resonance imaging and diffusion weighted imaging were provided for their diagnosis,and the differences between the two groups of patients after examination were compared.Results:The proportion of high signal in the observation group and control group was 76.00%(38/50)and 0(0/50),slightly high signal was 24.00%(12/50)and 68.00%(34/50),and low,equal,and mixed signal was 0(0/50)and 32.00%(16/50);Compared with the control group,the Kep,Ktrans and other indicators in the observation group were higher in the control group,while the ADC indicators in the two groups were lower in the control group(both P<0.05);According to the pathological examination results,47 cases were positive and 3 cases were negative;According to the joint diagnosis,44 cases were positive and 6 cases were negative;According to the diagnosis of diffusion weighted imaging,28 cases were positive and 22 cases were negative;The sensitivity and accuracy of the combined diagnosis of dynamic enhanced magnetic resonance imaging and diffusion weighted imaging were significantly higher than those of diffusion weighted imaging diagnostic technology(P<0.05),but the diagnostic value of both methods was not statistically significant(P>0.05).Conclusion:For prostate cancer patients,providing dynamic enhanced magnetic resonance imaging and diffusion-weighted imaging combined diagnosis for intervention can help clarify the patient's condition and have definite diagnostic value.

prostate cancerbenign prostatic hyperplasiadynamic contrast-enhanced magnetic resonance imagingdiffusion weighted imagingsignificance

陈昌沙、王明镑

展开 >

福建省晋江市医院(上海六院福建医院)医学影像科 (福建 晋江 362200)

福建省晋江市医院(上海六院福建医院)泌尿外科 (福建 晋江 362200)

前列腺癌 良性前列腺增生 动态增强磁共振成像 弥散加权成像 意义

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(13)