1.5T MRI弥散加权成像联合CT对女性盆腔肿瘤良恶性的诊断价值分析

doi:10.7517/issn.1674-0475.191122

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (3): 525-529.DOI: 10.7517/issn.1674-0475.191122

1.5T MRI弥散加权成像联合CT对女性盆腔肿瘤良恶性的诊断价值分析

任鸿萍, 洪莲, 张毅辉, 王露萍

西南医科大学附属成都三六三医院, 四川成都 610041

收稿日期:2019-11-25 出版日期:2020-05-15 发布日期:2020-05-15
通讯作者: 任鸿萍

The Value of 1.5T MRI Diffusion Weighted Imaging Combined with CT in the Diagnosis of Benign and Malignant Female Pelvic Tumors

REN Hongping, HONG Lian, ZHANG Yihui, WANG Luping

Chengdu 363 Hospital Affiliated to Southwest Medical University, Chengdu 610041, Sichuan, P. R. China

Received:2019-11-25 Online:2020-05-15 Published:2020-05-15

摘要/Abstract

摘要： 回顾性分析2018年10月~2019年10月我院收治的70例均行CT和MRI检查并经过病理学检查确诊的盆腔肿瘤患者的临床资料，探讨1.5T MRI弥散加权成像、CT检查，以及联合使用时对女性盆腔肿瘤良恶性的诊断价值。70例患者共查出80个病灶，其中包括12个宫颈癌、37个子宫肌瘤、11个卵巢癌、20个卵巢囊肿；23个为恶性肿瘤，57个为良性肿瘤。MRI准确诊断出71个，诊断准确率为88.75%，恶性肿瘤诊断准确率为86.96%；CT准确诊断出68个，诊断准确率为85.00%，恶性肿瘤诊断准确率为86.96%；二者联合监测准确诊断出78个，诊断准确率为97.50%，恶性肿瘤诊断准确率为100%。CT和MRI诊断妇女盆腔良恶性肿瘤准确率比较差异无统计学意义（P>0.05），与联合检测准确率比较准确率明显降低（P<0.05）。1.5T MRI弥散加权成像和CT检查联合应用可进一步提高盆腔良恶性肿瘤诊断的准确率，降低发生漏诊和误诊的概率。

关键词: 准确率, 恶性肿瘤, 弥散加权成像, 生活质量, 盆腔

Abstract: The clinical data of 70 patients with pelvic tumors who were diagnosed by CT and MRI from October 2018 to October 2019 were analyzed retrospectively. To investigate the diagnostic value of 1.5T MRI diffusion weighted imaging, CT and its combined use in the diagnosis of benign and malignant female pelvic tumors. There were 80 lesions in 70 patients, including 12 cases of cervical cancer, 37 cases of hysteromyoma, 11 cases of ovarian cancer, 20 cases of ovarian cysts, 23 cases of malignant tumors and 57 cases of benign tumors. 71 lesions were diagnosed accurately by MRI, the accuracy rate of diagnosis was 88.75%, the accuracy rate of diagnosis of malignant tumor was 86.96%. 68 lesions were diagnosed accurately by CT, the accuracy rate of diagnosis was 85.00%, the accuracy rate of diagnosis of malignant tumor was 86.96%. 78 cases were accurately diagnosed by combined monitoring, the accuracy rate of diagnosis was 97.50%, the accuracy rate of diagnosis of malignant tumor was 100%. There was no significant difference between CT and MRI in the accuracy rate of diagnosis of benign and malignant tumors in women's pelvis (P>0.05). The accuracy of each MRI or CT rate was significantly lower than that of combined detection (P<0.05). 1.5T-MRI combined with CT can further improve the accuracy of diagnosis of pelvic benign and malignant tumors, greatly educe the probability of missed diagnosis and misdiagnosis.

Key words: accuracy rate, malignant tumor, diffusion weighted imaging, quality of life, pelvic cavity

任鸿萍, 洪莲, 张毅辉, 王露萍. 1.5T MRI弥散加权成像联合CT对女性盆腔肿瘤良恶性的诊断价值分析[J]. 影像科学与光化学, 2020, 38(3): 525-529.

REN Hongping, HONG Lian, ZHANG Yihui, WANG Luping. The Value of 1.5T MRI Diffusion Weighted Imaging Combined with CT in the Diagnosis of Benign and Malignant Female Pelvic Tumors[J]. Imaging Science and Photochemistry, 2020, 38(3): 525-529.

