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[利用T2加权磁共振图像对肺癌进行组织学评估]

[Histological evaluation of lung cancer with T2-weighted magnetic resonance images].

作者信息

Ohta T, Matsuura Y, Shioya S, Ohta Y

机构信息

Department of Internal Medicine, Tokai University School of Medicine, Kanagawa, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Sep;33(9):973-80.

PMID:8538093
Abstract

We investigated the differences in signal intensity of lung cancer tissue and non-cancerous lung tissues on T2-weighted magnetic resonance (MR) images. MR images were obtained from patients with squamous cell carcinoma (n = 6), adenocarcinoma (n = 5), small cell carcinoma (n = 5), and large cell carcinoma (n = 1). To compare the MR signal intensity between tissues, we calculated the signal intensity ratios for tumor/skeletal muscle and lung/skeletal muscle. The MR signal intensity for each tissue was measured with a densitometer and T2-weighted MR images with a similar window and a center. The value of the signal intensity ratio for squamous cell carcinoma (3.26 +/- 0.76) was greater than those for adenocarcinoma (1.99 +/- 0.50, p < 0.05), small cell carcinoma (2.35 +/- 0.60), large cell carcinoma (2.46), and non-cancerous lung tissues (1.70 +/- 0.68, p < 0.02). The values of the MR signal intensity ratio for non-cancerous lung tissues were 2.00 for a collapsed lung, 0.93 for a firotic lung, and 2.18 for a fibrotic lung with obstructive pneumonia. The results suggest that the MR signal intensity ratio for pathologic tissues/normal skeletal muscle can be a useful indicator for qualitative and quantitative MR imaging diagnosis.

摘要

我们研究了肺癌组织与非癌性肺组织在T2加权磁共振(MR)图像上的信号强度差异。MR图像取自鳞状细胞癌患者(n = 6)、腺癌患者(n = 5)、小细胞癌患者(n = 5)和大细胞癌患者(n = 1)。为比较组织间的MR信号强度,我们计算了肿瘤/骨骼肌和肺/骨骼肌的信号强度比。使用密度计在具有相似窗宽和中心的T2加权MR图像上测量各组织的MR信号强度。鳞状细胞癌的信号强度比值(3.26±0.76)高于腺癌(1.99±0.50,p < 0.05)、小细胞癌(2.35±0.60)、大细胞癌(2.46)和非癌性肺组织(1.70±0.68,p < 0.02)。非癌性肺组织的MR信号强度比值在肺萎陷时为2.00,肺纤维化时为0.93,伴有阻塞性肺炎的纤维化肺时为2.18。结果表明,病理组织/正常骨骼肌的MR信号强度比可作为MR成像定性和定量诊断的有用指标。

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