Dynamic Comparison of the Two Models to Enhance the Application Value of MRI in Cervical Cancer Case Classification  

作　　者：Xuechao Liang Yan Jiang 

机构地区：[1]The People's Hospital,Lianshan District,Huludao City,Liaoning Province,China [2]Fleming Research Center of Life Sciences,Singapore

出　　处：《Advances in Modern Oncology Research》2020年第2期25-30,共6页现代肿瘤学研究进展（英文）

摘　　要：Objective:To explore the application of dynamic contrast-enhanced magnetic resonance imaging(DCE-MRI)with Extended Tofts Linear(ETL)model and extended tofts(ET)model in pathological grading of cervical cancer.Method:Retrospective analysis was performed on 31 cases of patients admitted to Shaoxing People's Hospital from January 2016 to October 2019 who were pathologically confirmed to have cervical cancer.They underwent preoperative multistage pelvic DCE-MRI examination.Extended Tofts Linear and Extended Tofts hemodynamic model of cervical cancer were calculated separately,and the quantitative perfusion parameters including transport capacity constant(K^(trans)),the rate constant(K_(ep)),blood vessels,extracellular clearance volume fraction(V_(e)),blood vessels,and clearance volume fraction(V_(p)).According to the postoperative pathologic stage can be divided into low,medium and high differentiate cervical cancer group,the difference contrast of three groups of cervical cancer perfusion parameter were analyzed.The parameters with statistical significance were screened out,and the ROC curves for the differentiation of cervical cancer with different degrees were drawn.Result:The diagnostic efficacy of the quantitative parameters obtained by the two models in the pathological grading of cervical cancer was compared.The Ktrans values of the Exte Nded Tofts Linear model highly differentiated(0.518±0.180)min^(-1),poorly differentiated(1.032±0.408)min^(-1)and the Extended Tofts model highly differentiated(0.525±0.283)min^(-1),poorly differentiated(1.487±0.991)min^(-1)were significantly different between the highly differentiated and poorly differentiated groups(P<0.05).There were no significant differences in Kep,Ve and Vp between high and low differentiated cervical cancer groups(all P>0.05).There were no significant differences in Ktrans,Kep,Ve and Vp between the two models(all P>0.05).The AUC of Ktrans in the Exte Nded Tofts Linear model was greater than that of Ktrans in the Extended Tofts model for the identific

关 键 词：Cervical cancer PATHOLOGY Dynamic contrast-enhanced magnetic resonance imaging Model 

分 类 号：R73[医药卫生—肿瘤]