摘要
目的探讨动态对比增强磁共振成像(DCE-MRI)联合扩散加权成像(DWI)在宫颈癌术前分期诊断中的应用价值。方法选取2018年2月至2020年2月于新密市第一人民医院治疗的73例宫颈癌患者,所有患者均接受DCE-MRI、DWI检查,并以病理结果作为"金标准",分析DCE-MRI+DWI在宫颈癌术前分期诊断中的价值。结果病理结果证实,Ⅰ期8例,占比10.96%;Ⅱa期16例,占比21.92%;Ⅱb期21例,占比28.77%;Ⅲa期15例,占比20.55%;Ⅲb期10例,占比13.70%;Ⅳ期3例,占比4.11%;DCE-MRI诊断宫颈癌分期与病理诊断结果具有理想的一致性(Kappa=0.515);DWI诊断宫颈癌术前分期与病理诊断结果具有理想的一致性(Kappa=0.601);DCE-MRI联合DWI诊断宫颈癌术前分期与病理诊断结果具有极好的一致性(Kappa=0.812)。结论DCE-MRI+DWI在宫颈癌术前分期诊断中具有较高的应用价值,与病理诊断结果具有极好的一致性,可为临床明确宫颈癌术前分期提供重要依据,为临床治疗方案的制定提供重要参考价值。
Objective To investigate the application value of dynamic contrast-enhanced magnetic resonance imaging(DCE-MRI)combined with diffusion-weighted imaging(DWI)in preoperative staging diagnosis of cervical cancer.Methods Seventy-three patients with cervical cancer who were treated in the First people’s Hospital of Xinmi from February 2018 to February 2020 were selected.All patients underwent DCE-MRI and DWI,and the pathological results were regarded as the"gold standard",the value of de-icer+DWI in preoperative staging of cervical cancer was analyzed.Results Pathological results showed that,there were 8 cases in stageⅠ,accounting for 10.96%;there were 16 cases in stageⅡa,accounting for 21.92%;there were 21 cases in stageⅡb,accounting for 28.77%;there were 15 cases in stafeⅢa,accounting for 20.55%;there were 10 cases in stageⅢb,accounting for 13.70%;there were 3 cases in stageⅣ,accounting for 4.11%.There was good consistency between the staging of cervical cancer by DCE-MRI and pathological diagnosis(Kappa=0.515);There was good consistency between the staging of cervical cancer by DWI and pathological diagnosis(Kappa=0.601);the preoperative staging diagnosis of cervical cancer by DCE-MRI combined with DWI was highly consistent with the pathological diagnosis(kappa=0.812).Conclusions DCE-MRI combined with DWI has high application value in preoperative staging diagnosis of cervical cancer,and has excellent consistency with pathological diagnosis results.It can provide important basis for clinical diagnosis of preoperative staging of cervical cancer and provide important reference value for the formulation of clinical treatment plan.
作者
陈玉霞
Chen Yuxia(Department of Imaging,the First People's Hospital of Xinmi,Xinmi 452370,China)
出处
《临床医学》
CAS
2021年第8期15-18,共4页
Clinical Medicine
关键词
宫颈癌
动态对比增强磁共振成像
扩散加权成像
术前分期
诊断价值
Cervical cancer
Dynamic contrast-enhanced magnetic resonance imaging
Diffusion weighted imaging
Preoperative staging
Diagnostic value
