Value of 1.5 T MRI signs in determining the benign and malignant tumor of female pelvic cystic solid mass lesions
-
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
-
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 -
[1] 谢万猛. MRI对女性盆腔占位性疾病诊断价值分析[J].中国CT和MRI杂志, 2017, 15(12): 106-8. doi: 10.3969/j.issn.1672-5131.2017.12.033 [2] 潘海英, 妥渊茹, 上展增, 等.试论磁共振成像在女性盆腔囊性占位病变诊断中的意义[J].临床研究, 2017, 25(3): 1-2. [3] 杨欢欢, 王进.多层螺旋CT与腹部超声对60例患者盆腔囊性肿块的鉴别诊断[J].山西医药杂志, 2019(12): 1422-3. doi: 10.3969/j.issn.0253-9926.2019.12.009 [4] 杨永贵, 陈忠, 蔡聪波, 等. 1.5T磁共振化学交换饱和转移成像的影响因素分析[J].波谱学杂志, 2017, 34(3): 275-82. [5] Geisel D, Raabe P, Lüdemann L, et al. Gd-EOB-DTPA-enhanced MRI for monitoring future liver remnant function after portal vein embolization and extended hemihepatectomy: a prospective trial[J]. EurRadiol, 2017, 27(7): 3080-7. [6] 谢代军, 康安发, 段王栋, 等. MRI在盆腔囊实性占位病变的诊断价值探讨(附100例[) J].中国CT和MRI杂志, 2016, 14(7): 91-3. [7] 贾瑞娟, 杨侃荣, 赵继泉, 等.盆腔MRI平扫、钆喷酸葡胺增强扫描及扩散加权成像对盆腔脓肿患者的诊断价值:64例患者前瞻性研究[J].分子影像学杂志, 2020, 43(2): 286-90. doi: 10.12122/j.issn.1674-4500.2020.02.22 [8] 冯根义, 王长青, 袁红维, 等.胸腹部及盆腔原发占位性病变的全身类PET分析[J].实用放射学杂志, 2018(4): 553-5, 571. doi: 10.3969/j.issn.1002-1671.2018.04.017 [9] 王海, 陈小宇, 林千早, 等.多层螺旋CT与超声诊断女性盆腔囊性肿块临床价值[J].医学影像学杂志, 2017, 27(2): 379-82. [10] Paul S, Mandal S, Upadhyaya M, et al. Primary pelvic hydatid cyst in a postmenopausal female: a surgical challenge[J]. Autops Case Rep, 2017, 7(2): 49-54. doi: 10.4322/acr.2017.012 [11] 郭利清, 杨舟.超声造影、CT、MRI在卵巢肿瘤临床应用比较[J].中国CT和MRI杂志, 2016, 14(10): 92-5. doi: 10.3969/j.issn.1672-5131.2016.10.030 [12] 任振东, 霍岩, 赵鑫福.磁共振扩散加权成像应用对子宫内膜恶性肿瘤的鉴别价值[J].武警医学, 2017, 28(1): 10-2. doi: 10.3969/j.issn.1004-3594.2017.01.003 [13] 刘覃俊, 杨靖.超声、MRI在筛查卵巢病变患者中的临床应用[J].中国CT和MRI杂志, 2016, 14(11): 95-8. doi: 10.3969/j.issn.1672-5131.2016.11.031 [14] 项昆, 张亚杰, 赵晶晶, 等. CT、MRI对良恶性甲状腺结节的鉴别价值[J].影像科学与光化学, 2019, 37(4): 356-61. [15] 余芳, 郭金玲. MRI扩散加权成像与三维超声对乳腺肿块良恶性鉴别诊断的临床价值[J].中国CT和MRI杂志, 2018, 16(7): 39-42. doi: 10.3969/j.issn.1672-5131.2018.07.013 [16] Sah SK, Shi XQ, Du SL, et al. CT findings and analysis for misdiagnosis of female pelvic tuberculosis[J]. RadiolInfectDis, 2017, 4(1): 19-25. [17] Hassan GM, Paquin SC, Albadine R, et al. Endoscopic ultrasoundguided FNA of pelvic lesions: a large single-center experience[J]. Cancer Cytopathol, 2016, 124(11): 836-41. doi: 10.1002/cncy.21756 [18] 彭晓澜, 陈婷婷, 尚祥, 等. 3.0T MRI对附件囊实性病变的诊断价值及误诊原因分析[J].磁共振成像, 2016, 7(7): 512-8. [19] 王婷婷, 李文华, 任刚. DWI对女性盆腔炎性和非炎性疾病的诊断和鉴别诊断价值[J].国际医学放射学杂志, 2014, 37(2): 127-9. doi: 10.3874/j.issn.1674-1897.2014.02.Z0205 [20] 张晖, 王勇.磁共振扩散结合灌注成像技术对可疑恶性乳腺病变的鉴别诊断价值[J].磁共振成像, 2018, 9(4): 265-9. [21] 王毅, 赖清泉, 黄美铃, 等.磁共振体素内不相干运动在肺良恶性肿瘤的诊断效能及肺癌化疗疗效评估的应用[J].中国医学物理学杂志, 2019, 36(6): 682-8. doi: 10.3969/j.issn.1005-202X.2019.06.012 [22] 胡静宜, 张杰, 韩菲菲.盆腔囊性占位病变的MRI诊断及临床意义探讨[J].影像技术, 2017, 29(1): 38-40. doi: 10.3969/j.issn.1001-0270.2017.01.13