子宫内膜癌肌层深部浸润的检测：经阴道超声、CT和MRI的比较
Detection of deep myometrial invasion in endometrial carcinoma: comparison of transvaginal ultrasound, CT, and MRI.
作者信息
Kim S H, Kim H D, Song Y S, Kang S B, Lee H P
机构信息
Department of Diagnostic Radiology, Seoul National University College of Medicine, Korea.
出版信息
J Comput Assist Tomogr. 1995 Sep-Oct;19(5):766-72. doi: 10.1097/00004728-199509000-00013.
OBJECTIVE
The aim of this study was to compare the accuracy of transvaginal US (TVUS), CT, and MRI in detecting deep myometrial invasion in endometrial carcinoma.
MATERIALS AND METHODS
Twenty-six patients with endometrial carcinoma were evaluated with TVUS, CT, and MRI. The depth of myometrial invasion was estimated in each examination. The invasion depth was categorized into no/superficial and deep and was compared to surgical and pathologic findings.
RESULTS
At pathologic examination, the depth of myometrial invasion was no/superficial in 16 patients and deep in 10. The accuracy/sensitivity/specificity of TVUS, CT, and MRI in detecting deep myometrial invasion were 69/50/81, 61/40/75, and 89%/90%/88%, respectively. The sensitivity and accuracy of MRI in detecting deep myometrial invasion were significantly higher than those of TVUS and CT (p = 0.049 for both sensitivity and accuracy).
CONCLUSION
We recommend MRI instead of CT or TVUS for the evaluation of the depth of myometrial invasion in endometrial carcinoma.
目的
本研究旨在比较经阴道超声（TVUS）、CT和MRI检测子宫内膜癌肌层浸润深度的准确性。
材料与方法
对26例子宫内膜癌患者进行TVUS、CT和MRI检查。在每次检查中评估肌层浸润深度。将浸润深度分为无/浅肌层浸润和深肌层浸润，并与手术及病理结果进行比较。
结果
病理检查显示，16例患者为无/浅肌层浸润，10例为深肌层浸润。TVUS、CT和MRI检测深肌层浸润的准确性/敏感性/特异性分别为69/50/81、61/40/75和89%/90%/88%。MRI检测深肌层浸润的敏感性和准确性显著高于TVUS和CT（敏感性和准确性的p值均为0.049）。
结论
我们建议采用MRI而非CT或TVUS来评估子宫内膜癌的肌层浸润深度。
Zotero 插件