多模态MRI在宫颈癌术前分期中的应用价值  

The application value of multimodal MRI in the preoperative staging of cervical cancer

作　　者：郭春锋 李向阳 文宝红[2] GUO Chunfeng;LI Xiangyang;WEN Baohong(Department of Radiology,the First People's Hospital of Zhumadian,Zhumadian,He'nan Province 463000,China;Department of Magnetic Resonance,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]驻马店市第一人民医院放射科,河南驻马店463000 [2]郑州大学第一附属医院磁共振科,河南郑州450052

出　　处：《实用放射学杂志》2024年第3期426-429,共4页Journal of Practical Radiology

摘　　要：目的探讨多模态MRI在宫颈癌术前分期中的应用价值.方法回顾性分析经手术病理或活检证实的60例宫颈癌患者的术前影像学资料,将多模态MRI术前分期与术后病理分期结果进行对比,评价多模态MRI对宫颈癌分期的诊断准确性.结果60例宫颈癌中,多模态MRI术前分期结果为ⅠB期25例、ⅡA1期20例、ⅡA2期9例、ⅢC期6例.术后病理分期结果为ⅠB期27例、ⅡA1期18例、ⅡA2期9例、ⅢC期6例.多模态MRI术前分期与术后病理分期一致性良好.以术后病理分期为金标准,多模态MRI术前分期诊断准确率分别为100.00%(25/25)、85.00%(17/20)、77.78%(7/9)、83.33%(5/6).结论多模态MRI在宫颈癌术前分期中具有较高的准确率,可以作为临床工作中宫颈癌术前精准分期的常规评估方法.Objective To explore the application value of multimodal MRI in the preoperative staging of cervical cancer.Methods The preoperative imaging data of 60 patients with cervical cancer confirmed by surgical pathology or biopsy were analyzed retro-spectively.The results of preoperative staging by multimodal MRI and postoperative pathological staging were compared.The diag-nostic accuracy of multimodal MRI in staging of cervical cancer was evaluated.Results Among the 60 cases,the preoperative staging results of multimodal MRI were 25ⅠB,20ⅡA1,9ⅡA2,and 6ⅢC.While the postoperative pathological staging results were 27ⅠB,18ⅡA1,9ⅡA2,and 6ⅢC.The staging results achieved by preoperative multimodal MRI and postoperative pathological staging were in good agreement.With the postoperative pathological staging as the gold standard,the diagnostic accuracy of multimodal MRI in preoperative staging was 100.00%(25/25),85.00%(17/20),77.78%(7/9),and 83.33%(5/6),respectively.Conclusion Multimodal MRI has a high accuracy in the preoperative staging of cervical cancer which can be used as a routine evaluation tool for the accurate preoperative staging of cervical cancer in clinical work.

关 键 词：宫颈癌 磁共振成像 临床分期 

分 类 号：R737.33[医药卫生—肿瘤] R445.2[医药卫生—临床医学]