磁共振成像在子宫内膜癌常规治疗中的作用  

MRI in the routine management of endometrial cancer

作　　者：安玉梅 李艳 马玉国 王恒娟 徐桂智 周永红 AN Yumei;LI Yan;MA Yuguo;WANG Hengjuan;XU Guizhi;ZHOU Yonghong(Department of Radiology,Zhucheng People’s Hospital,Zhucheng 262200,China)

机构地区：[1]诸城市人民医院影像科,山东诸城262200

出　　处：《潍坊医学院学报》2022年第5期335-337,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨磁共振成像(MRI)在子宫内膜癌患者的常规诊断评估、分期、治疗选择、辅助治疗计划中的实际应用。方法回顾性分析2015年10月~2022年3月经病理检查证实的95例子宫内膜癌患者的临床资料,所有患者术前均行盆腔MRI检查,包括常规MRI(T1WI、T2WI、DWI)和DCE-MRI。观察子宫肌层浸润、宫颈浸润、局部或局部扩散及淋巴结评价。结果评估肌层浸润,MRI准确率为88.4%.检测宫颈侵犯,MRI准确率为83.2%.评估淋巴结情况,MRI准确率为93.7%.结论MRI是子宫内膜癌术前诊断分期的一种有价值的诊断工具。Objective To describe the practical application of MRI in the routine diagnostic assessment,staging,treatment selection,adjuvant treatment planning of endometrial cancer patients.Methods A total of 95 endometrial cancer patients undergoing MRI were enrolled from October 2015 to March 2022.All patients underwent pelvic MRI prior to surgery,including conventional MRI(T1 WI,T2 WI,DWI)and DCE-MRI.Myometrial invasion,cervical invasion,local or regional spread,and lymph node status were evaluated.Results In assessing myometrial invasion,MR imaging showed 86.3%accuracy.In detecting cervical invasion,MR imaging had 83.2%accuracy.In evaluating lymph node involvement,MR imaging showed 93.7%accuracy.Conclusion Thus,Magnetic resonance imaging(MRI)has been established as a valuable diagnostic tool in the preoperative diagnostic staging of endometrial cancer.

关 键 词：磁共振成像 子宫内膜肿瘤 分期 肌层浸润 宫颈间质浸润 

分 类 号：R445.2[医药卫生—影像医学与核医学]