卵巢肿瘤ADNEX MR评分系统的应用解读及研究进展  

Application interpretation and research progress of ADNEX MR scoring system for ovarian tumors

作　　者：朱华东 崔磊 印洪刚 陆娴[1] 张勤[1] ZHU Huadong;CUI Lei;YIN Honggang;LU Xian;ZHANG Qin(Department of Imaging,Nantong Maternal and Child Health Hospital Affiliated to Nantong University,Nantong 226018,China;Department of Imaging,Nantong First People's Hospital,Second Affiliated Hospital of Nantong University,Nantong 226018,China)

机构地区：[1]南通大学附属南通市妇幼保健院影像科,南通226018 [2]南通大学第二附属医院南通市第一人民医院影像科,南通226018

出　　处：《磁共振成像》2023年第6期182-186,202,共6页Chinese Journal of Magnetic Resonance Imaging

基　　金：南通市科技计划指导性项目(编号:MSZ19002)。

摘　　要：卵巢肿瘤早期诊断至关重要。超声检查作为首选成像方法,具有高度敏感性(sensitivity, Sens)和特异性(specificity, Spec),但仍有20%的肿瘤良恶性无法明确。MRI已被作为是卵巢肿瘤良恶性诊断的非手术标准。附件肿瘤评估(Assessment of Different NEoplasias in the AdneXa, ADNEX)MR评分系统可以较好地对肿瘤进行风险评估及分层,对早期准确检测肿瘤、确定肿瘤的亚型、决定治疗方式及提高生存率有着重要意义。鉴于此,本文将讲述ADNEX MR评分系统的扫描技术、评分规则及临床相应处理方法,综述其应用现状及相关研究进展,以便临床工作者更好地了解并运用。Early diagnosis of ovarian tumors is essential.Ultrasonography is the imaging method of choice,with high sensitivity(Sens)and specificity(Spec),but 20%of tumors cannot identify benign or malignant.MRI has been adopted as a non-surgical criterion for the diagnosis of benign and malignant ovarian tumors.The Assessment of Different NEoplasias in the AdneXa(ADNEX)MR scoring system can better risk assessment and stratification of tumors,which is of great significance for early and accurate detection of tumors,determination of tumor subtypes,determination of treatment modalities,and improvement of survival rates.In view of this,this article will describe the scanning technology,scoring rules and clinical corresponding treatment methods of ADNEX MR scoring system,and review its application status and related research progress,so that clinicians can better understand and apply it.

关 键 词：附件肿瘤 卵巢癌 诊断 评分系统 术前评估 风险评估 解读 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学] R737.31[医药卫生—诊断学]