核磁共振全身扩散加权成像对多发性骨髓瘤的诊断研究

The Diagnosis of Multiple Myeloma by Magnetic Resonance Diffusion Weighted Imaging

目的:探讨多发性骨髓瘤采用核磁共振全身扩散加权成像(WB-DWI)诊断的临床价值。方法:选择2018年1月-2020年5月我院收治的30例多发性骨髓瘤患者纳入本次研究的观察组,将同期30例健康体检者纳入对照组,两组分别行CT与WB-DWI检查,分析检查结果。结果:观察组的平均ADC值是(0.83±0.15)×10^-3mm^2/s,明显高于对照组(0.27±0.14)×10^-3mm^2/s;WB-DWI诊断多发性骨髓瘤的准确率是96.67%(29/30),显著高于CT诊断准确率73.33%(22/30),差异有统计学意义(P<0.05)。结论:WB-DWI诊断多发性骨髓瘤具备临床应用价值,建议推广。

Objective:To investigate the clinical value of magnetic resonance diffusion weighted imaging(WB-DWI)in the diagnosis of multiple myeloma.Methods:30 patients with multiple myeloma admitted to our hospital from January 2018 to May 2020 were included in the observation group of this study,30 healthy patients in the same period were included in the control group.CT and WB-DWI examinations were performed in the two groups,and the examination results were analyzed.Results:The average ADC value of the observation group was(0.83±0.15)×10^-3 mm^2/s,which was significantly higher than that of the control group(0.27±0.14)×10^-3 mm^2/s.The accuracy of WB-DWIin diagnosing multiple myeloma was 96.67%(29/30),which was significantly higher than that of CT that was 73.33%(22/30).The difference was statistically significant(P<0.05).Conclusion:WB-DWI diagnosis multiple myeloma has clinical value and should be popularized.