MRI在诊断舌部鳞癌致颈部淋巴结转移中的应用

doi:10.7517/issn.1674-0475.220118

影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (4): 947-951.DOI: 10.7517/issn.1674-0475.220118

MRI在诊断舌部鳞癌致颈部淋巴结转移中的应用

甘梅香^1,3, 黎秋兰^1,4, 张晓丹²

1. 南昌医学院口腔医学院, 江西南昌 330029;
2. 南昌医学院基础医学院, 江西南昌 330029;
3. 江西省人民医院, 江西南昌 330029;
4. 江西卫生职业学院, 江西南昌 330029

收稿日期:2022-01-17 发布日期:2022-07-09
通讯作者: 张晓丹
基金资助:
2020年江西省高等学校教学改革研究课题（JXJG-20-80-7）和2021年江西省教育厅科学技术项目（GJJ215607）

Application of MRI in Diagnosis of Cervical Lymph Node Metastasis Caused by Tongue Squamous Cell Carcinoma

GAN Meixiang^1,3, LI Qiulan^1,4, ZHANG Xiaodan²

1. School of Stomatology, Nanchang Medical College, Nanchang 330029, Jiangxi, P. R. China;
2. School of Basic Medicine, Nanchang Medical College, Nanchang 330029, Jiangxi, P. R. China;
3. Jiangxi Provincial People's Hospital, Nanchang 330029, Jiangxi, P. R. China;
4. Jiangxi Health Vocational College, Nanchang 330029, Jiangxi, P. R. China

Received:2022-01-17 Published:2022-07-09

摘要/Abstract

摘要： 本研究探讨磁共振成像（MRI）在手术前评估舌鳞状细胞癌导致颈部淋巴结转移、肿瘤浸润深度中的应用价值。选取在手术治疗的71例舌鳞状细胞癌患者作为临床对象进行回顾性分析，所有患者术前均接受了MRI检查，评估颈部7个淋巴结区域的转移阳性率、肿瘤浸润深度，以病理学结果作为诊断金标准计算MRI术前评估颈部淋巴结转移的价值；分析MRI检测肿瘤浸润深度与病理学诊断结果的相关性。术前MRI检查结果与病理学结果比较，Ⅰ区诊断符合率为87.50%、Ⅱ区诊断符合率为77.78%、Ⅲ区诊断符合率为75.00%、Ⅳ区诊断符合率为75.00%、Ⅴ区诊断符合率为100.00%；MRI正确诊断颈部淋巴结转移的灵敏度为79.59%、特异度为86.36%；T1WI、T2WI术前诊断舌鳞状细胞癌浸润深度测定值与术后病理学结果比较，差异无统计学意义（P>0.05）。MRI在手术前评估舌鳞状细胞癌导致颈部淋巴结转移具有较高的灵敏度和特异度，术前评估肿瘤浸润深度与病理学结果具有极高的相关性。

关键词: 磁共振成像, 舌鳞状细胞癌, 淋巴结转移, 浸润深度

Abstract: This study investigated the application value of magnetic resonance imaging (MRI) in evaluating the depth of cervical lymph node metastasis and tumor invasion caused by tongue squamous cell carcinoma of before surgery. 71 patients with tongue squamous cell carcinoma who underwent surgery were selected as clinical subjects for retrospective analysis. All patients received MRI examination before surgery to evaluate the positive rate of metastasis and the depth of tumor invasion in seven lymph node regions of the neck. The physical results were used as the diagnostic gold standard to calculate the value of MRI in evaluating cervical lymph node metastasis before operation. The correlation between the depth of tumor invasion detected by MRI and the results of pathological diagnosis was analyzed. Comparing preoperative MRI results with pathological results, the diagnostic coincidence rate of zone Ⅰ was 87.50%, the diagnostic coincidence rate of zone Ⅱ was 77.78%, the diagnostic coincidence rate of zone Ⅲ was 75.00%, the diagnostic coincidence rate of zone Ⅳ was 75.00%, and the diagnostic coincidence rate of zone Ⅴ was 100.00%. The diagnostic sensitivity of MRI to correct the cervical lymph nodes metastasis was 79.59% and the specificity was 86.36%. There was no significant difference between the preoperative T1WI, T2WI diagnosis of tongue squamous cell carcinoma infiltration depth and pathological results after surgery (P>0.05). MRI has a high sensitivity and specificity to evaluate the cervical lymph node metastasis caused by tongue squamous cell carcinoma before surgery. The preoperative assessment of tumor invasion depth has a high correlation with pathological results.

Key words: magnetic resonance imaging, tongue squamous cell carcinoma, lymph node metastasis, depth of invasion

甘梅香, 黎秋兰, 张晓丹. MRI在诊断舌部鳞癌致颈部淋巴结转移中的应用[J]. 影像科学与光化学, 2022, 40(4): 947-951.

GAN Meixiang, LI Qiulan, ZHANG Xiaodan. Application of MRI in Diagnosis of Cervical Lymph Node Metastasis Caused by Tongue Squamous Cell Carcinoma[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 947-951.

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MRI在诊断舌部鳞癌致颈部淋巴结转移中的应用

Application of MRI in Diagnosis of Cervical Lymph Node Metastasis Caused by Tongue Squamous Cell Carcinoma

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