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磁共振成像在胃癌术前T分期及术后病理诊断中的临床价值

Clinical value of magnetic resonance imaging in preoperative T staging of gastric cancer and postoperative pathological diagnosis.

作者信息

Huo Xianying, Yuan Kuangsheng, Shen Yuexia, Li Min, Wang Qi, Xing Lingxiao, Shi Gaofeng

机构信息

Department of CT/MRI, Handan Hospital of Jizhong Energy Fengfeng Group, Handan, Hebei 056002, P.R. China.

Department of Anesthesiology, General Hospital of Jizhong Energy Fengfeng Group, Handan, Hebei 056200, P.R. China.

出版信息

Oncol Lett. 2014 Jul;8(1):275-280. doi: 10.3892/ol.2014.2135. Epub 2014 May 12.

Abstract

The aim of the present study was to evaluate the clinical value of magnetic resonance imaging (MRI) in the preoperative T staging of gastric cancer and in the postoperative pathological diagnosis. In total, 30 patients with gastric cancer were investigated, including 19 males and 11 females (age, 50-69 years; mean age, 60 years). The preoperative depth of invasion (T stage) was evaluated according to the characteristics of the imaging performance. The evaluation results for the MRI T staging were as follows: T1 stage accuracy, 90% with a specificity of 96% and sensitivity of 60% (κ value=0.61; P<0.05); T2 stage accuracy, 86.7% with a specificity of 87.5% and sensitivity of 83.3% (κ value=0.71; P<0.05); T3 stage accuracy, 90% with a specificity and sensitivity of 90% (κ value=0.78; P<0.05); and T4 stage accuracy, 96.7% with a specificity of 100% and sensitivity of 87.5% (κ value=0.91; P<0.05). The results demonstrated that, with reference to pathological diagnosis, the MRI method exhibited high accuracy, specificity and sensitivity in determining the preoperative T stage in gastric cancer patients.

摘要

本研究的目的是评估磁共振成像(MRI)在胃癌术前T分期及术后病理诊断中的临床价值。共对30例胃癌患者进行了研究,其中男性19例,女性11例(年龄50 - 69岁;平均年龄60岁)。根据影像学表现特征评估术前浸润深度(T分期)。MRI T分期的评估结果如下:T1期准确率为90%,特异性为96%,敏感性为60%(κ值 = 0.61;P < 0.05);T2期准确率为86.7%,特异性为87.5%,敏感性为83.3%(κ值 = 0.71;P < 0.05);T3期准确率为90%,特异性和敏感性均为90%(κ值 = 0.78;P < 0.05);T4期准确率为96.7%,特异性为100%,敏感性为87.5%(κ值 = 0.91;P < 0.05)。结果表明,参照病理诊断,MRI方法在确定胃癌患者术前T分期方面具有较高的准确性、特异性和敏感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95f0/4063621/5c79946c4842/OL-08-01-0275-g00.jpg

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