VI-RADS评分在多参数MRI诊断肌层浸润性膀胱癌中的应用  

Application of Vesical Imaging-Reporting and Data System Score in Multi-parameter MRI Diagnosis of Muscularis-Invasive Bladder Cancer

作　　者：车英玉[1] 吴玥 张静 肖新广 文建国[2] 王庆伟[2] CHE Yingyu;WU Yue;ZHANG Jing;XIAO Xinguang;WEN Jianguo;WANG Qingwei(Department of Magnetic Resonance,Zhengzhou 450052,China;Urology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Radiology Department,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院磁共振科,河南郑州450052 [2]郑州大学第一附属医院泌尿外科,河南郑州450052 [3]郑州大学附属郑州中心医院放射科,河南郑州450052

出　　处：《河南医学研究》2023年第17期3128-3131,共4页Henan Medical Research

基　　金：国家自然科学基金(U1904208)。

摘　　要：目的评估基于膀胱影像报告和数据系统(VI-RADS)的多参数磁共振成像(mp-MRI)对肌层浸润性膀胱癌(MIBC)的诊断效能,以及VI-RADS评分的准确性。方法回顾性收集146例经手术病理证实为膀胱癌(BCa)患者的临床及mp-MRI资料,绘制各个mp-MRI序列和VI-RADS评分的受试者工作特征(ROC)曲线,评估基于VI-RADS评分系统的mp-MRI对MIBC的诊断性能及预测能力。结果基于VI-RADS评分系统的mp-MRI对鉴别肌层浸润性和非MIBC的诊断准确度及灵敏度最高,且VI-RADS>3时诊断效能最佳。结论VI-RADS评分系统对预测肿瘤侵袭程度具有良好的诊断价值,可用于指导临床决策和管理。Objective To evaluate the diagnostic efficiency of multi-parameter magnetic resonance imaging(mp-MRI)based on bladder imaging report and data system(VI-RADS)for myometrial invasive bladder cancer(MIBC)and the accuracy of VI-RADS score.Methods The clinical and mp-MRI data of 146 patients with muscle-invasive bladder cancer(BCa)confirmed by surgery and pathology were collected retrospectively.The ROC curve of each mp-MRI sequence and VI-RADS score were drawed to evaluate the diagnostic performance and predictive ability of mp-MRI based on VI-RADS scoring system for MIBC.Results Mp-MRI based on VI-RADS scoring system had the highest diagnostic accuracy and sensitivity in differentiating muscular infiltration from non-MIBC,and the diagnostic efficiency was the best when VI-RADS>3.Conclusion VI-RADS scoring system has good diagnostic value in predicting the degree of tumor invasion,and can be used to guide clinical decision-making and management.

关 键 词：VI-RADS评分系统 多参数MRI 肌层浸润性膀胱癌 

分 类 号：R737.1[医药卫生—肿瘤]