MRI弥散加权成像与动态增强扫描在前列腺癌诊断中的应用
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

广东省梅州市社会发展科技计划项目(221115192052962);


Application of MRI diffusion weighted imaging and dynamic contrast-en-hanced MRI in diagnosing prostate cancer
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    目的:探讨磁共振(MRI)弥散加权成像(DWI)与动态增强扫描(DCE-MRI)在前列腺癌(PCA)诊断中的应用。方法:选取105例行MRI检查的疑似PCA患者为研究对象。患者均行DWI、DCE-MRI扫描检查,以病理活检为金标准,Kappa一致性检验分析DWI、DCE-MRI单独扫描检查及两者联合检查诊断PCA的准确度、敏感度及特异度。结果:DWI检出PCA和前列腺良性病变分别66例、39例,DWI与病理活检诊断PCA的Kappa=0.918;DCE-MRI检出PCA和前列腺良性病变分别60例、45例,DCE-MRI与病理活检诊断PCA的Kappa=0.761;DWI诊断PCA的敏感度和准确度分别为95.59%、96.19%,高于DCE-MRI诊断PCA的敏感度和准确度(85.29%、88.57%)(χ2=4.168、4.330,P=0.041、0.037);DWI+DCE-MRI与病理活检诊断PCA的Kappa=0.937,且诊断PCA敏感度和准确度分别为98.53%、97.14%。结论:DWI较DCE-MRI诊断PCA准确度和敏感性更高,两者联合诊断可在一定程度提高前列腺癌诊断效能。

    Abstract:

    Objective:To analyze the application of magnetic resonance imaging(MRI)diffusion weighted imaging(DWI)and dynamic contrast enhanced MRI(DCE-MRI)in the diagnosis of prostate cancer(PCA).Methods:105 patients with suspected PCA were selected as the research subjects,and they underwent DWI and DCE-MRI scanning.With pathological biopsy as the gold standard,Kappa consistency test was used to analyze the accuracy,sensitivity and specificity of DWI,DCE-MRI alone and their combined exami-nation in the diagnosis of PCA.Results:66 cases of PCA and 39 cases of benign prostatic lesions were detected by DWI respectively.The Kappa value of DWI and pathological biopsy in diagnosing PCA was 0.918.DCE-MRI detected 60 cases of PCA and 45 cases of benign prostatic lesions,and the Kappa value of PCA diagnosed by DCE-MRI and pathological biopsy was 0.761.The sensitivity and ac-curacy of DWI for PCA diagnosis were 95.59%and 96.19%,which were higher than 85.29%and 88.57%of DCE-MRI(x2=4.168,4.330,P=0.041,0.037).The Kappa value of DWI+DCE-MRI and pathological biopsy for PCA diagnosis was 0.937,and the sensitivity and accuracy were 98.53%and 97.14%,respectively.Conclusion:DWI has higher accuracy and sensitivity in the diagnosis of PCA than DCE-MRI,and the combined diagnosis of the two can up-regulate the diagnostic efficiency of prostate cancer to a certain extent.

    参考文献
    相似文献
    引证文献
引用本文

颜显杰;王海;朱文淼;. MRI弥散加权成像与动态增强扫描在前列腺癌诊断中的应用[J].川北医学院学报,2025,40(1):81-84.

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-07-24
  • 出版日期:
文章二维码