[1]王晓冬,程敬亮#,孙梦恬,等.3.0T MRI对Ⅰ期子宫内膜癌术前分期的诊断价值[J].郑州大学学报(医学版),2014,(02):240.
 WANG Xiaodong,CHENG Jingliang,SUN Mengtian,et al.Diagnostic value of 3.0 Tesla MRI for preoperative staging of stage Ⅰ endometrial carcinoma[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2014,(02):240.
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3.0T MRI对Ⅰ期子宫内膜癌术前分期的诊断价值
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2014年02期
页码:
240
栏目:
应用研究
出版日期:
2014-03-20

文章信息/Info

Title:
Diagnostic value of 3.0 Tesla MRI for preoperative staging of stage Ⅰ endometrial carcinoma
作者:
王晓冬程敬亮#孙梦恬张风光赵珊珊张会霞
郑州大学第一附属医院磁共振科 郑州 450052
Author(s):
WANG Xiaodong CHENG Jingliang SUN Mengtian ZHANG Fengguang ZHAO Shanshan ZHANG Huixia
Department of Magnetic Resonance, the First Affiliated Hospital, Zhengzhou University, Zhengzhou 450052
关键词:
子宫内膜癌磁共振成像经阴道彩色多普勒超声术前分期
Keywords:
endometrial cancer MRI transvaginal color dopple sonography preoperation staging
分类号:
A
文献标志码:
R737.33
摘要:
目的:探讨3.0T MRI对Ⅰ期子宫内膜癌术前分期的诊断价值。方法:回顾性分析经病理证实的53例Ⅰ期子宫内膜癌患者的临床资料。患者术前均行MRI平扫(T1WI、T2WI、DWI)、动态增强扫描以及经阴道彩色多普勒超声(TVCDS)检查。结果:53例患者术后病理分期为Ⅰa期(无肌层浸润)15例、Ⅰb期(浅肌层浸润)22例、Ⅰc期(深肌层浸润)16例。联合MRI动态增强扫描、T2WI及DWI的术前分期为Ⅰa期 16例、Ⅰb期 22例、Ⅰc 期15例,与术后病理分期符合率为88.68%(Kappa=0.828,P<0.001)。TVCDS术前分期为Ⅰa期 18例、Ⅰb 期21例、Ⅰc期 14例,与术后病理分期符合率为66.03%(Kappa=0.485,P<0.001)。MRI多序列联合术前分期与术后病理分期符合率显著高于TVCDS(χ2=7.756, P=0.005)。结论:联合应用3.0T MRI动态增强扫描、T2WI及DWI是一种术前进行Ⅰ期子宫内膜癌分期较理想的检查方法。
Abstract:
Aim: To evaluate the diagnostic value of 3.0 Tesla MRI for preoperative staging of stageⅠendometrial carcinoma. Methods: A total of 53 cases of stageⅠendometrial carcinoma confirmed by pathology were retrospectively analyzed. All cases were performed unenhanced scanning (T1WI, T2WI, DWI), dynamic contrastenhanced imaging and transvaginal color dopple sonography(TVCDS). Results: The postoperative pathological results showed that 15 cases were Ⅰa (no myometrial involvement), 22 cases were Ⅰb(superficial myometrial invasion) and 16 cases were Ⅰc(deep myometrial invasion). The preoperation staging result of combined application of MR dynamic contrastenhanced imaging, T2WI and DWI was 15 cases of Ⅰa, 22 cases of Ⅰb and 16 cases of Ⅰc. The diagnostic coincidence rate with pathological staging was 88.68%(Kappa=0.828,P<0.001). The preoperation staging result of TVCDS was 18 cases of Ⅰa, 21 cases of Ⅰb and 14 cases of Ⅰc. The diagnostic coincidence rate with pathological staging was 66.03%(Kappa=0.485, P<0.001). The diagnostic coincidence rate of MRI was significantly higher than that of TVCDS(χ2=7.756, P=0.005). Conclusion: Combined application of MR dynamic contrastenhanced imaging, T2WI and DWI is an ideal method for the preoperative staging of stageⅠ endometrial carcinoma.

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备注/Memo

备注/Memo:
#通讯作者,男,1964年8月生,博士,教授,主任医师,研究方向:中枢神经系统影像学的诊断,Email:cjr.chjl@vip.163.com
更新日期/Last Update: 2014-04-23