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磁共振成像在子宫内膜癌常规治疗中的作用

MRI in the routine management of endometrial cancer

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【作者】 安玉梅; 李艳; 马玉国; 王恒娟; 徐桂智; 周永红;

【Author】 AN Yumei;LI Yan;MA Yuguo;WANG Hengjuan;XU Guizhi;ZHOU Yonghong;Department of Radiology,Zhucheng People’s Hospital;

【通讯作者】 周永红;

【机构】 诸城市人民医院影像科;

【摘要】 目的 探讨磁共振成像(MRI)在子宫内膜癌患者的常规诊断评估、分期、治疗选择、辅助治疗计划中的实际应用。方法 回顾性分析2015年10月~2022年3月经病理检查证实的95例子宫内膜癌患者的临床资料,所有患者术前均行盆腔MRI检查,包括常规MRI(T1WI、T2WI、DWI)和DCE-MRI。观察子宫肌层浸润、宫颈浸润、局部或局部扩散及淋巴结评价。结果 评估肌层浸润,MRI准确率为88.4%.检测宫颈侵犯,MRI准确率为83.2%.评估淋巴结情况,MRI准确率为93.7%.结论 MRI是子宫内膜癌术前诊断分期的一种有价值的诊断工具。

【Abstract】 Objective To describe the practical application of MRI in the routine diagnostic assessment, staging, treatment selection, adjuvant treatment planning of endometrial cancer patients.Methods A total of 95 endometrial cancer patients undergoing MRI were enrolled from October 2015 to March 2022.All patients underwent pelvic MRI prior to surgery, including conventional MRI(T1 WI,T2 WI,DWI) and DCE-MRI.Myometrial invasion, cervical invasion, local or regional spread, and lymph node status were evaluated.Results In assessing myometrial invasion, MR imaging showed 86.3% accuracy.In detecting cervical invasion, MR imaging had 83.2% accuracy.In evaluating lymph node involvement, MR imaging showed 93.7% accuracy.Conclusion Thus, Magnetic resonance imaging(MRI) has been established as a valuable diagnostic tool in the preoperative diagnostic staging of endometrial cancer.

  • 【文献出处】 潍坊医学院学报 ,Acta Academiae Medicinae Weifang , 编辑部邮箱 ,2022年05期
  • 【分类号】R737.33;R445.2
  • 【下载频次】3
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