MSCT与MRI技术在鉴别结直肠癌术前T、N分期的诊断价值
|
摘要
目的探讨多层螺旋CT扫描(MSCT)与MRI在鉴别结直肠癌术前T、N分期的诊断价值。方法选取2016年2月-2017年10月本院收治的60例结直肠癌患者为研究对象,均于术前1周行MSCT、MRI扫描检查,以术后病理分期结果为金标准,评估MSCT与MRI在鉴别结直肠癌术前T、N分期的诊断价值。结果以术后病理分期结果为金标准,MRI诊断结直肠癌患者术前T、N分期的符合率较MSCT的明显高,差异有统计学意义(P<0.05);典型病例图像分析结果提示MSCT和MRI在结直肠癌患者术前分期诊断中均有明确应用价值。结论 MRI在鉴别结直肠癌术前T、N分期的诊断中与术后病理分期结果的符合率较MSCT明显高,前者在结直肠癌患者术前T、N分期诊断中的应用价值更高。
Objective To investigate the diagnostic value of multi-slice spiral CT scan(MSCT) and MRI in differentiating preoperative T and N stages of colorectal cancer.Methods Sixty patients with colorectal cancer who were treated in the hospital from February 2016 to October 2017 were selected. All patients underwent MSCT and MRI scans at 1 week before surgery. With postoperative pathological stages results as the golden standard, the diagnostic value of MSCT and MRI in differentiating preoperative T and N stages of colorectal cancer was evaluated. Results With postoperative pathological stages results as the golden standard, the coincidence rates of preoperative T and N stages diagnosed by MRI in patients with colorectal cancer were significantly higher than those by MSCT(P<0.05). The image analysis results of typical cases showed that both MSCT and MRI were of application value in the preoperative stages of colorectal cancer.Conclusion The coincidence rates of MRI in the diagnosis of preoperative T and N stages of colorectal cancer are significantly higher than those of MSCT. The former is of greater application value in the diagnosis of preoperative T and N stages of colorectal cancer.
Objective To investigate the diagnostic value of multi-slice spiral CT scan(MSCT) and MRI in differentiating preoperative T and N stages of colorectal cancer.Methods Sixty patients with colorectal cancer who were treated in the hospital from February 2016 to October 2017 were selected. All patients underwent MSCT and MRI scans at 1 week before surgery. With postoperative pathological stages results as the golden standard, the diagnostic value of MSCT and MRI in differentiating preoperative T and N stages of colorectal cancer was evaluated. Results With postoperative pathological stages results as the golden standard, the coincidence rates of preoperative T and N stages diagnosed by MRI in patients with colorectal cancer were significantly higher than those by MSCT(P<0.05). The image analysis results of typical cases showed that both MSCT and MRI were of application value in the preoperative stages of colorectal cancer.Conclusion The coincidence rates of MRI in the diagnosis of preoperative T and N stages of colorectal cancer are significantly higher than those of MSCT. The former is of greater application value in the diagnosis of preoperative T and N stages of colorectal cancer.
引文
[1]宋均飞,刘弋.EGFR、HER2在结直肠癌患者血清与组织中的表达及其临床意义分析[J].中华疾病控制杂志,2016, 20(4):403-407.
[2]王国森,周建平,盛伟伟,等.手助腹腔镜手术与腹腔镜手术治疗结直肠癌的Meta分析[J].中国普通外科杂志,2016, 25(4):497-509.
[3]任胜,孙振强,王海江.MRI和MSCT对进展期直肠癌新辅助疗效评估价值对比研究[J].中华肿瘤防治杂志,2017, 24(5):337-340.
[4]于英蛟,杨月娥,王琦.超声造影与增强CT诊断中低位直肠癌术前TN分期的对比分析[J].中国临床医学影像杂志,2017, 28(12):902-904.
[5]马君俊,洪希周,何子锐,等. 3D与2D腹腔镜结直肠癌根治术中术者主观感受的随机对照研究[J].中华消化外科杂志,2016, 15(9):892-896.
