首页|小视野DWI与全视野DWI在直肠癌评估中的比较

小视野DWI与全视野DWI在直肠癌评估中的比较

Comparison of reduced field-of-view DWI and full field-of-view DWI techniques in assessment of rectal carcinoma

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目的:比较小视野DWI和全视野DWI对直肠癌的应用价值.方法:选择52例直肠癌患者行MRI小视野DWI和全视野DWI序列检查.52例中,T2期9例,T3期35例,T4期8例.由2位主治医师对图像质量进行评分,包括锐利度、图像扭曲变形、伪影、病变清晰度.2种序列图像的SNR、CNR和ADC值比较行配对t检验.采用单因素方差分析比较不同直肠癌T分期的ADC值.结果:小视野DWI的图像主观质量评分、SNR、CNR均高于全视野DWI(均P<0.05).2种序列所测直肠癌病灶的平均ADC值差异无统计学意义(P>0.05).除T1期外,不同分期中2种序列所测ADC值差异均有统计学意义(均P<0.05).2种序列所测ADC值与直肠癌T分期均呈负相关(r=-0.678,-0.631).结论:与全视野DWI相比,小视野DWI图像质量高,且可对直肠癌进行分期.
Objective:To compare the value of reduced field-of-view DWI(r-FOV DWI)and full field-of-view DWI(f-FOV DWI)in patients with rectal cancer.Methods:52 patients with rectal cancer underwent MRI scan,including both r-FOV and f-FOV DWI.Among the 52 patients,9 cases were T2 stage,35 cases were T3 stage and 8 cases were T4 stage.Two radiologists evaluated image quality parameters,including image sharpness,distortion,artifacts,lesion conspicuity.The SNR,CNR and ADC values were quantitatively evaluated using the paired t-test.One-way ANOVA was used to compare the ADC values between the two sequences images in different T stages of rectal cancer.Results:The subjective image quality score,SNR,CNR of r-FOV DWI sequence were statistical higher than those of f-FOV DWI(all P<0.05).There was no significant difference between mean ADC value of rectal cancer between the two sequences(P>0.05).Apart from T1 stage,ADC values of rectal cancer in different T stages were significant differences between the two sequences(all P<0.05).ADC values of the two sequences were negatively related with T staging(r=-0.678,-0.631).Conclusions:Compared with f-FOV DWI,r-FOV DWI improves image quality,and can be used in evaluation of histological T staging of rectal cancer.

Magnetic resonance imagingDiffusion weighted imagingRectal neoplasms

温群、杨辰瑶、李晨、朱丽娜、袁明晖、陶玉鹏、叶恺、刘孟潇、袁杰、龚志刚

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上海中医药大学附属曙光医院放射科,上海 200021

西门子医疗系统有限公司,上海 201203

磁共振成像 弥散加权成像 直肠肿瘤

国家自然科学基金青年基金项目

81703885

2024

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(4)
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