磁共振扩散加权成像对Ⅰa期子宫内膜癌的鉴别诊断价值
范光荣;陈翠芬;朱志军;王小鹏;严芳
【期刊名称】《实用放射学杂志》 【年(卷),期】2016(032)003
【摘要】目的：探讨表观扩散系数(ADC)值测量对Ⅰa 期子宫内膜癌的鉴别诊断价值。方法回顾性分析经手术病理证实的Ⅰa期子宫内膜癌患者18例,子宫良性病变患者22例,其中子宫内膜增生9例,子宫内膜息肉8例,黏膜下肌瘤变性5例,所有患者均行 MRI、扩散加权成像(DWI)检查,采用单次激发的平面回波成像(EPI)序列,b 值为0 s/mm2和1000 s/mm2。结果Ⅰa 期子宫内膜癌、子宫内膜增生、子宫内膜息肉和黏膜下肌瘤变性的 ADC 值分别为(0.89±0.21)×10-3 mm2/s、(1.45±0.19)×10-3 mm2/s、(1.29±0.32)×10-3 mm2/s、(1.32±0.29)×10-3 mm2/s,组间差异有统计学意义(F =48.021 P =0.00,one-way NOVA ),两两组间比较(LSD)Ⅰa 期子宫内膜癌和各组良性病变间均有统计学意义(P <0.05)。结论ADC 值测量对Ⅰa 期子宫内膜癌有很好的鉴别诊断价值。%Objective To evaluate the value of diffusion weighted imaging in differential diagnosis of endometrial carcinoma stagedⅠa.Methods A retrospective analysis of 18 patients with endometrial carcinoma staged Ⅰ a which was confirmed by pathology. Other 22 patients with benign endometrial diseases were also enrolled in the study including endometrial hyperplasia in 9,endometrial polyp in 8 and degenerative submucous myoma in 5.DWI with b value of 0 s/mm2 and 1 000 s/mm2 was performed with single shot sequence of EPI,and the ADC values
were measured.Results The mean ADC values of endometrial carcinoma staged
Ⅰa,endome-trial
submucous
hyperplasia,endometrial myoma
were
polyp
and -3
degenerative (0.89±0.21)×10
mm2/s,(1.45±0.19)×10 -3 mm2/s, (1.29±0.32)×10 -3 mm2/s and (1.32 ±0.29)× 10 -3 mm2/s,respectively.There were statistical significant differences between them (F =48.021,P =0.00).Furthermore,statistically significant differences also existed between endometrial carcinoma and other groups (P <0.05).Conclusion ADC value shows a good value in differential diagnosis of endometrial carcinoma staged Ⅰa. 【总页数】4页(392-395)
【关键词】扩散加权成像;表观扩散系数;子宫内膜癌;黏膜下肌瘤;子宫内膜增生 【作者】范光荣;陈翠芬;朱志军;王小鹏;严芳
【作者单位】南京医科大学附属深圳市妇幼保健院放射科，广东 深圳 518017;南京医科大学附属深圳市妇幼保健院放射科，广东 深圳 518017;南京医科大学附属深圳市妇幼保健院放射科，广东 深圳 518017;南京医科大学附属深圳市妇幼保健院放射科，广东 深圳 518017;南京医科大学附属深圳市妇幼保健院放射科，广东 深圳 518017 【正文语种】中文
【中图分类】R445.2;R737.33;R711.74 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_journal-practical-radiology_thesis/0201239595767.html
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磁共振扩散加权成像对Ⅰa期子宫内膜癌的鉴别诊断价值
