ISSN 1004-4140
CN 11-3017/P
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. DOI: 10.15953/j.1004-4140.2018.27.01.07
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. DOI: 10.15953/j.1004-4140.2018.27.01.07
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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 3.0 T MRI Preoperative Evaluation with Clinical Patholgic of Early-stage Cervical Carcinoma[J]. CT Theory and Applications, 2018, 27(1): 55-61. DOI: 10.15953/j.1004-4140.2018.27.01.07
Citation: 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 3.0 T MRI Preoperative Evaluation with Clinical Patholgic of Early-stage Cervical Carcinoma[J]. CT Theory and Applications, 2018, 27(1): 55-61. DOI: 10.15953/j.1004-4140.2018.27.01.07
shu

早期宫颈癌3.0T MRI术前评估与术后病理对照研究

Comparative Study of 3.0 T MRI Preoperative Evaluation with Clinical Patholgic of Early-stage Cervical Carcinoma

    摘要
  • 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。

     

    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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