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具有实性和囊性成分的良恶性卵巢肿瘤的扩散加权磁共振成像(DWI)参数

Diffusion-Weighted Magnetic Resonance Imaging (DWI) Parameters in Benign and Malignant Ovarian Tumors with Solid and Cystic Components.

作者信息

Zhuang Yan, Wang Tianping, Zhang Guofu

机构信息

Dapartment of Radiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, China.

出版信息

J Coll Physicians Surg Pak. 2019 Feb;29(2):105-108. doi: 10.29271/jcpsp.2019.02.105.

Abstract

OBJECTIVE

To determine the values of diffusion-weighted magnetic resonance imaging (DWI) parameters on differential diagnosis of benign and malignant ovarian tumours with solid and cystic components.

STUDY DESIGN

An observational study.

PLACE AND DURATION OF STUDY

Department of Radiology, Obstetrics and Gynecology Hospital of Fudan University, China, from January to December 2017.

METHODOLOGY

Forty-four cases of malignant and benign ovarian tumours were selected as respective groups. Inclusion criteria were ovarian masses found by pelvic and abdominal imaging examination. Exclusion criteria of two groups were endometriosis and pelvic inflammatory diseases found by relevant examination, those with chronic diseases, tumors in other organs found by relevant examination, and those with family cancer history. Conventional MRI plain scans, enhanced scans and DWI scans, were performed after admission. Apparent diffusion coefficient (ADC) and exponential apparent diffusion imaging (eADC) of solid lesions of two groups were recorded and compared.

RESULTS

Solid ADC in malignant group was lower than that in benign group (p<0.001). Solid eADC in malignant group was higher than that in benign group (p<0.001).

CONCLUSION

Diffusion-weighted magnetic resonance imaging is of high application value in the differential diagnosis of benign and malignant ovarian tumours with solid and cystic components, and it is worthy of promotion and application.

摘要

目的

确定磁共振扩散加权成像(DWI)参数在鉴别诊断含实性和囊性成分的卵巢良恶性肿瘤中的价值。

研究设计

一项观察性研究。

研究地点和时间

2017年1月至12月,中国复旦大学附属妇产科医院放射科。

方法

选取44例恶性和良性卵巢肿瘤分别作为相应组。纳入标准为经盆腔和腹部影像学检查发现的卵巢肿块。两组的排除标准为经相关检查发现的子宫内膜异位症和盆腔炎、患有慢性病、经相关检查发现其他器官有肿瘤以及有家族癌症病史者。入院后进行常规MRI平扫、增强扫描及DWI扫描。记录并比较两组实性病变的表观扩散系数(ADC)和指数表观扩散成像(eADC)。

结果

恶性组实性ADC低于良性组(p<0.001)。恶性组实性eADC高于良性组(p<0.001)。

结论

磁共振扩散加权成像在鉴别诊断含实性和囊性成分的卵巢良恶性肿瘤中具有较高的应用价值,值得推广应用。

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