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Differential Diagnostic Value of Texture Feature Analysis of Magnetic Resonance T2 Weighted Imaging between Glioblastoma and Primary Central Neural System Lymphoma 被引量:5
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作者 王波涛 刘明霞 陈志晔 《Chinese Medical Sciences Journal》 CAS CSCD 2019年第1期10-17,共8页
Objective To investigate the difference in tumor conventional imaging findings and texture features on T2 weighted images between glioblastoma and primary central neural system(CNS) lymphoma. Methods The pre-operative... Objective To investigate the difference in tumor conventional imaging findings and texture features on T2 weighted images between glioblastoma and primary central neural system(CNS) lymphoma. Methods The pre-operative MRI data of 81 patients with glioblastoma and 28 patients with primary CNS lymphoma admitted to the Chinese PLA General Hospital and Hainan Hospital of Chinese PLA General Hospital were retrospectively collected. All patients underwent plain MR imaging and enhanced T1 weighted imaging to visualize imaging features of lesions. Texture analysis of T2 weighted imaging(T2 WI) was performed by use of GLCM texture plugin of ImageJ software, and the texture parameters including Angular Second Moment(ASM), Contrast, Correlation, Inverse Difference Moment(IDM), and Entropy were measured. Independent sample t-test and Mann-Whitney U test were performed for the between-group comparisons, regression model was established by Binary Logistic regression analysis, and receiver operating characteristic(ROC) curve was plotted to compare the diagnostic efficacy. Results The conventional imaging features including cystic and necrosis changes(P = 0.000), ‘Rosette' changes(P = 0.000) and ‘incision sign'(P = 0.000), except ‘flame-like edema'(P = 0.635), presented significantly statistical difference between glioblastoma and primary CNS lymphoma. The texture features, ASM, Contrast, Correlation, IDM and Entropy, showed significant differences between glioblastoma and primary CNS lympoma(P = 0.006,0.000, 0.002, 0.000, and 0.015 respectively). The area under the ROC curve was 0.671, 0.752, 0.695, 0.720 and 0.646 respectively, and the area under the ROC curve was 0.917 for the combined texture variables(Contrast, cystic and necrosis, ‘Rosette' changes, and ‘incision sign') in the model of Logistic regression. Binary Logistic regression analysis demonstrated that cystic and necrosis changes, ‘Rosette' changes and ‘incision sign' and texture Contrast could be considered as the specific texture variables for the differential diagnosis of glioblastoma and primary CNS lymphoma. Conclusion The texture features of T2 WI and conventional imaging findings may be used to distinguish glioblastoma from primary CNS lymphoma. 展开更多
关键词 GLIOBLASTOMA primary CENTRAL NEURAL system LYMPHOMA texture analysis T2 WEIGHTED imaging differential diagnosis
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Value of Magnetic Resonance Imaging Texture Analysis in the Differential Diagnosis of Benign and Malignant Breast Tumors 被引量:16
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作者 王波涛 樊文萍 +6 位作者 许欢 李丽慧 张晓欢 王昆 刘梦琦 游俊浩 陈志晔 《Chinese Medical Sciences Journal》 CAS CSCD 2019年第1期33-37,共5页
Objective To investigate the difference in texture features on diffusion weighted imaging(DWI) images between breast benign and malignant tumors.Methods Patients including 56 with mass-like breast cancer, 16 with brea... Objective To investigate the difference in texture features on diffusion weighted imaging(DWI) images between breast benign and malignant tumors.Methods Patients including 56 with mass-like breast cancer, 16 with breast fibroadenoma, and 4 with intraductal papilloma of breast treated in the Hainan Hospital of Chinese PLA General Hospital were retrospectively enrolled in this study, and allocated to the benign group(20 patients) and the malignant group(56 patients) according to the post-surgically pathological results. Texture analysis was