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NSM-S15超导磁共振成像系统在诊断附件肿块的诊断价值

作者:曹 霞 姜金池 杨晓鹤 张经伟

所属单位:辽宁省沈阳市妇婴医院放射科(辽宁 沈阳 110000)

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摘要

目的探讨NSM-S15超导磁共振 成像系统在诊断附件肿块中的诊断价 值。方法 选择经手术病理证实42例66个 附件肿块,分别采用MRI与B超检查,以 手术病理检查结果为金标准,比较MRI 与B超在诊断效能。结果 66枚附件肿块 中,良性肿块48枚,恶性肿块18枚;良 性肿块中多表现为T1WI/T2WI高信号, 恶性肿块T1WI多表现为低/等高信号; MRI诊断灵敏度、特异度、准确度、阳 性预测值、阴性预测值均明显高于B超 (94.44% vs 72.22, 95.83% vs 89.58%, 95.45% vs 84.85%, 89.47% vs 72.22%, 97.87% vs 89.58%),差异有统计学意义 (χ2 =2.758-7.775,P<0.05)。结论 NSMS15超导磁共振成像系统在诊断附件肿块 中具有明显的比较优势,其诊断价值有待 于进一步的开发。

Objective To study the diagnostic value of NSM-S15 superconducting magnetic resonance imaging system in the diagnosis of adnexal masses. Methods A total of 42 cases (66 appendix masses) accepted MRI and ultrasonography examination. And the surgical pathological result was the gold standard. MRI and ultrasound diagnosis effectiveness was compared. Results A total of 66 appendix masses, 48 were benign, and 18 were malignant, benign masses showed high signal on T1W1/T2W1, malignant masses showed low/high signal on T1WI; MRI diagnosis sensitivity, specific, accuracy, positive predictive value, negative predictive value were significantly higher than that B ultrasonic (94.44% vs 72.22, 95.83% vs 89.58%, 95.45% vs 84.85%, 89.47% vs 72.22%, 97.87% vs 89.58%), the difference was statistically significant (χ2 =2.758-2.758, P<0.05). Conclusion The NSM-S15 superconducting magnetic resonance imaging system has obvious comparative advantage in the diagnosis of adnexal masses,and the diagnostic value should be further developed.

【关键词】附件肿块;磁共振成像;超声检查;定性诊断

【中图分类号】R445.2;R711.75;R05

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2015.08.027

前言

附件肿块包括卵巢与输卵管病变,以卵巢病变类型多样,卵巢恶 性肿瘤是女性生殖器官三大恶性肿瘤之一,早期症状不明显,大多 数患者诊断时已属晚期。临床研究表明,Ⅰ期卵巢癌5年生存率高达 95%,Ⅲ-Ⅳ期5年生存率仅为31%[1]。因此早期诊断、早期发现是提高 患者生存率的关键。由于早期卵巢肿瘤体积小,成分复杂,极易漏诊 与误诊,如何有效鉴别诊断就显得尤为重要。核磁共振成像(Nucler Magnetic Resonance Imaging, MRI)技术因其具有多方位、多层面成 像及软组织对比分辨率等特点,能够较好地显示卵巢正常解剖与异常 病变,在卵巢病变诊断与鉴别诊断中得到广泛的应用[2]。本文选择经 手术与病理证实42例66个病灶,采用NSM-S15超导磁共振成像系统进行 观察,并与B超检查结果进行比较,旨在探讨MRI在鉴别诊断附件肿块 中的诊断价值。