首页|DWI联合MRI动态增强扫描在诊断宫颈癌分期中的应用

DWI联合MRI动态增强扫描在诊断宫颈癌分期中的应用

Application of DWI combined with dynamic contrast-enhanced MRI in diagnosis of cervical cancer staging

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原文链接
  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的:分析DWI联合MRI动态增强扫描在宫颈癌国际妇产科联盟(FIGO)2018分期中的应用效果.方法:回顾性分析68例经病理证实的宫颈癌患者,均行DWI和动态增强扫描,分析DWI联合动态增强扫描与FIGO 2018分期的诊断一致性.结果:68例中,FIGO 2018分期ⅠB1期20例、ⅠB2期15例、ⅠB3期4例、ⅡA1期11例、ⅡA2期7例、ⅡB期2例、ⅢB期2例、ⅢC1期2例、ⅣA期5例;DWI联合动态增强扫描示55例与FIGO 2018分期一致,其中,ⅠB1期18例、ⅠB2期13例、ⅠB3期2例、ⅡA1期9例、ⅡA2期5例、ⅡB期2例、ⅢB期1例、ⅢC1期1例、ⅣA期4例.经Kappa检验,2种诊断方法的一致性较好(K=0.768,P＜0.05).DWI联合动态增强扫描诊断宫颈癌ⅠB1、ⅠB2、ⅠB3、ⅡA1、ⅡA2、ⅡB、ⅢB、ⅢC1、ⅣA期的约登指数分别为0.879、0.848、0.469、0.801、0.665、0.985、0.470、0.485、0.784,准确率分别为95.59%、95.59%、94.12%、95.59%、92.65%、98.53%、95.59%、97.06%、97.06%.结论:DWI联合MRI动态增强扫描对宫颈癌的诊断与FIGO 2018分期的一致性较好,诊断准确率较高.
Objective:To explore the application of DWI combined with dynamic contrast-enhanced MRI in FIGO 2018 staging for cervical cancer.Methods:The data of 68 patients with cervical cancer were retrospectively analyzed.They all underwent DWI and dynamic contrast-enhanced MRI.The consistency between DWI combined with dynamic contrast-enhanced scan diagnosis and FIGO 2018 staging was analyzed.Results:Among the 68 patients,20 cases were FIGO 2018 stage ⅠB1,15 were stage ⅠB2,4 were stage ⅠB3,11 were stage ⅡA1,7 were stage ⅡA2,2 were stage ⅡB,2 were stage ⅢB,2 were stage ⅢC1,and 5 were stage ⅣA.DWI combined with dynamic contrast-enhanced scan were consistent with FIGO 2018 staging in 55 cases,18 cases of stage ⅠB1,13 of stage ⅠB2,2 of stage ⅠB3,9 of stage ⅡA1,5 of stage ⅡA2,2 of stage ⅡB,1 of stage ⅢB,1 of stage ⅢC1 and 4 of stage ⅣA.And Kappa consistency test showed a good consistency between the two diagnostic methods(K=0.768,P＜0.05).The Youden indices of DWI combined with dynamic contrast-enhanced scan in the diagnosis of cervical cancer at stages ⅠB1,ⅠB2,ⅠB3,ⅡA1,ⅡA2,ⅡB,ⅢB,ⅢC1 and ⅣA were 0.879,0.848,0.469,0.801,0.665,0.985,0.470,0.485 and 0.784,respectively,and the accuracies were 95.59%,95.59%,94.12%,95.59%,92.65%,98.53%,95.59%,97.06%and 97.06%,respectively.Conclusions:DWI combined with dynamic contrast-enhanced MRI has a consistency with FIGO 2018 staging in diagnosis of cervical cancer,and has a high diagnostic accuracy.

Cervical cancerMagnetic resonance imagingDiffusion weighted imagingDynamic enhanced scanningInter-national Federation of Gynecology and Obstetrics

王新婧、施磊、李兵、冯吟、朱楠

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安徽省合肥市妇幼保健院影像中心,安徽 合肥 230007

安徽医科大学第一附属医院放射科,安徽 合肥 230022

安徽省蚌埠市中医医院影像科,安徽 蚌埠 233000

宫颈癌 磁共振成像 扩散加权成像 动态增强扫描 国际妇产科联盟

2024

10.3969/j.issn.1672-0512.2024.02.017

中国中西医结合影像学杂志
中国中西医结合学会,山东中医药大学附属医院

中国中西医结合影像学杂志

CSTPCD
影响因子：0.857
ISSN：1672-0512
年,卷(期)：2024.22(2)
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