performed on axial DWI images, and five characteristic parameters including Angular Second Moment(ASM), Contrast, Correlation, Inverse Difference Moment(IDM), and Entropy were calculated. Independent sample t-test and Mann-Whitney U test were performed for intergroup comparison. Regression model was established by using Binary Logistic regression analysis, and receiver operating characteristic curve(ROC) analysis was carried out to evaluate the diagnostic efficiency. Results The texture features ASM, Contrast, Correlation and Entropy showed significant differences between the benign and malignant breast tumor groups(PASM= 0.014, Pcontrast= 0.019, Pcorrelation= 0.010, Pentropy= 0.007). The area under the ROC curve was 0.685, 0.681, 0.754, and 0.683 respectively for the positive texture variables mentioned above, and that for the combined variables(ASM, Contrast, and Entropy) was 0.802 in the model of Logistic regression. Binary Logistic regression analysis demonstrated that ASM, Contrast and Entropy were considered as thespecific imaging variables for the differential diagnosis of breast benign and malignant tumors.Conclusion The texture analysis of DWI may be a simple and effective tool in the differential diagnosis between breast benign and malignant tumors. 展开更多
关键词 BREAST TUMOR TEXTURE analysis magnetic RESONANCE imaging differential diagnosis
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心包恶性间皮瘤的影像学表现 被引量:2
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作者 王世伟 李涛 +3 位作者 邹颖 王雪丹 王晶瑶 王高飞 《分子影像学杂志》 2019年第4期473-475,共3页
心包恶性间皮瘤是起源于心包浆膜层的恶性肿瘤,临床罕见,其影像学表现更是缺乏特征性。我院2018年确诊了1例心包恶性间皮瘤患者,其影像学检查资料比较全面,患者通过X线检查发现心影异常,CT及MRI进一步检查可以明确病灶的位置、形态及相... 心包恶性间皮瘤是起源于心包浆膜层的恶性肿瘤,临床罕见,其影像学表现更是缺乏特征性。我院2018年确诊了1例心包恶性间皮瘤患者,其影像学检查资料比较全面,患者通过X线检查发现心影异常,CT及MRI进一步检查可以明确病灶的位置、形态及相关影像学表现。因此,影像学检查对于临床确诊心包间皮瘤起到关键作用。 展开更多
关键词 心包恶性间皮瘤 影像学检查 临床诊断
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胰头上方淋巴结滤泡树突细胞肉瘤1例
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作者 张晓欢 刘有 张帆 《医学影像学杂志》 2020年第11期2033-2033,2045,共2页
患者女,61岁。查体发现胰腺占位性病变3月。无发热,疼痛,消瘦,腹水。入院体检:上腹部可扪及包块,质韧。无明显压痛、反跳痛。实验室检查:中性粒细胞0.866;白细胞计数:12.75×109/L;血红蛋白测定:114.0 g/L;癌胚抗原、甲胎蛋白、糖... 患者女,61岁。查体发现胰腺占位性病变3月。无发热,疼痛,消瘦,腹水。入院体检:上腹部可扪及包块,质韧。无明显压痛、反跳痛。实验室检查:中性粒细胞0.866;白细胞计数:12.75×109/L;血红蛋白测定:114.0 g/L;癌胚抗原、甲胎蛋白、糖类抗原、CA199、CA125等肿瘤标记物均为阴性。影像表现:CT显示胰腺头颈区域可见软组织肿块影,向后下方压迫胰腺表面。邻近胃受压前移。病灶大小约65 mm×70 mm。平扫CT值46 HU(图1)。动脉期呈较均匀明显强化,CT值131 HU(图2),门静脉呈持续强化(图3)。MRI显示T 1WI肿块呈等低信号(图4),T 2WI呈稍高信号(图5),内可见点、条状短T 2信号,反相位图像病变未见信号减低区,DWI病变呈均匀高信号(图6)。病变周边及边缘可见多发点状血管流空信号影。动脉期病变明显异常强化(图7),门静脉期持续强化。胰腺颈部与病变分界清,呈轻度受压改变,余未见异常。 展开更多
关键词 树突状细胞 肉瘤 淋巴结 影像诊断
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椎管内硬膜外血管瘤侵入椎体1例
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作者 孙艺洁 王波涛 陈志晔 《医学影像学杂志》 2022年第5期852-852,857,共2页
患者男,45岁,腰背部疼痛10年余。患者2011年8月无明显诱因出现腰背部疼痛,当地医院腰椎磁共振提示有腰椎椎管内占位性病变,未予治疗;每年腰椎磁共振检查病变未见明显增大,近2年来上述症状加重。腰椎磁共振和CT表现:腰4椎体水平椎管内见... 患者男,45岁,腰背部疼痛10年余。患者2011年8月无明显诱因出现腰背部疼痛,当地医院腰椎磁共振提示有腰椎椎管内占位性病变,未予治疗;每年腰椎磁共振检查病变未见明显增大,近2年来上述症状加重。腰椎磁共振和CT表现:腰4椎体水平椎管内见占位性病变(图1)。手术所见:磨除腰4椎板暴露局部硬膜囊,见椎管内暗红色长条状病变,质软,血供丰富。 展开更多
关键词 硬膜外肿瘤 血管瘤 影像学诊断
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颞下颌关节骨性关节炎患者磁共振定量形态学评估
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作者 王波涛 李鑫 +2 位作者 黄攀 王平怀 陈志晔 《医学影像学杂志》 2023年第12期2261-2264,共4页
目的探讨颞下颌关节紊乱病(temporomandibular joint disorders,TMD)患者发生颞下颌关节骨性关节炎(temporomandibular joint osteoarthrosis,TMJOA)关节窝及髁突形态学改变。方法选取我院行颞下颌关节磁共振检查的TMD患者124例,分成颞... 目的探讨颞下颌关节紊乱病(temporomandibular joint disorders,TMD)患者发生颞下颌关节骨性关节炎(temporomandibular joint osteoarthrosis,TMJOA)关节窝及髁突形态学改变。方法选取我院行颞下颌关节磁共振检查的TMD患者124例,分成颞下颌关节骨性关节炎组48例(91侧关节)和无颞下颌关节骨性关节炎组76例(152侧关节),分别测量每侧颞下颌关节关节窝深度、关节窝前后径、关节窝指数、髁突内外径、髁突前后径及髁突指数,两组之间采用独立样本t检验及Mann-Whitney U检验,同时进行二元Logistic回归分析法建立回归模型,绘制受试者工作特征曲线。结果颞下颌关节骨性关节炎和无颞下颌关节骨性关节炎两组之间关节窝深度、关节窝指数、髁突前后径、髁突内外径及髁突指数差异均有统计学意义(P<0.001),二元Logistic回归分析提示关节窝深度、关节窝指数、髁突内外径及髁突前后径可以作为鉴别二者的变量,ROC曲线下面积0.89。结论TMD患者基于关节窝及髁突形态变量构建的二元Logistic回归模型,可以用于颞下颌关节骨性关节炎的预测。 展开更多
关键词 颞下颌关节骨性关节炎 颞下颌关节紊乱病 磁共振成像 鉴别诊断
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