参考文献

[1] 武庆利,赵祖来,付剑平,等.CT及MRI显示卵巢血管和输卵管对盆腔肿瘤的诊断价值[J].临床放射学杂志,2018,37(3):466-470. Wu Q L, Zhao Z L, Fu J P, et al. The value of the CT and MRI showed ovarian vessels and uterine tube in the diagnosis of pelvic tumors[J]. Journal of Clinical Radiology, 2018,37(3):466-470.
[2] 刘洁,程敬亮,高雪梅,等.盆腔内孤立性纤维瘤MRI表现[J].中国临床医学影像杂志,2017,28(12):865-868. Liu J, Cheng J L, Gao X M, et al. MRI appearances of solitary fibrous tumor in pelvis[J]. Journal of China Clinic Medical Imaging, 2017,28(12):865-868.
[3] 李绍东,高晶晶,胡春峰,等.PET/M R I融合图像诊断妇科恶性肿瘤盆腔复发[J].中国医学影像技术,2016,32(10):1555-1559. Li S D, Gao J J, Hu C F, et al. PET/MRI fusion in diagnosis of intra-pelvic recurrence of gynecological tumor[J]. Chinese Journal of Medical Imaging Technology, 2016,32(10):1555-1559.
[4] 王家富,林耀云,林琳,等.多层螺旋CT联合肿瘤标志物在鉴别诊断癌性和结核性胸腔积液的临床价值研究[J].中国CT和MRI杂志, 2017,15(7):27-29. Wang J F, Lin Y Y, Lin L, et al. Clinical value of multi-slice spiral CT combined with tumor markers in the differential diagnosis of cancerous and tuberculous pleural effusion[J]. Chinese Journal of CT and MRI, 2017,15(7):27-29.
[5] 段寿生,邝平定. 子宫腺肌症MRI临床表现及诊断价值分析[J]. 医学影像学杂志,2016,26(5):943-946. Duan S S, Kuang P D. Anaysis of MRI manifestations and their clinical value for adenomyosis[J]. Journal of Medical Imaging, 2016,26(5):943-946.
[6] 毕秋,吕发金,肖智博,等. 多参数MRI对子宫平滑肌肉瘤及不典型子宫肌瘤的鉴别诊断[J]. 磁共振成像,2018,9(2):108-112. Bi Q, Lyu F J,Xiao Z B, et al. Using multiparametric MRI to differentiate uterine leiomyosarcoma from atypical leiomyoma[J]. Chinese Journal of Magnetic Resonance Imaging, 2018,9(2):108-112.
[7] 张燕,陈忠明,蔡望洲.1.5T磁共振全身弥撒加权成像的临床应用价值[J].中国医学创新,2015,12(6):56-59. Zhang Y, Chen Z M, Cai W Z. 1.5 T whole body diffusion weighted-imaging and its clinical application value[J]. Medical Innovation of China, 2015,12(6):56-59.
[8] 蔡新宇,肖蕾,梁晓平.超声及多层螺旋CT鉴别女性盆腔囊性肿块病变的价值比较[J].中国CT和MRI杂志,2016,14(2):106-108,129. Cai X Y, Xiao L, Liang X P. Comparison of the value of ultrasound and multi-slice spiral CT in differential diagnosis of female pelvic cystic mass[J]. Chinese Journal of CT and MRI, 2016,14(2):106-108, 129.
[9] 谢代军,康安发,段王栋,等.MRI在盆腔囊实性占位病变的诊断价值探讨(附100例)[J].中国CT和MRI杂志,2016,14(7):91-93. Xie D J, Kang A F, Duan W D, et al. A retrospective analysis of MRI in the diagnosis and differential diagnosis of pelvic cystic and solid occupying lesions (100 cases enclosed)[J]. Chinese Journal of CT and MRI, 2016,14(7):91-93.
[10] 沈鸿鹄, 王琳, 周晶. 多b值MRI弥散加权成像诊断肺部良恶性肿瘤的价值[J]. 中华实用诊断与治疗杂志,2017,31(3):270-273. Shen H H, Wang L, Zhou J. Value of MR diffusion-weighted imaging in different b valus to the diagnosis of benign and malignant lung tumors[J]. Journal of Chinese Practical Diagnosis and Therapy, 2017,31(3):270-273.

1.5T MRI弥散加权成像联合CT对女性盆腔肿瘤良恶性的诊断价值分析

The Value of 1.5T MRI Diffusion Weighted Imaging Combined with CT in the Diagnosis of Benign and Malignant Female Pelvic Tumors

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 6

编辑推荐

Metrics

本文评价

[1]	刘永欣, 李琳琳, 马静. 磁共振全身弥散加权成像与CT对淋巴瘤化疗疗效评价的比较研究[J]. 影像科学与光化学, 2020, 38(5): 929-933.
[2]	王琴, 王金萍, 王佳佳, 李保启. 回顾性分析不同病理类型肝脏恶性肿瘤超声造影表现[J]. 影像科学与光化学, 2020, 38(4): 708-712.
[3]	杨智芳, 李秀英, 卫精明. 经食道心脏超声和经胸壁心脏超声检查对心源性栓塞性脑梗死的诊断效能[J]. 影像科学与光化学, 2020, 38(3): 546-549.
[4]	郑世红, 杨周静. 伊托必利、奥美拉唑联合He-Ne激光治疗反流性食管炎的疗效及对患者焦虑抑郁的影响[J]. 影像科学与光化学, 2020, 38(3): 566-571.
[5]	薛红芳, 陈娟. 彩色多普勒超声结合弹性成像技术在鉴别乳腺良恶性肿瘤中的应用价值[J]. 影像科学与光化学, 2020, 38(3): 572-577.
[6]	袁强, 曾燕妮, 谭敏仪, 覃亦伟, 洪勇. MRA与CTA腹盆腔血管数字化三维模型的构建及对胎盘植入诊治效果的对比研究[J]. 影像科学与光化学, 2020, 38(2): 333-338.