MRI多模态分级影像报告对前列腺外周带癌的诊断价值  

The Diagnostic Value of Multimodal MRI Grading Imaging Report for Peripheral Prostate Cancer

作　　者：盛伟华[1] 黄松[1] 冯军屏[1] 李雨庚 黄辉[1] 宋黎涛[1] SHENG Wei-hua;HUANG Song;FENG Jun-ping;LI Yu-geng;HUANG Hui;SONG Li-tao(Department of Radiology,Seventh People's Hospital of Shanghai University of TCM,Shanghai 200137,China)

机构地区：[1]上海中医药大学附属第七人民医院医学影像科,上海200137

出　　处：《中国CT和MRI杂志》2022年第10期109-111,共3页Chinese Journal of CT and MRI

摘　　要：目的探析对前列腺外周带癌患者应用MRI多模态分级影像检测报告的临床诊断效果。方法选取2018年5月至2019年10月本院前列腺疾病患者86例,均经病理检查证实,分析MRI多模态分级影像对前列腺外周带癌诊断准确率,比较阳性组与阴性组MRI分级诊断评分,并利用受试者工作特征(ROC)曲线分析MRI分级诊断评分对前列腺外周带癌诊断效能。结果多模态MRI分级对前列腺外周带癌诊断敏感度90.63%(29/32),特异度88.89%(48/54),准确率89.53%(77/86),阳性预测值82.86%(29/35),阴性预测值94.12%(48/51),Kappa值0.78;阳性组MRI分级诊断评分显著高于阴性组(P<0.05);多模态MRI分级诊断曲线下面积(AUC)0.902,MRI评分临界值为4分,对前列腺外周带癌诊断敏感度91.6%,特异度80.8%。结论MRI多模态分级影像可为前列腺外周带癌的诊断提供重要资料,其诊断与病理结果具有高度一致性,诊断效能高,具有重要应用价值。Objective To explore the clinical diagnostic effect of MRI multimodal grading imaging detection report in patients with peripheral prostate cancer.Methods A total of 86 patients with prostate disease in our hospital from May 2018 to October 2019 were selected,all of which were confirmed by pathological examination.The diagnostic accuracy of MRI multimodal grading images for peripheral prostate cancer was analyzed,and the MRI grading of the positive group and the negative group was compared.Diagnostic score,and the receiver operating characteristic(ROC)curve was used to analyze the diagnostic performance of MRI grading diagnostic score for peripheral prostate cancer.Results The sensitivity of multimodal MRI grading for the diagnosis of peripheral prostate cancer was 90.63%(29/32),the specificity was 88.89%(48/54),the accuracy was 89.53%(77/86),and the positive predictive value was 82.86%(29/35),the negative predictive value was 94.12%(48/51),and the Kappa value was 0.78;the MRI grading diagnostic score in the positive group was significantly higher than that in the negative group(P<0.05);the area under the multimodal MRI grading diagnostic curve(AUC)was 0.902,The critical value of MRI score was 4 points,with a sensitivity of 91.6%and a specificity of 80.8%for the diagnosis of peripheral prostate cancer.Conclusion MRI multimodal grading images can provide important information for the diagnosis of peripheral prostate cancer,and its diagnosis and pathological results are highly consistent,with high diagnostic efficiency and important application value.

关 键 词：多模态磁共振成像 分级 前列腺外周带癌 诊断效能 

分 类 号：R445.2[医药卫生—影像医学与核医学]