Value of 1.5 T MRI signs in determining the benign and malignant tumor of female pelvic cystic solid mass lesions
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摘要:
目的探讨1.5 T MRI在女性盆腔囊实性占位病变的诊断价值。 方法选取2017年8月~2018年8月期间我院收治的110例行1.5 T MRI检查的女性盆腔占位性病变患者为研究对象，分析其MRI影像表现，记录分析良恶性肿瘤的Fast ADC、Slow ADC等值。 结果65例患者的盆腔占位性病变为良性，45例患者的盆腔占位性病变为恶性；良性肿瘤组的Standard ADC、Fast ADC、Slow ADC值均显著低于恶性肿瘤组（P < 0.05）；两组的Standard ADC、Fast ADC、Slow ADC值进行组内比较，差异均具有统计学意义（P < 0.05）。 结论1.5 T MRI能够对判断肿瘤良恶性具有重要的辅助意义，值得在临床中推广。 Abstract:ObjectiveTo explore the value of 1.5 T MRI signs in determining the benign and malignant tumor of female pelvic cystic solid mass lesions. MethodsA total of 110 pelvic space-occupying lesions female patients admitted to our hospital for 1.5 T MRI examination from August 2017 to August 2018 were selected as the study objects. Their MRI imaging manifestations were analyzed, and the data of Fast ADC, Slow ADC, Standard ADC and Fraction of Fast ADC for benign and malignant tumors were recorded and analyzed. ResultsAmong 110 patients, 65 were benign pelviclesions and 45 were malignant tumor. The values of Standard ADC, Fast ADC and Slow ADC in the benign tumor group were significantly lower than those in the m alignant tumor group, and the differences were statistically significant(P < 0.05). Conclusion1.5 T MRI is of great significance for the determination of benign and malignant tumors and is worth promoting in clinical practice. -
Key words:
- pelvic /
- cystic solid /
- occupying lesion /
- benign and malignant tumor
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图 1 患者病灶的DWI影像学表现
A: DWI显示ROI密度均匀; B: DWI与T2脂肪抑制图的融合图, 盆腔结构清晰, 箭头所示为髂骨及病灶, 肠管箭头、星号所示为肌肉群.
Figure 1. DWI imaging of lesions of the patient.
表 1 良性肿瘤与恶性肿瘤ADC值结果比较（Mean±SD）
Table 1. Comparison ofADC values between benign and malignant tumors
组别 Fraction of fast ADC Standard ADC Fast ADC Slow ADC 良性肿瘤组（n=65） 0.22±0.06 1.81±0.56 17.02±5.16 1.86±0.64 恶性肿瘤组（n=45） 0.24±0.08 1.14±0.31 14.16±4.95 1.04±0.33 t 4.12 8.03 2.91 8.78 P 0.16 0.00 0.00 0.00 
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