MR动态增强扫描扩散加权成像诊断子宫内膜癌

MR Dynamic Enhanced Scanning Diffusion-weighted Imaging in the Diagnosis of Endometrial Carcinoma

目的探究子宫内膜癌患者接受3.0TMR动态增强扫描联合扩散加权成像对其肌层浸润深度、宫颈侵犯和术前分期诊断的价值。方法选取德州市人民医院2015年3月-2018年3月接收的子宫内膜癌患者50例作为研究对象。所有患者术前均经分段诊刮病理检查确诊存在子宫内膜癌,同时为其实施MR动态增强扫描、扩散加权成像检查,对其检查的结果进行分析。结果 MR动态增强扫描与扩散加权成像联合检查的肌层浸润程度诊断准确率、宫颈间质浸润检出率、术前分期诊断准确率,与病理结果相比,差异无统计学意义(P>0.05)。结论子宫内膜癌患者接受3.0T MR动态增强扫描与扩散加权成像联合诊断,可较好对其肌层浸润深度、宫颈侵犯以及术前分期进行反映,从而为患者接受针对性的治疗提供。

Objective To explore the value of 3.0 T MR dynamic contrastenhanced scanning combined with diffusion weighted imaging in the diagnosis of myometrial invasion depth, cervical invasion and preoperative staging in patients with endometrial cancer. Methods 50 cases of endometrial cancer patients in Dezhou People’s Hospital were selected as the study subjects from March 2015 to March 2018. All of them were diagnosed with endometrial cancer by staging curettage pathological examination before surgery. Meanwhile, dynamic enhanced MR scanning and diffusion-weighted imaging examination were performed for them, and the results were analyzed. Results There was no significant difference in the diagnostic accuracy of myometrial invasion, cervical interstitial invasion and preoperative staging between dynamic contrast-enhanced MR and diffusion-weighted MR(P > 0.05). Conclusion The combined diagnosis of 3.0 T dynamic contrast-enhanced MR and diffusion-weighted imaging can better reflect the depth of myometrial invasion, cervical invasion and preoperative staging, so as to provide targeted treatment for patients with endometrial cancer.