动态增强MRI和弥散加权在子宫内膜癌分期诊断中的应用

Application of dynamic contrast-enhanced MRI and diffusion weighted in staging of endometrial cancer

目的研究动态增强MRI和弥散加权在子宫内膜癌分期诊断中的应用。方法筛选我院收治的50例子宫内膜癌患者,术前进行动态增强MRI和弥散加权检测,将得到结果与术中病理对比。结果动态增强MRI和弥散加权分期检测结果与术中病理结果比较,有45例符合,5例不符,准确度达90%,与单纯使用动态增强MRI相比,准确度显著提高(P<0.05);动态增强MRI和弥散加权检测肌层浸润和淋巴转移准确度均为94%,显著高于单独采用动态增强MRI(P<0.05)。结论动态增强MRI和弥散加权可以为子宫内膜癌分期提供可靠充分的影像学依据。

Objective To explore the application of dynamic contrast-enhanced MRI and diffusion weighted in staging of endometrial carcinoma.Methods Fifty patients with endometrial carcinoma were enrolled in this study.Dynamic contrast-enhanced MRI and diffusion weighted detection were performed before operation.The results were compared with intraoperative pathology.Results The results of dynamic contrast-enhanced MRI and diffuse weighted staging were compared with those of intraoperative pathological results.There were 45 cases with 5 cases and 90% accuracy.Compared with the use of dynamic contrast-enhanced MRI,the accuracy was significantly improved(P<0.05).The accuracy of dynamic contrast-enhanced MRI and diffusion-weighted detection of myometrial invasion and lymphatic metastasis were 94%,which was significantly higher than that of dynamic contrast-enhanced MRI(P<0.05).Conclusion Dynamic contrast-enhanced MRI and diffusion-weighted detection can be endometrial cancer staging to provide reliable and reliable imaging basis.