[6]陆通,杨虹,张琴,等.MSCT在直肠癌术前保肛评估中的应用[J].中国介入影像与治疗学,2 016,1 3(10):623-626.
[7]刘立恒,靳二虎,王振常,等.MRI对直肠癌术前评估应用进展[J].中华肿瘤防治杂志,2 01 6, 23(1 3):897-902.
[8]周炜,李林霞.MRI及多层螺旋CT在直肠癌术前T分期中的应用价值研究[J].结直肠肛门外科,2 017,31(4):521-524.
[9]唐圣军,吕亚萍,兰庆茂,等.MSCT(多层螺旋CT)与MRI在结直肠癌术前分期及预后评诂的价值对比分析[J].结直肠肛门外科,2 017,23(s1):16-17.
[10]王亚宁,时高峰,杜煜.比较MSCT与MR I在结直肠癌术前分期诊断中的价值[J].中国医学影像技术,2011,27(4):772-775.
[11]夏文骞.结肠癌患者术前TNM分期、MSCT影像表现及病理表现特点分析[J].中国CT和MR I杂志,2017,15(10):112-114.
[12]闫林林.MSCT与其他影像技术对结直肠癌TNM分期诊断价值[J].临床放射学杂志,2015, 34(3):482-485.
[13]唐娜,尚乃舰,张红霞. 3. 0T高分辨率MR I在直肠癌术前T分期中的价值[J].中国临床医学影像杂志,2016, 27(8):562-564.
[14]徐伟.中低位直肠癌MSCT、MRI术前T、N分期与术后病理分期的对比研究[D].广西中医药大学,2015.
[2]王国森,周建平,盛伟伟,等.手助腹腔镜手术与腹腔镜手术治疗结直肠癌的Meta分析[J].中国普通外科杂志,2016, 25(4):497-509.
[3]任胜,孙振强,王海江.MRI和MSCT对进展期直肠癌新辅助疗效评估价值对比研究[J].中华肿瘤防治杂志,2017, 24(5):337-340.
[4]于英蛟,杨月娥,王琦.超声造影与增强CT诊断中低位直肠癌术前TN分期的对比分析[J].中国临床医学影像杂志,2017, 28(12):902-904.
[5]马君俊,洪希周,何子锐,等. 3D与2D腹腔镜结直肠癌根治术中术者主观感受的随机对照研究[J].中华消化外科杂志,2016, 15(9):892-896.
[6]陆通,杨虹,张琴,等.MSCT在直肠癌术前保肛评估中的应用[J].中国介入影像与治疗学,2 016,1 3(10):623-626.
[7]刘立恒,靳二虎,王振常,等.MRI对直肠癌术前评估应用进展[J].中华肿瘤防治杂志,2 01 6, 23(1 3):897-902.
[8]周炜,李林霞.MRI及多层螺旋CT在直肠癌术前T分期中的应用价值研究[J].结直肠肛门外科,2 017,31(4):521-524.
[9]唐圣军,吕亚萍,兰庆茂,等.MSCT(多层螺旋CT)与MRI在结直肠癌术前分期及预后评诂的价值对比分析[J].结直肠肛门外科,2 017,23(s1):16-17.
[10]王亚宁,时高峰,杜煜.比较MSCT与MR I在结直肠癌术前分期诊断中的价值[J].中国医学影像技术,2011,27(4):772-775.
[11]夏文骞.结肠癌患者术前TNM分期、MSCT影像表现及病理表现特点分析[J].中国CT和MR I杂志,2017,15(10):112-114.
[12]闫林林.MSCT与其他影像技术对结直肠癌TNM分期诊断价值[J].临床放射学杂志,2015, 34(3):482-485.
[13]唐娜,尚乃舰,张红霞. 3. 0T高分辨率MR I在直肠癌术前T分期中的价值[J].中国临床医学影像杂志,2016, 27(8):562-564.
[14]徐伟.中低位直肠癌MSCT、MRI术前T、N分期与术后病理分期的对比研究[D].广西中医药大学,2015.