VI-RADS评分对膀胱癌精准治疗的价值  

Value of VI-RADS Scoring System in Precision Treatment of Bladder Cancer

作　　者：严植[1] 郝金钢[1] 尚芸芸[1] YAN Zhi;HAO Jingang;SHANG Yunyun(Dept,of Radiology,The 2nd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院放射科,云南昆明650101

出　　处：《昆明医科大学学报》2022年第3期74-79,共6页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2020J0175);云南省医学学科带头人基金资助项目(D-2018012)。

摘　　要：目的探讨VI-RADS评分在术前对膀胱癌侵袭性预测的价值。方法采用VI-RADS评分对320例膀胱癌MRI资料进行回顾性分析,对病灶的T2WI、DWI和DCE-MRI进行单独评分,最后获得VI-RADS评分,根据病理结果将样本分为NMIBC组和MIBC组,将VI-RADS评分与病理分期、VI-RADS评分与不同分组间进行相关性分析。结果肌层浸润性膀胱癌187例,非肌层浸润性膀胱癌133例,VI-RADS评分与病理结果存在正相关(r=0.841,P<0.001)。VI-RADS评分>3.5分对判断膀胱癌肌层浸润的敏感性、特异性分别为88.4%、97.1%。结论VI-RADS评分在术前对膀胱癌侵袭性的预测具有较好的敏感性和特异性,对指导临床治疗具有较好的价值。Objective To explore the value of VI-RADS scoring system in predicting preoperative for invasive bladder cancer.Methods The MRI data of 320 cases of bladder cancer were retrospectively analyzed by the VI-RADS scoring system,T2 WI,DWI and DCE-MRI were scored separately,and finally VI-RADS score was obtained,the samples were divided into NMIBC group and MIBC group according to the pathological results,and the VI-RADS scores were analyzed for correlation with pathological stages and different groups.Results There were 187 cases of muscular invasive bladder cancer and 133 cases of invasive bladder cancer.There was a positive correlation between VI-RADS score and pathological results(r=0.841,P<0.001).The sensitivity and specificity of VI-RADS>3.5 for muscle invasion of bladder cancer were 88.4%and 97.1%,respectively.Conclusion The VI-RADS scoring system has better sensitivity and specificity in predicting the degree of bladder cancer invasion,and has a good value in guiding clinical treatment.

关 键 词：膀胱癌 MRI VI-RADS评分系统 临床分期 

分 类 号：R737.14[医药卫生—肿瘤] R445.2[医药卫生—临床医学]