Mizuno K
Department of Gynecology, Aichi Cancer Center, Nagoya.
Rinsho Byori. 1992 Feb;40(2):152-5.
To evaluate the utility of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) in the diagnosis of malignant ovarian tumors, preoperative CT of 23 patients and MRI of 10 patients with ovarian cancer were analyzed on the basis of their surgical findings. The stage suggested by CT and the stage revealed by surgery coincided in 16 cases (69.6%). The stage was underestimated by CT in 6 cases and overestimated in one case. The minimal size that could be detected by CT examination was 2 cm. The stage tended to be underestimated by CT. MRI examination with its unique soft tissue contrast in multiple planes is a detailed display of pelvic organs. However, the contrast of upper abdominal cavity was not so good, because of respiratory artifact. Sometimes there were false negative MRI in lymphatic metastasis. Therefore, MRI is more helpful in distinguishing local distension to pelvic organs than CT.
为评估计算机断层扫描(CT)和磁共振成像(MRI)在恶性卵巢肿瘤诊断中的效用,根据手术结果分析了23例卵巢癌患者的术前CT和10例患者的MRI。CT提示的分期与手术显示的分期在16例(69.6%)中相符。CT低估分期6例,高估分期1例。CT检查可检测到的最小尺寸为2cm。CT倾向于低估分期。MRI检查在多个平面具有独特的软组织对比度,能详细显示盆腔器官。然而,由于呼吸伪影,上腹部的对比度不太好。有时MRI在淋巴结转移方面会出现假阴性。因此,与CT相比,MRI在区分盆腔器官局部扩张方面更有帮助。