磁共振短T1信号和ADC值在卵巢病变的应用  

Application of magnetic resonance short T1 signal and ADC value in ovarian disease

作　　者：李世影 朱培园 孙志朋 LI Shiying;ZHU Peiyuan;SUN Zhipeng(Department of Radiology,Zhengzhou Maternal and Child health hospital,Zhengzhou,450012,China)

机构地区：[1]郑州市妇幼保健院放射科,郑州450012

出　　处：《新疆医学》2025年第1期60-63,共4页Xinjiang Medical Journal

摘　　要：目的 分析磁共振短T1信号和ADC值在卵巢病变良恶性鉴别诊断中的价值及对术前定性准确率的影响。方法选取2021年5月–2023年4月本院收治的78例卵巢病变患者,依据病理诊断结果将患者分为良性组(35例)和恶性组(43例),所有患者均接受磁共振、ADC检查,以病理检查结果为标准,分析磁共振短T1信号、ADC单独诊断的准确率以及磁共振短T1信号联合ADC诊断的检出率。结果 本次研究结果显示,良性组患者的磁共振短T1信号与恶性组患者相比差异显著(P<0.05),恶性组患者ADC值为(1.64±0.31)%,病变最大径(12.08±1.54)cm,良性组患者ADC值为(0.95±0.18)%,病变最大径(8.37±1.23)cm,恶性组患者病变最大径与良性组相比明显更高(P<0.05);与磁共振短T1信号、ADC单独诊断相比,磁共振短T1信号联合ADC诊断的特异度和敏感度均明显更高(P<0.05)。结论 磁共振短T1信号和ADC值在卵巢病变良恶性鉴别诊断中具有重要的临床价值,且通过联合诊断方式更有利于提高术前定性准确率。ObjectiveTo analyze the value of magnetic resonance short T1 signal and ADC value in the differential diagnosis of benign and malignant ovarian lesions and its influence on the preoperative qualitative accuracy rate.MethodsA total of 78 patients with ovarian lesions treated in our hospital from May 2021 to April 2023 were selected, and all patients were divided into a benign group(35patients) and a malignant group(43 patients) based on the results of pathological diagnosis, all patients underwent magnetic resonance and ADC examination. The accuracy rate of diagnosis of short magnetic resonance T1 signal and ADC alone and the detection rate of short magnetic resonance T1 signal combined with ADC diagnosis were analyzed based on pathological examination results.Results The results indicated that the short T1 signal of magnetic resonance in the benign group was significantly different from that in the malignant group(P < 0.05). The ADC value of the malignant group was(1.64±0.31) %, the maximum diameter of the lesion was(12.08±1.54) cm, and the ADC value of the benign group was(0.95±0.18) %. The maximum lesion diameter was(8.37±1.23) cm, and the maximum lesion diameter in the malignant group was significantly higher than that in the benign group(P < 0.05). Compared with short magnetic resonance T1 signal and ADC alone, the specificity and sensitivity of short magnetic resonance T1 signal combined with ADC diagnosis were significantly higher(P < 0.05).ConclusionThe magnetic resonance short T1 signal and ADC values are of great clinical value in the differential diagnosis of benign and malignant ovarian lesions, and it is more beneficial to improve the preoperative qualitative accuracy rate through the combined diagnostic modality.

关 键 词：磁共振短T1信号 ADC值 卵巢病变 良恶性鉴别诊断 术前定性 准确率 

分 类 号：R711.75[医药卫生—妇产科学]