影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (2): 310-314.DOI: 10.7517/issn.1674-0475.200720

• 综述与论文 • 上一篇    下一篇

动态增强磁共振成像与16层螺旋CT对小肾癌诊断及术前评估的价值对比

史凌波, 李军   

  1. 安徽医科大学滁州临床学院/滁州市第一人民医院 影像科, 安徽 滁州 239000
  • 收稿日期:2020-07-24 出版日期:2021-03-15 发布日期:2021-03-12
  • 通讯作者: 李军
  • 基金资助:
    滁州市科技计划项目(2018B54)

Comparison the Diagnosis and Preoperative Evaluation of Dynamic Enhanced Magnetic Resonance Imaging and 16-Slice Spiral CT in Small Renal Carcinoma

SHI Lingbo, LI Jun   

  1. Department of Medical Imaging, Chuzhou Clinical College of Anhui Medical University/The First People's Hospital of Chuzhou, Chuzhou 239000, Anhui, P. R. China
  • Received:2020-07-24 Online:2021-03-15 Published:2021-03-12

摘要: 本文比较动态增强磁共振成像(DCE-MRI)与16层螺旋CT (MSCT)对小肾癌诊断及术前评估中的价值。选取64例疑似小肾癌患者作为研究对象,均接受DCE-MRI与MSCT检查。以术后病理结果为参照,比较DCE-MRI和MSCT检查对小肾癌诊断及术前评估的灵敏度、特异度和准确度,并分析这两种检查的参数与Fuhrman分级的相关性。结果表明,DCE-MRI和MSCT的检查参数均与Fuhrman分级呈正相关关系,DCE-MRI对小肾癌的诊断灵敏度、特异度和准确度明显高于MSCT。DCE-MRI对于小肾癌诊断、术前评估和临床治疗具有重要意义。

关键词: 动态增强磁共振成像, 16层螺旋CT, 小肾癌, 诊断价值, 术前评估

Abstract: The purpose of this study is to compare the value of dynamic enhanced magnetic resonance imaging (DCE-MRI) and 16-slice spiral CT (MSCT) in small renal carcinoma diagnosis and preoperative evaluation. 64 patients with suspected small renal carcinoma were selected as the research objects, and they all received DCE-MRI and MSCT examinations. The sensitivity, specificity and accuracy of DCE-MRI and MSCT in the diagnosis and preoperative assessment of small renal carcinoma were compared according to postoperative pathological results, and the correlation between the parameters of these two examinations and Fuhrman grading was analyzed. The results showed that the parameters of DCE-MRI and MSCT were positively correlated with Fuhrman grading. The diagnostic sensitivity, specificity and accuracy of DCE-MRI were significantly higher than those of MSCT.DCE-MRI is of great significance for the diagnosis and preoperative assessment of small renal carcinoma.

Key words: dynamic enhanced magnetic resonance imaging, 16-slice spiral CT, small renal carcinoma, diagnostic value, preoperative assessment