|
|
Application value of CT and MRI in the preoperative staging diagnosis of cervical cancer |
GAO Zhong-bo SU Li-mei LIANG Qi-xing QIAN Xi-xue |
Department of Imaging,People′s Hospital of Huaiji County in Guangdong Province,Huaiji526400,China |
|
|
Abstract ObjectiveTo investigate the application value of computed tomography(CT)and magnetic resonance imaging(MRI)in the preoperative staging diagnosis of cervical cancer.Methods47 patients with cervical cancer who admitted into our hospital and diagnosed from March 2013 to December 2016 were selected as the research object.All the patients were given CT and MRI examination before operation for one week,and the results of pathological diagnosis were taken as gold standard.The application value of CT and MRI in the preoperative staging diagnosis of cervical cancer was analyzed.ResultsAccording to the pathological results,there were 16 cases ofⅠB1stage and below,22 cases ofⅠB2-ⅡA stage,9 cases ofⅡB stage and above among 47 cases of patients with cervical cancer.At the same time,there were 16 cases of pelvic lymph node metastasis positive,11 cases of uterine invasion positive and 20 cases of vaginal infiltration.The accordance rate ofⅠB1stage and below diagnosed by MRI was higher than that diagnosed by CT,and the difference had statistical significance(P<0.05).The specificity and accuracy of pelvic lymph node metastasis,the accuracy of uterine invasion diagnosed by CT were higher than those diagnosed by MRI,and the difference had statistical significance(P<0.05).The sensitivity and accuracy of vaginal infiltration diagnosed by MRI were higher than those diagnosed by CT,and the difference had statistical significance(P<0.05).ConclusionMRI in the diagnosis of cervical cancer(ⅠB1stage and below)and vaginal infiltration has significant diagnostic effects,while the CT in the diagnosis of pelvic lymph node metastasis and uterine invasion has better diagnostic effects.
|
|
|
|
|
[1] |
王园园,林光武.功能性磁共振成像在老年宫颈癌诊断中的应用进展[J].老年医学与保健,2014,20(4):279-282.
|
[2] |
林宇宁,李辉,陈自谦,等.采用MR扩散加权成像表观扩散系数值直方图诊断ⅠB期宫颈癌的价值[J].中华放射学杂志,2015,49(5):349-353.
|
[3] |
王英娈,王燕杰,王秀芬,等.经阴道超声造影在宫颈癌术前诊断中的临床应用价值研究[J].中华临床医师杂志(电子版),2013,7(13):5844-5849.
|
[4] |
程细云,余瑛,王冬梅.HC2与TCT检测在宫颈癌及癌前病变中的诊断价值[J].中国当代医药,2017,24(8):66-68.
|
[5] |
陈娟,宋化雨,王淳,等.MRI在宫颈癌患者术前临床分期和盆腔淋巴结转移诊断中的应用价值[J].中国CT和MRI杂志,2017,15(2):80-82,94.
|
[6] |
朱永刚,赵红福,程光惠,等.局部晚期宫颈癌三维适形近距离放疗CT与MRI定位的对比研究[J].中华放射肿瘤学杂志,2015,24(4):408-413.
|
[7] |
郝建成,郝金钢.MRI在宫颈癌诊断与分期中的应用价值[J].肿瘤学杂志,2014,20(8):673-676.
|
[8] |
陈婷,张晶,张玉东,等.MR动态增强扫描对早期宫颈癌的诊断及分期价值的研究[J].临床放射学杂志,2014,33(9):1376-1380.
|
[9] |
马莉,杨燕.影像学检测肿瘤直径和淋巴结转移在宫颈癌患者预后中的价值研究[J].中国现代医学杂志,2016,26(18):94-99.
|
[10] |
蒋琴,何冠南.超声与MRI在宫颈癌分期中的应用研究[J].中国CT和MRI杂志,2016,14(9):101-103.
|
[11] |
杨东,张洪文,刘辉,等.CT、MRI及正电子发射体层成像CT在宫颈癌诊断中的应用[J].国际肿瘤学杂志,2014,41(3):220-223.
|
[12] |
卢春,程鲲.浸润性宫颈癌运用多层螺旋CT和MRI进行术前分期的临床价值[J].中国数字医学,2016,11(11):28-29.
|
[13] |
张海燕,宋迪.多层螺旋CT与MRI对宫颈癌术前分期的诊断价值比较[J].中国妇幼健康研究,2014,25(1):111-113.
|
[14] |
夏盛伟,张弦,吴加满.多层螺旋CT和MRI在浸润性宫颈癌术前分期中的应用分析[J].医学影像学杂志,2014,24(4):672-674.
|
[15] |
褚爱鹏,樊明,成建华,等.TVCDS、MRI单用或联用于宫颈癌术前分期诊断价值比较[J].中国CT和MRI杂志,2017,15(3):103-105.
|
|
|
|