Head and Neck Imaging

Clinical Value of MSCT Combined with MRI in the Diagnosis and Staging of Endometrial Cancer

Author:ZHANG Pei, CHEN Dian-sen, QI Yan

affiliation:Department of Obstetrics and Gynecology, the First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, Henan Province, China

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Abstract

Objective To observe the clinical value of multi-slice spiral CT (MSCT) combined with magnetic resonance imaging (MRI) in the diagnosis and staging of endometrial cancer (EC). Methods The clinical data of 76 patients with EC were analyzed retrospectively. Patients were given MSCT and MRI examination before surgery. Surgical pathological staging was used as the gold standard to compare the diagnostic efficacy of MSCT, MRI and combined diagnosis for EC staging. Results The coincidence rates of MSCT and MRI in the diagnosis of EC staging and surgical pathological staging were 67.11% and 75.00% respectively, and the Kappa values were 0.406 and 0.547 respectively (P<0.05). The coincidence rate of MSCT combined with MRI in the diagnosis of EC staging and surgical pathology was 90.79%, and the Kappa value was 0.826 (P<0.05), which were significantly higher than those of separate diagnosis and surgical pathological staging (P<0.05). Conclusion The results of MSCT combined with MRI in staging diagnosis of EC were highly consistent with those of surgical and pathological staging, which is more advantageous than that of individual diagnosis.

【Keyword】 Multi-slice Spiral CT; Magnetic Resonance Imaging; Endometrial Cancer; Staging Diagnosis

【Chart number】R737.33;R445

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2019.06.030