探讨CT和MRI在前列腺癌患者中的诊断效果及影像学特点  

Objective to Investigate the Diagnostic Effect and Imaging Characteristics of CT and MRI in Patients with Prostate Cancer

作　　者：钟景云[1] 李昶荣[1] 苏佳娜 鲁俊 ZHONG Jing-yun;LI Chang-rong;SU Jia-na;LU Jun(Department of Radiology,People's Hospital of Xinhui District,Jiangmen 529100,Guangdong Province,China)

机构地区：[1]江门市新会区人民医院放射科,广东江门529100

出　　处：《罕少疾病杂志》2021年第5期70-71,80,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的对前列腺癌的患者在诊断过程中采取不同的检查方式,对比分析CT和MRI各自的诊断特点和效果。方法在我院收治的前列腺癌患者中,随机纳入40例来进行实验观察,对所选患者采取数字编号来进行分组处理,其中的20名患者在入院后接受CT诊断,记录此组患者为对照组。另外的患者则接受MRI诊断,此20名患者纳入观察组,分别对观察组和对照组的诊断准确率进行比较分析,并观察不同检查方式下患者的影像学特点。结果观察组和对照组的诊出率相近,分别是100.0%和95.0%,两组间不存在明显差异(P<0.05);同时,CT诊断下,患者表现出前列腺肥大12例,边缘欠清7例;CT平扫等密度14例等情况;在MRI观察下,横断面T2WI扫描观察到13例患者的前列腺形态规则且表面光滑,另外6例患者表面不光滑,1例表面凹凸不平等情况。结论CT和MRI应用在前列腺癌的诊断中均有较好效果,诊出率高,并且通过影像学技术可对患者的病变情况有更加准确的观察,了解患者的病情进展,制定预后措施,值得推广。Objective To compare the diagnostic characteristics and effects of CT and MRI in the diagnosis of prostate cancer.Methods In our hospital,40 cases of prostate cancer patients were randomly selected for experimental observation,and the selected patients were divided into groups by digital number.Among them,20 patients received CT diagnosis after admission,and this group of patients was recorded as the control group.The other 20 patients were included in the observation group.The diagnostic accuracy of the observation group and the control group were compared and analyzed,and the imaging characteristics of patients under different examination methods were observed.Results The diagnosis rates of the observation group and the control group were 100.0%and 95.0%respectively,and there was no significant difference between the two groups(P<0.05);At the same time,CT diagnosis showed 12 cases of prostatic hypertrophy and 7 cases of unclear edge;CT plain scan showed equal density in 14 cases;Under MRI observation,cross-sectional T2W1 scan showed that the prostate of 13 patients had regular shape and smooth surface,the other 6 patients had unsmooth surface,and 1 patient had uneven surface.Conclusion The application of CT and MRI in the diagnosis of prostate cancer has good effect,high diagnosis rate,and through imaging technology,can have more accurate observation of the pathological changes of patients,understand the progress of patients,formulate prognosis measures,it is worth promoting.

关 键 词：CT MRI 前列腺癌 诊断 影像学特点 

分 类 号：R445.3[医药卫生—影像医学与核医学] R445.2[医药卫生—诊断学]