期刊文献+

彩色超声和磁共振成像对诊断舌鳞状细胞癌颈部微小转移淋巴结作用的比较研究 被引量:3

Identification of cervical lymph node micrometastasis of tongue cancer by color Doppler and MRI
原文传递
导出
摘要 目的比较彩色超声(简称彩超)和磁共振成像(MRI)在诊断舌鳞状细胞癌(简称鳞癌)颈部微小转移淋巴结中的作用。方法收集2008--2013年96例cN0舌鳞癌患者的临床资料,所有病例同时行颈部彩超和MRI检查以评价颈部淋巴结情况,并以术后病理结果为金标准,采用x^2检验比较两种诊断方法在评价舌癌颈部微小淋巴结转移中的价值和区别。结果彩超在判定淋巴结微小转移的敏感度为72.5%,MRI为50.0%,差异有统计学意义(x^2=4.266,P=0.039);彩超诊断的特异度为82.1%,MRI为75.0%,差异无统计学意义(x^2=0.848,P=0.357);彩超的准确率为78.1%,MRI为64.6%,差异有统计学意义(x^2=4.306,P=0.038);彩超预测淋巴结微小转移的阳性预测值为74.4%,阴性预测值为80.7%,MRI分别为58.8%和67.7%,差异均无统计学意义(x^2=1.987,x^2=2.589,P均〉0.05)。结论彩超在舌癌颈部微小转移淋巴结判定中的敏感度、特异度、准确率、阳性预测值和阴性预测值均高于MRI,尤其是彩超的敏感度和准确性显著高于MRI。彩超对于诊断舌癌颈部微小转移淋巴结优于MRI。 Objective To assess the values of color Doppler and magnetic resonance imaging (MRI) in the identification of cervical lymph node micrometastasis of tongue cancer. Methods Totally 96 cases of tongue cancer with impalpable neck lymph node was examined with color Doppler and MRI within one week before surgery. Chi-square test was used to assess if the presence of regional lymph node micrometastasis, histopathologieal analysis as a golden standard lymph node micrometastasis. Results For the diagnosis of cervical lymph node micrometastasis, color Doppler was significantly better than MRI in sensitivity (72.5% vs50.0%, P=0.039) and the accuracy (78.1% vs 64.6%, P=0.038), but no significant difference in the specificity (82.1% vs 75.0% , P = 0. 357 ), the positive predictive value (74. 4% vs 58. 8%, P =0. 159) and the negative predictive value (80. 7% vs 67. 7%, P =0. 108). Conclusion Color Doppler is better than MRI in the sensitivity and accuracy for the diagnosis of cervical lymph node micrometastasis of tongue cancer.
出处 《中华耳鼻咽喉头颈外科杂志》 CAS CSCD 北大核心 2014年第1期39-43,共5页 Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词 舌肿瘤 超声检查 多普勒 彩色 磁共振成像 Tongue neoplasms Ultrasonography, doppler, color Magnetic resonance Imaging
  • 相关文献

参考文献25

  • 1Alvi A, Johnson JT. Extracapsular spread in the clinically negative neck (N0) :implications and outcome[ J ]. Otolaryngol Head Neck Surg, 1996,114 ( 1 ) :65-70.
  • 2Ambrosch P, Kron M, Fischer G, et al. Micrometastases in carcinoma of the upper aerodigestive tract: detection, risk of metasizing and prognostic value of depth invation [ J]. Head Neck, 1995,17 (6) :473-479.
  • 3Manola M,Aversal C,Moscillo L,et al. Status of level IIb lymph nodes of the neck in squamous cell carcinoma of the oral tongue in patients who underwent modified radical neck dissection and lymph node sentinel biopsy. Acta Otorhinolaryngol Ital, 2011,31 (3) :130-134.
  • 4Dias FL, Kligerman J, Matos de Sa G, et al. Elective neck dissection versus observation in stage I squamous cell carcinomas of the tongue and floor of the mouth [ J ]. Otolaryngul Head Neck Surg,2001,125 ( 1 ) :23-29.
  • 5Yuen AP, Wei WI, Wong YM, et al. Elective neck dissection versus observation in the treatment of early oral tongue carcinoma [J]. Head Neck,1997,19(7) :583-588.
  • 6AI-Ibraheem A, Buck A, Klause BJ, et al. Clinical applications of FDG PET and PET/CT in head and neck cancer [ J ]. J Oneol, 2009:208725. doi : 10. 1155/2009/208725.
  • 7Yao M, Smith RB, Hoffman HT, et al. Clinical significance of postradiotherapy [ 18F ]-fluorodeoxyglucose positron emission tomography imaging in managemeng of head and neck cancer: a long-term outcome report [ J ]. Int J Radiat Oncol Biol Phys,2009, 74( 1 ) :9-14.
  • 8朱李军,陈仲伟,侯庆仪,王启朋,江穗,冯航,郑卫平,肖汉耿,常秀林.PET在舌癌患者颈部淋巴结转移判定中的应用评价:与CT/MRI和临床触诊的对比[J].南方医科大学学报,2009,29(11):2228-2230. 被引量:4
  • 9Wiener E,Pautke C, Link TM,et al. Comparison of 16-slice MSCT and MRI in the assessment of squamous cell carcinoma of the oral cavity[ J ]. Eur J Radio1,2006,58 ( 1 ) : 113-118.
  • 10Ahmed M, Schmidt M, Sohaib A, et al. The value of magneticresonance imaging in target volume delineation of base of tongue tumours-a study using flexible surface coils[ J] Radiother Oncol, 2010,9d (2) : 161-167.

二级参考文献45

共引文献18

同被引文献26

引证文献3

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部