文章摘要
扩散加权成像联合T2加权成像对子宫内膜癌的诊断及分期价值
Value of DWI and T2 WI in diagnosis and staging of endometrial carcinoma
投稿时间:2017-08-06  
DOI:10.3969/j.issn.1000-0399.2018.03.015
中文关键词: 扩散加权成像  磁共振成像  子宫内膜癌  肿瘤分期
英文关键词: Diffusion weighted imaging  Magnetic resonance imaging  Endometrial carcinoma  Neoplasm staging
基金项目:
作者单位
彭传勇 237005 安徽医科大学附属六安医院(六安市人民医院)医学影像科 
徐启兰 237005 安徽医科大学附属六安医院(六安市人民医院)医学影像科 
周瑾 237005 安徽医科大学附属六安医院(六安市人民医院)医学影像科 
黄道余 237005 安徽医科大学附属六安医院(六安市人民医院)医学影像科 
吴宗山 237005 安徽医科大学附属六安医院(六安市人民医院)医学影像科 
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中文摘要:
      目的 探讨扩散加权成像(DWI)联合T2加权成像(T2WI)对子宫内膜癌的诊断及分期的价值。方法 回顾性分析安徽医科大学附属六安医院2013年3月至2017年6月就诊且经手术病理证实的21例子宫内膜癌患者DWI及T2WI表现,判断其浸润深度及范围,并与术后病理结果进行对比。结果 21例患者中,Ⅰ期16例(76.19%),病变在T2WI序列上信号呈不均匀增高,DWI序列呈稍高及高信号,低信号的子宫基质带完整;Ⅱ期4例(19.05%),DWI序列呈高信号,子宫基质带连续性中断;Ⅲ期1例(4.76%),DWI序列呈明显高信号,病变穿透浆膜层。1例Ⅰ期被误判为Ⅱ期。结论 DWI联合T2WI可提高子宫内膜癌诊断的准确性和特异性,也利于对其进行分期。
英文摘要:
      Objective Toevaluate the value of combination of the diffusion weighted imaging(DWI) and T2-weighted imaging (T2WI) in diagnosis and staging of endometrial carcinoma. Methods From March 2013 to June 2017, 21 patients with endometrial carcinoma confirmed by surgical pathology were collected. The features of DWI and T2WI were reviewed. The invasive depth and extent were judged, and the stage results of MRIwere compared with pathological results. Results Of 21patients, 16 patients were Stage I, lesions appeared inhomogeneous intensity signal on T2WI, slightly hyperintense or hyperintense signal on DWI, and the low-intensity myometrial wall was not invaded; 4 patients were Stage Ⅱ, lesions appeared hyperintense signal on DWI, with interruption of the myometrial wall; 1 patient was Stage Ⅲ, lesion presented markedly hyperintense signal on DWI, with the continuity of outer myometrium disruption; 1 patient of Stage I was mistaken for Stage Ⅱ before surgery. Conclusion The combination of DWI and T2WI can increase specificity and accuracy of endometrial carcinoma, which is useful in diagnosis and staging of endometrial cancer.
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