子宫内膜癌患者应用多模态MRI的诊断效能与病理诊断的对照分析

Diagnostic Efficacy of Multimodal Magnetic MRI in Patients with Endometrial Cancer and Comparative Analysis with Pathological Diagnosis

目的探讨多模态磁共振成像(MRI)在子宫内膜癌患者的应用价值,并与病理诊断结果进行对照分析。方法以2022年2月至2024年1月连江县医院收治的200例疑似子宫内膜癌患者为观察对象,应用超声以及多模态MRI进行诊断,并将两种检查方式所获结果与病理诊断进行对照,进而分析其诊断效能。结果病理检查显示,200例疑似患者中共计98例性质为恶性(子宫内膜癌),剩余102例为良性病变;多模态MRI检查结果则表明,恶性者总共98例,良性者99例;超声检查明确,恶性者总共98例,良性者90例。多模态MRI的敏感度、特异度以及准确度均高于超声检查(P<0.05)。比较良性与恶性肿瘤患者的血流动力学情况,子宫内膜癌患者的微血管密度(Microvessel Density,MVD)高于良性增生患者,阻力指数(Resistance Index,RI)、搏动指数(Pulsatility Index,PI)低于良性增生患者,差异具有统计学意义(P<0.05)。结论临床在面对子宫内膜癌患者时,可应用多模态MRI进行诊断,该方式获取的结果与病理诊断结果具有较高相似性,能够尽早明确疾病的存在,进而展开早期治疗。

Objective To explore the application value of multimodal MRI in endometrial cancerpatients and compare it with pathological diagnosis results.Methods 200 patients with suspected endometrial cancer admitted to the hospital of Lianjiang County from February 2022 to January 2024 were observed.Ultrasound and multimodal MRI were used for diagnosis,and the results obtained by the two examination methods were compared with the pathological diagnosis results,and then the diagnostic efficacy was analyzed.Results Pathological examination showed that 98 cases of suspected patients were malignant(endometrial cancer),whilethe remaining 102 were benign lesions.Multimodal MRI examination results showed that 98 cases were malignant and 99 cases were benign;Ultrasound examination confirmed 98 cases of malignant and 90 cases of benign.The sensitivity,specificity,and accuracy of multimodal MRI were higher than those of ultrasound examination(P<0.05);The MVD of endometrial cancer patients was higher than that of benign hyperplasia patients,and the RI and PI of endometrial cancer patients were lower than those of benign hyperplasia patients,with statistical significance(P<0.05).Conclusion In clinical practice,multimodal MRI can be used for the diagnosis of endometrial cancer patients.The results obtained by this method are highly similar to pathological diagnosis,which can identify the existence of the disease early and carry out early treatment to minimize the risks faced by patients.