磁共振成像在子宫内膜癌常规治疗中的作用

MRI in the routine management of endometrial cancer

目的探讨磁共振成像(MRI)在子宫内膜癌患者的常规诊断评估、分期、治疗选择、辅助治疗计划中的实际应用。方法回顾性分析2015年10月~2022年3月经病理检查证实的95例子宫内膜癌患者的临床资料,所有患者术前均行盆腔MRI检查,包括常规MRI(T1WI、T2WI、DWI)和DCE-MRI。观察子宫肌层浸润、宫颈浸润、局部或局部扩散及淋巴结评价。结果评估肌层浸润,MRI准确率为88.4%.检测宫颈侵犯,MRI准确率为83.2%.评估淋巴结情况,MRI准确率为93.7%.结论MRI是子宫内膜癌术前诊断分期的一种有价值的诊断工具。

Objective To describe the practical application of MRI in the routine diagnostic assessment,staging,treatment selection,adjuvant treatment planning of endometrial cancer patients.Methods A total of 95 endometrial cancer patients undergoing MRI were enrolled from October 2015 to March 2022.All patients underwent pelvic MRI prior to surgery,including conventional MRI(T1 WI,T2 WI,DWI)and DCE-MRI.Myometrial invasion,cervical invasion,local or regional spread,and lymph node status were evaluated.Results In assessing myometrial invasion,MR imaging showed 86.3%accuracy.In detecting cervical invasion,MR imaging had 83.2%accuracy.In evaluating lymph node involvement,MR imaging showed 93.7%accuracy.Conclusion Thus,Magnetic resonance imaging(MRI)has been established as a valuable diagnostic tool in the preoperative diagnostic staging of endometrial cancer.