WB-DWI技术和CT/MRI在恶性肿瘤分期评估中的应用OA
Application of WB-DWI and CT/MRI in staging evaluation of malignant tumors
目的:探究全身磁共振扩散加权成像(WB-DWI)技术和电子计算机断层扫描(CT)/磁共振成像(MRI)在恶性肿瘤分期评估中的应用价值.方法:选取 2023 年 1 月—2025 年 1 月我院收治的 616例恶性肿瘤患者,所有患者均接受WB-DWI、CT/MRI检查,以临床综合诊断结果(包括病理结果、实验室标志物、手术等)为金标准,分析两种检查方式在恶性肿瘤分期中的评估价值.结果:WB-DWI检查结果显示,616 例恶性肿瘤患者中Ⅰ期 155 例、Ⅱ期 147 例、Ⅲ期209 例、Ⅳ期105例;CT/MRI检查结果显示,616 例恶性肿瘤患者中Ⅰ期 144例、Ⅱ期 155 例、Ⅲ期 217 例、Ⅳ期 100 例;WB-DWI联合CT/MRI检查结果显示,616 例恶性肿瘤患者中Ⅰ期 136 例、Ⅱ期 164 例、Ⅲ期219 例、Ⅳ期97 例.以临床综合诊断结果为对照,WB-DWI、CT/MRI诊断恶性肿瘤分期(Ⅳ期)的Kappa值分别为0.846、0.716,联合后Kappa值为 0.916.结论:WB-DWI技术和CT/MRI可对恶性肿瘤分期进行有效评估,联合可进一步提升效能,具有良好的临床应用价值.
Objective:To investigate the application of whole-body diffusion-weighted imaging(WB-DWI)and computed to mography(CT)/magnetic resonance imaging(MRI)in the staging evaluation of malignant tumors.Methods:A total of 616 patients with malignant tumors admitted to the hospital from January 2023 to January 2025 were enrolled.All patients underwent WB-DWI and CT/MRI examinations.The results of clinical comprehensive diagnosis(including pathological results,laboratory mark-ers,surgical findings,etc.)were used as the gold standard to analyze the value of the two methods in the staging evaluation of malignant tumors.Results:WB-DWI examination results showed that among the 616 patients with malignant tumors,there were 155 cases in stage Ⅰ,147 cases in stage Ⅱ,209 cases in stage Ⅲ,and 105 cases in stage Ⅳ.CT/MRI examination results showed 144 cases in stage Ⅰ,155 cases in stage Ⅱ,217 cases in stage Ⅲ,and 100 cases in stage Ⅳ.The com-bined examination results of WB-DWI and CT/MRI showed 136 cases in stage Ⅰ,164 cases in stage Ⅱ,219 cases in stageⅢ,and 97 cases in stage Ⅳ.Compared with the results of clinical comprehensive diagnosis,Kappa values of WB-DWI and CT/MRI for diagnosing malignant tumors in stage Ⅳ were 0.846 and 0.716.Kappa value of combined diagnosis was 0.916.Conclusion:WB-DWI and CT/MRI are effective for the staging evaluation of malignant tumors,and the combination of the two can further improve the efficacy,demonstrating good clinical application value.
徐小虎;于蓉;马秋莲;殷婷婷;陈海生;钱烨;许亚春;李宏
江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600江苏省海安市人民医院,江苏 南通 226600
医药卫生
肿瘤体层摄影术,X线计算机磁共振成像
NeoplasmsTomography,X-ray ComputedMagnetic Resonance Imaging
《中国临床医学影像杂志》 2026 (3)
204-208,5
南通市卫生健康委员会科研项目(MSZ2024085).
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