腹部彩超结合MRI图像纹理分析鉴别诊断子宫肌瘤与子宫腺肌病的临床意义  

Clinical Significance of Abdominal Color Doppler Ultrasound Combined with MRI Image Texture Analysis in Differential Diagnosis of Uterine Fibroid and Adenomyosis

作　　者：郭雪莲[1] 钟永红 GUO Xue-lian;ZHONG Yong-hong(Functional Department of Suichuan County Traditional Chinese Medicine Hospital,Jiangxi Ji’an 343900)

机构地区：[1]遂川县中医院功能科,江西吉安343900

出　　处：《中国医疗器械信息》2024年第12期4-6,共3页China Medical Device Information

摘　　要：目的:探究腹部彩超结合磁共振成像(MRI)图像纹理分析鉴别诊断子宫肌瘤与子宫腺肌病的临床意义。方法:选取2021年1月~2022年12月本院收治疑似子宫肌瘤、子宫腺肌病300例,均使用腹部彩超、MRI图像纹理分析诊断,以病理诊断结果为金标准,分析诊断结果。结果:诊断结果:300例疑似子宫肌瘤患者中,阳性62例,阴性238例。腹部彩超检测:真阳43例、假阳19例、真阴219例、假阴19例;MRI图像纹理分析真阳52例、假阳13例、真阴225例、假阴10例;联合:真阳61例、假阳0例、真阴238例、假阴1例。诊断结果:300例疑似子宫腺肌病患者中,阳性62例,阴性238例。腹部彩超检测:真阳44例、假阳23例、真阴215例、假阴18例;MRI图像纹理分析真阳50例、假阳19例、真阴219例、假阴12例;联合:真阳60例、假阳1例、真阴237例、假阴2例。与腹部彩超、MRI图像纹理分析检测相比,联合方式用于诊断子宫肌瘤与子宫腺肌病准确性、灵敏性、特异性更高(P<0.05)。结论:腹部彩超结合MRI图像纹理分析用于诊断子宫肌瘤与子宫腺肌病诊断准确性、灵敏性、特异性均较高,可早期准确诊断出此病,便于及时进行治疗,临床应用价值显著。Objective:To explore the clinical significance of abdominal color ultrasound combined with magnetic resonance imaging(MRI)image texture analysis in the differential diagnosis of uterine fibroid and adenomyosis.Methods:300 cases of suspected uterine fibroid and adenomyosis were selected from January 2021 to December 2022 in this hospital.All cases were diagnosed by abdominal color ultrasound and MRI image texture analysis.The diagnosis results were analyzed based on the pathological diagnosis results as the gold standard.Results:Diagnostic results:Among 300 patients with suspected uterine fibroid,62 were positive and 238 were negative.Abdominal ultrasound examination:43 cases of true positive,19 cases of false positive,219 cases of true negative,and 19 cases of false negative;MRI image texture analysis showed 52 cases of true positive,13 cases of false positive,225 cases of true negative,and 10 cases of false negative;Combination:61 cases of true positive,0 cases of false positive,238 cases of true negative,and 1 case of false negative.Diagnostic results:Among 300 suspected patients with adenomyosis,62 were positive and 238 were negative.Abdominal ultrasound detection:44 cases of true positive,23 cases of false positive,215 cases of true negative,and 18 cases of false negative;MRI image texture analysis showed 50 cases of true positive,19 cases of false positive,219 cases of true negative,and 12 cases of false negative;Combination:60 cases of true positive,1 case of false positive,237 cases of true negative,and 2 cases of false negative.Compared with abdominal color ultrasound and MRI image texture analysis,the combined method for diagnosis of uterine fibroid and adenomyosis has higher accuracy,sensitivity and specificity(P<0.05).Conclusion:Abdominal color ultrasound combined with MRI image texture analysis for the diagnosis of uterine fibroid and Adenomyosis has high diagnostic accuracy,sensitivity and specificity.It can accurately diagnose this disease early and facilitate timely treatment.It has significant cli

关 键 词：腹部彩超 MRI图像纹理分析 子宫肌瘤 子宫腺肌病 

分 类 号：R445[医药卫生—影像医学与核医学]