双源CT及3.0T MR对十二指肠乳头区疾病的诊断价值  

Diagnostic value of double-source computed tomography and 3. 0T MR for diseases in the duodenal papillary region

作　　者：丁墩[1] 刘建军[1] 黄丽珍[2] 臧建华[1] 傅明花[1] 张秋月[1] 

机构地区：[1]兰州军区乌鲁木齐总医院医学影像科,新疆乌鲁木齐830000 [2]新疆医科大学附属肿瘤医院

出　　处：《西北国防医学杂志》2013年第5期435-437,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨双源CT及3.0T MR对十二指肠乳头区病变的诊断价值。方法:回顾性分析临床可疑十二指肠乳头区病变患者47例,结合其CT及MR影像学表现,并与病理结果进行对照分析。结果:双源CT及3.0T MR对十二指肠乳头区良恶性病变定性诊断符合率分别为78.72%(37/47)及84.62%(33/39),双源CT和3.0T MR诊断十二指肠乳头区病变的敏感性和特异性分别为66.7%、72.7%和82.9%、89.3%,二者与病理结果的一致性好(Kappa值为0.629和0.620)。结论:双源CT及3.0T MR诊断十二指肠乳头区病变有很好的准确性,而MR结合MRCP可以综合评估十二指肠乳头区疾病及其并发症,为临床提供更多信息。Objective：To investigate the value of double -source CT （DSCT） and 3.0T MR in the diagnosis of diseases in the duodenal papillary region. Methods： Forty - seven cases with diseases in the duodenal papillary region were included in this study, their radiological characteristics of CT and MRI were retrospectively analyzed and compared with pathological results. Results： The accuracy, sensitivity and specificity of diagnosis for the benign and malignant lesions in the duodenal papillary region were 78.72%, 66.7% and 66.7% respectively by DSCT, and 84.62%, 72.7% and 89.3% respectively by 3.0T MR. Both imaging results were significantly consistent with pathological findings （Kappa = 0. 629, 0. 620）. Conclusion： DSCT and 3.0T MR were accurate for detecting diseases in the duodenal papillary region, while the MR and magnetic resonance cholangiopancreatography （MRCP） could be used to synthetically evaluate both the diseases and their complications, with more information for clinical diagnosis.

关 键 词：双源CT 磁共振成像 十二指肠疾病 体层摄影术 X线计算机 

分 类 号：R816.5[医药卫生—放射医学]