Li Feng, Zhang Wei, Li Jun, Zhu Xiangming, Chen Hui, Wu Yongjuan, Wang Jingzhong
Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei Province, China.
Medicine (Baltimore). 2018 Dec;97(51):e13732. doi: 10.1097/MD.0000000000013732.
The present study evaluated the clinical potential of magnetic resonance (MR) diffusion-weighted imaging (DWI) in the diagnosis of rectal cancer.A total of 84 patients confirmed with rectal cancer were used as study subjects in the present study. All patients received conventional sequence MR T1WI, T2WI, and DWI examination as well as operative pathological examination. The differences between the MRI results and operative pathological results were analyzed.The diagnosis accordance rates of conventional sequence examination in stage T1, T2, T3, and T4 were 60.00%, 82.75%, 62.85%, and 80.00%, respectively. The diagnosis accordance rates of conventional sequence combined with DWI examination in stages T1, T2, T3, and T4 were 100.00%, 100.00%, 82.85%, and 100.00% respectively. The total diagnosis accordance rates in the T staging of rectal cancer with conventional (Routinely or generally applied) sequence examination and conventional sequence combined with DWI examination were 71.42% and 92.85%, respectively.The analysis on consistency of MR conventional sequence examination suggested that the conventional sequence combined with DWI examination is more consistent with pathological staging when compared with the convention sequence examination alone. MR DWI combined with conventional sequences reveals quite good accuracy in the T staging of rectal cancer.
本研究评估了磁共振(MR)扩散加权成像(DWI)在直肠癌诊断中的临床潜力。本研究共纳入84例经确诊的直肠癌患者作为研究对象。所有患者均接受了常规序列MR T1WI、T2WI和DWI检查以及手术病理检查。分析了MRI结果与手术病理结果之间的差异。常规序列检查在T1、T2、T3和T4期的诊断符合率分别为60.00%、82.75%、62.85%和80.00%。常规序列联合DWI检查在T1、T2、T3和T4期的诊断符合率分别为100.00%、100.00%、82.85%和100.00%。直肠癌T分期中常规(常规或普遍应用)序列检查和常规序列联合DWI检查的总诊断符合率分别为71.42%和92.85%。MR常规序列检查的一致性分析表明,与单独的常规序列检查相比,常规序列联合DWI检查与病理分期的一致性更高。MR DWI联合常规序列在直肠癌T分期中显示出相当高的准确性。