| 早期宫颈癌3.0T MRI术前评估与术后病理对照研究 |
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| 引用本文： | 许美,高义军,吴艳丽,刘春兰,何平,王健,范淑英,周晓玲,李淑华,刘景旺.早期宫颈癌3.0T MRI术前评估与术后病理对照研究[J].CT理论与应用研究,2018,27(1):55-61. |
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| 作者姓名： | 许美 高义军 吴艳丽 刘春兰 何平 王健 范淑英 周晓玲 李淑华 刘景旺 |
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| 作者单位： | 1. 唐山市强制隔离戒毒所, 河北 唐山 063000; |
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| 基金项目： | 河北省重点研发科技惠民工程计划项目 |
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| 摘 要： | 目的:探讨早期宫颈癌3.0 T高场强磁共振成像（MRI）术前评估的临床应用价值。方法:回顾性分析我院20例经手术证实的早期宫颈癌（临床分期为Ⅰb和Ⅱa期）的3.0 T高场强MRI影像资料，并将其与术后病理结果对照，分析3.0 T高场强MRI对早期宫颈癌术前评估的准确率。结果:早期宫颈癌表现为宫颈部实性肿物T1WI低信号14例（14/18）、T2WI高信号10例（10/18），15例（15/18）肿瘤病灶比正常宫颈肌层强化时间早（4±2.1）s，13例（13/18）肿瘤病灶时间-信号曲线（TIC）呈快速上升-缓慢下降型，术前评估分期准确率约为88.3%。结论:3.0 T高场强MRI对早期宫颈癌的诊断具有明显的临床应用价值，为选择最佳治疗方案提供参考。
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| 关 键 词： | 磁共振成像 术前评估 宫颈癌 |
| 收稿时间： | 2017-09-18 |
Comparative Study of 3.0T MRI Preoperative Evaluation with Clinical Patholgic of Early-stage Cervical Carcinoma |
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| XU Mei,GAO Yi-jun,WU Yan-li,LIU Chun-lan,HE Ping,WANG Jian,FAN Shu-ying,ZHOU Xiao-ling,LI Shu-hua,LIU Jing-wang.Comparative Study of 3.0T MRI Preoperative Evaluation with Clinical Patholgic of Early-stage Cervical Carcinoma[J].Computerized Tomography Theory and Applications,2018,27(1):55-61. |
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| Authors: | XU Mei GAO Yi-jun WU Yan-li LIU Chun-lan HE Ping WANG Jian FAN Shu-ying ZHOU Xiao-ling LI Shu-hua LIU Jing-wang |
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| Institution: | 1. Department of Radiology, Compulsory Quarantine Drug Rehabilitation Center, Tangshan, 063000, China;2. Department of obstetrics and gynaecology, Kailuan Hospital Affiliated of North China University of Science and Technology, Tangshan, 063000, China |
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| Abstract: | Objective: To investigate the diagnostic value of 3.0 T MRI in preoperatively evaluation with early-stage cervical carcinoma. Methods: 20 patients with pathologically-confirmed early-stage cervical carcinoma were enrolled in this study. Both preoperative evaluation of 3.0 T MRI and clinical pathologic were performed in all the patients. The rates of diagnostic by 3.0 T MRI were statistically analyzed. Results: The preoperative MRI staging accuracy was 88.3％. The imaging of the tumor showed solid tumor with high intensity signal on T2WI (10/18) and low intensity signal On T1WI (14/18). In all patients, the tumers of 15 cases were earlier (4 ±2.1) s than myometrium. The time signal intensity curves of 13 cases were rapidly rised-slowly down. Conclusion: 3.0 T MRI has key value for early cervical cancer preoperation. It can help us to completely understand the situation of early stage cervical cancer and select the suitable treatment plan. |
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