CT联合DCE-MRI对卵巢癌发生与发展的预测效能分析  

Predictive energy efficiency analysis of CT combined with DCE-MRI for ovarian cancer occurrence and development

作　　者：刘辉[1] 张海金[1] 陈鉴[1] 凌利[2] LIU Hui;ZHANG Hai-jin;CHEN Jian;LING Li(Department of Radiology,Jiaxing Maternal and Child Health Hospital,Jiaxing,Zhejiang 314000,China;不详)

机构地区：[1]嘉兴市妇幼保健院放射科,浙江嘉兴314000 [2]嘉兴市妇幼保健院特检科

出　　处：《中国妇幼保健》2025年第6期1146-1149,共4页Maternal and Child Health Care of China

基　　金：浙江省嘉兴市科技计划项目(2024AD30067);。

摘　　要：目的探讨电子计算机断层扫描(CT)联合动态增强磁共振成像(DCE-MRI)在卵巢癌(OC)诊断和分期评估中的应用价值。方法选取2021年9月—2024年4月在嘉兴市妇幼保健院诊治的92例OC患者为OC组,同时选取92例同期卵巢良性肿瘤患者为对照组。所有患者均接受CT和DCE-MRI检查。比较CT、DCE-MRI单独及两者联合诊断OC的准确率,使用ROC曲线分析其诊断价值。OC组患者依据国际妇产科联盟(FIGO)的分期标准进一步分为早期组和中晚期组,比较CT、DCE-MRI单独及两者联合评估OC分期的准确率,绘制ROC曲线分析其分期评估价值。结果CT联合DCE-MRI诊断OC的准确率为95.11%(175/184),显著高于单独使用CT(77.17%,142/184)或DCE-MRI(83.15%,153/184),差异有统计学意义(P<0.05)。联合诊断的AUC为0.951,明显高于CT(0.772)和DCE-MRI(0.832),差异有统计学意义(P<0.05),且诊断的灵敏度和特异度分别为95.65%和94.57%。在OC分期评估方面,CT联合DCE-MRI的准确率为92.39%(85/92),显著高于单独使用CT(75.00%,69/92)或DCE-MRI(79.35%,73/92),差异有统计学意义(P<0.05)。联合评估的AUC为0.964,高于CT(0.903)和DCE-MRI(0.919),差异有统计学意义(P<0.05),其灵敏度和特异度分别为92.45%和92.31%。结论CT联合DCE-MRI在卵巢癌的诊断和分期评估中表现出较高的效能,具有较高的临床应用和推广价值。Objective To explore the application value of computed tomography(CT)combined with dynamic contrast-enhanced magnetic resonance imaging(DCE-MRI)in the diagnosis and staging of ovarian cancer(OC).Methods A total of 92 OC patients who were treated in Jiaxing Maternal and Child Health Hospital from September 2021 to April 2024 were selected as the OC group,and 92 patients with benign ovarian tumors during the same period were selected as the control group.All patients underwent CT and DCE-MRI examinations.The accuracy of CT,DCE-MRI alone and the combination of the two in diagnosing OC was compared,and the ROC curve was used to analyze their diagnostic value.Patients in the OC group were further divided into early group and middle and late group according to the staging criteria of the International Federation of Gynecology and Obstetrics(FIGO).The accuracy of CT,DCE-MRI alone and the combination of the two in evaluating OC staging was compared,and the ROC curve was drawn to analyze its staging evaluation value.Results The accuracy of CT combined with DCE-MRI in diagnosing OC was 95.11%(175/184),which was significantly higher than that of CT alone(77.17%,142/184)or DCE-MRI(83.15%,153/184)(P<0.05).The AUC of combined diagnosis was 0.951,which was significantly higher than that of CT(0.772)and DCE-MRI(0.832)(P<0.05),and the sensitivity and specificity of diagnosis were 95.65%and 94.57%,respectively.In terms of OC staging assessment,the accuracy of CT combined with DCE-MRI was 92.39%(85/92),which was significantly higher than that of CT alone(75.00%,69/92)or DCE-MRI(79.35%,73/92)(P<0.05).The AUC of the combined evaluation was 0.964,which was higher than that of CT(0.903)and DCE-MRI(0.919)(P<0.05),and its sensitivity and specificity were 92.45%and 92.31%,respectively.Conclusion CT combined with DCE-MRI shows high efficacy in the diagnosis and staging assessment of ovarian cancer and has high clinical application and promotion value.

关 键 词：电子计算机断层扫描 动态增强磁共振成像 卵巢癌 诊断价值 疾病分期 

分 类 号：R737.31[医药卫生—肿瘤]