Department of Radiology, Kunming Yan'an Hospital, Kunming 650051, China.
Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610031, China.
Contrast Media Mol Imaging. 2021 Aug 18;2021:2146578. doi: 10.1155/2021/2146578. eCollection 2021.
This exploration aims to investigate the important role of magnetic resonance imaging (MRI) in the diagnosis of ovarian cancer under the ADNEX. From March 2017 to December 2019, 84 patients with ovarian cancer confirmed by pathological operation were selected as the research objects. The consistency of ADNEX, MRI, and ADNEXMRI in the diagnosis and staging of ovarian cancer was calculated separately. SPSS 26.0 statistical software was used to compare the accuracy, sensitivity, specificity, and diagnostic value of the two diagnostic methods. The results show that the accuracy and sensitivity of ADNEX are 78.6% and 93.2%, respectively. The accuracy and sensitivity of MRI are 81.2% and 89.4%, respectively. There is no significant difference between the two methods ( < 0.05). The overall consistency rates of ADNEXMRI, MRI diagnosis, and ADNEX for ovarian cancer staging are 94.2%, 74%, and 65.4%, respectively. There was a significant difference ( < 0.05). ADNEXMRI and MRI diagnosis were compared with each stage of ADNEX. There is a significant difference between the second and fourth stages ( < 0.05), and there is also a significant difference in the fourth stage ( < 0.017). It is concluded that MRI diagnosis of ovarian cancer based on ADNEX is superior to ADNEX and MRI examination alone, which provides a certain reference value for clinical staging of ovarian cancer.
本研究旨在探讨 ADNEX 下磁共振成像（MRI）在卵巢癌诊断中的重要作用。2017 年 3 月至 2019 年 12 月，选取经病理手术证实的卵巢癌患者 84 例作为研究对象，分别计算 ADNEX、MRI、ADNEXMRI 在卵巢癌诊断和分期中的一致性。采用 SPSS 26.0 统计软件比较两种诊断方法的准确性、敏感度、特异度和诊断价值。结果显示，ADNEX 的准确率和敏感度分别为 78.6%和 93.2%，MRI 的准确率和敏感度分别为 81.2%和 89.4%，两种方法比较差异无统计学意义（>0.05）。ADNEXMRI、MRI 诊断与 ADNEX 对卵巢癌分期的总体一致性率分别为 94.2%、74%和 65.4%，差异有统计学意义（<0.05）。ADNEXMRI 与 MRI 诊断与 ADNEX 各分期比较，二、四期比较差异有统计学意义（<0.05），四期与其他各期比较差异均有统计学意义（<0.017）。结论：基于 ADNEX 的 MRI 诊断卵巢癌优于 ADNEX 与 MRI 单独检查，为卵巢癌的临床分期提供了一定的参考价值。
