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直肠癌术前扩散加权成像的价值:术前T分期及其与组织学T分期的相关性。

Preoperative diffusion-weighted imaging value of rectal cancer: preoperative T staging and correlations with histological T stage.

作者信息

Lu Zhi-Hua, Hu Chun-Hong, Qian Wei-Xin, Cao Wen-Hong

机构信息

Medical Imaging Center, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215006, China; Department of Radiology, Affiliated Changshu Hospital of Soochow University, 1 Shuyuan Road, Changshu, Jiangsu 215500, China.

Medical Imaging Center, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215006, China.

出版信息

Clin Imaging. 2016 May-Jun;40(3):563-8. doi: 10.1016/j.clinimag.2015.12.006. Epub 2015 Dec 18.

DOI:10.1016/j.clinimag.2015.12.006
PMID:27133705
Abstract

PURPOSE

To assess the ability of diffusion-weighted imaging (DWI) for evaluating T stage and correlation with histological T stage of rectal cancer.

METHOD

The diagnostic accuracy, sensitivity, and specificity of T2WI and DWI combined with T2WI for T stage were evaluated. Mean tumor apparent diffusion coefficient (ADC) was compared with histological T stage.

RESULT

There were no significant differences in the diagnostic accuracy, sensitivity, and specificity no matter what kind of T stage was concerned. The difference between ADC values and histological T stage were significantly different.

CONCLUSION

DWI was useful for evaluating T stage of rectal cancer. The ADC may predict the histological grade.

摘要

目的

评估扩散加权成像(DWI)对直肠癌T分期的评估能力及其与组织学T分期的相关性。

方法

评估T2WI以及DWI联合T2WI对T分期的诊断准确性、敏感性和特异性。比较肿瘤平均表观扩散系数(ADC)与组织学T分期。

结果

无论涉及何种T分期,诊断准确性、敏感性和特异性均无显著差异。ADC值与组织学T分期之间的差异有统计学意义。

结论

DWI有助于评估直肠癌的T分期。ADC可预测组织学分级。

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