Zhang Jingni, Bao Yu
Department of Radiology, Affiliated Hospital of Jiangnan University, Wuxi 214062, Jiangsu Province, China.
Medical Imaging Center, Wuxi People's Hospital, Wuxi 214043, Jiangsu Province, China.
Evid Based Complement Alternat Med. 2022 May 31;2022:6507865. doi: 10.1155/2022/6507865. eCollection 2022.
Colon cancer is a common digestive system malignancy with nonspecific early symptoms, which necessitates better early detection methods. The present study was conducted to assess the accuracy and clinical value of multislice spiral CT (MSCT) plus magnetic resonance imaging (MRI) for colon cancer. Between January 2019 and July 2020, 100 patients with pathologically confirmed colon cancer treated in Wuxi People's Hospital were assessed for eligibility and recruited. All eligible patients received MRI and MSCT without any treatment prior to scanning. The accuracy of preoperative diagnosis and staging of colon cancer by MRI, MSCT, and MRI plus MSCT were analyzed using postoperative pathological results as the gold standard, and consistency analysis was performed. The receiver operating characteristic curve (ROC) was plotted, and the area under the curve (AUC) was obtained to analyze the preoperative diagnostic value. The accuracy of MRI, MSCT, and MRI plus MSCT was 98.00%, 96.00%, and 100% with good consistency (Kappa = 0.732, 0.703, and 0.756). The AUC of MRI, MSCT, and MRI plus MSCT was 0.889, 0.861, and 0.903, respectively. The preoperative diagnostic accuracy of MRI for colon cancer at T1, T2, T3, and T4 stages was 76.92%, 82.61%, 73.47%, and 86.67%, respectively, those of MSCT was 53.85%, 69.57%, 63.27%, and 40.00%, respectively, and those of MRI plus MSCT was 100.00%, 95.65%, 95.92%, and 86.67%, respectively. Consistency analysis yielded good consistency for the diagnosis of the T-staging of colon cancer (Kappa = 0.754, 0.731, 0.776). MSCT plus MRI yielded higher accuracy, specificity, and sensitivity in the detection of colon cancer versus the standalone MRI or MSCT, which demonstrated great potential in the early detection of colon cancer with a high clinical value.
结肠癌是一种常见的消化系统恶性肿瘤,早期症状不具有特异性,因此需要更好的早期检测方法。本研究旨在评估多层螺旋CT(MSCT)联合磁共振成像(MRI)对结肠癌的诊断准确性及临床价值。2019年1月至2020年7月,对无锡市人民医院收治的100例经病理确诊的结肠癌患者进行评估并纳入研究。所有符合条件的患者在扫描前均未接受任何治疗,先行MRI检查,再行MSCT检查。以术后病理结果为金标准,分析MRI、MSCT及MRI联合MSCT对结肠癌术前诊断及分期的准确性,并进行一致性分析。绘制受试者工作特征曲线(ROC),计算曲线下面积(AUC)以分析术前诊断价值。MRI、MSCT及MRI联合MSCT的诊断准确率分别为98.00%、96.00%和100%,一致性良好(Kappa值分别为0.732、0.703和0.756)。MRI、MSCT及MRI联合MSCT的AUC分别为0.889、0.861和0.903。MRI对结肠癌T1、T2、T3和T4期的术前诊断准确率分别为76.92%、82.61%、73.47%和86.67%,MSCT分别为53.85%、69.5%、63.27%和40.00%,MRI联合MSCT分别为100.00%、95.65%、95.92%和86.67%。一致性分析显示,三者对结肠癌T分期的诊断一致性良好(Kappa值分别为0.754、0.731、0.776)。与单独使用MRI或MSCT相比,MSCT联合MRI对结肠癌的检测具有更高的准确性、特异性和敏感性,在结肠癌早期检测中显示出巨大潜力,具有较高的临床价值。
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