中国中西医结合影像学杂志
中國中西醫結閤影像學雜誌
중국중서의결합영상학잡지
CHINESE IMAGING JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2015年
3期
237-240
,共4页
朱才松%罗全勇%姚伟武%杨军%杨静%邵康为%刘伟%陈海荣%袁立新%李崧%陆文杰%陆薇
硃纔鬆%囉全勇%姚偉武%楊軍%楊靜%邵康為%劉偉%陳海榮%袁立新%李崧%陸文傑%陸薇
주재송%라전용%요위무%양군%양정%소강위%류위%진해영%원립신%리숭%륙문걸%륙미
卵巢肿瘤%磁共振成像,弥散%诊断
卵巢腫瘤%磁共振成像,瀰散%診斷
란소종류%자공진성상,미산%진단
Ovarian neoplasms%Diffusion weighted imaging%Diagnosis
目的：探讨DWI在女性附件囊性肿块中的诊断价值。方法：回顾性分析经手术病理证实的72例女性附件囊性肿块患者的常规MRI表现，测量其DWI（b=800 s/mm2）的信号强度值及ADC值，并计算相对信号强度值（RSI）和对比噪声比（CNR）。将良性囊性成分分成血液、脂质、脓液、黏液和浆液5组，恶性囊性成分分成浆液、黏液2组，并对各组的ADC值、RSI、CNR进行统计学分析。结果：良性病变5组不同囊性成分的ADC值、RSI及CNR组间差异有统计学意义（P均<0.05）。良恶性病变之间浆液的ADC值、RSI、CNR差异均无统计学意义（P均>0.05），黏液的ADC值、RSI、CNR差异均无统计学意义（均P>0.05）。不同良性囊性肿块在常规MRI和DWI的表现各异。结论：通过对女性附件囊性肿块的ADC值、RSI及CNR进行定量分析，能为其定性诊断提供一定的依据；结合常规MRI，DWI有助于囊性成分的鉴别诊断。
目的：探討DWI在女性附件囊性腫塊中的診斷價值。方法：迴顧性分析經手術病理證實的72例女性附件囊性腫塊患者的常規MRI錶現，測量其DWI（b=800 s/mm2）的信號彊度值及ADC值，併計算相對信號彊度值（RSI）和對比譟聲比（CNR）。將良性囊性成分分成血液、脂質、膿液、黏液和漿液5組，噁性囊性成分分成漿液、黏液2組，併對各組的ADC值、RSI、CNR進行統計學分析。結果：良性病變5組不同囊性成分的ADC值、RSI及CNR組間差異有統計學意義（P均<0.05）。良噁性病變之間漿液的ADC值、RSI、CNR差異均無統計學意義（P均>0.05），黏液的ADC值、RSI、CNR差異均無統計學意義（均P>0.05）。不同良性囊性腫塊在常規MRI和DWI的錶現各異。結論：通過對女性附件囊性腫塊的ADC值、RSI及CNR進行定量分析，能為其定性診斷提供一定的依據；結閤常規MRI，DWI有助于囊性成分的鑒彆診斷。
목적：탐토DWI재녀성부건낭성종괴중적진단개치。방법：회고성분석경수술병리증실적72례녀성부건낭성종괴환자적상규MRI표현，측량기DWI（b=800 s/mm2）적신호강도치급ADC치，병계산상대신호강도치（RSI）화대비조성비（CNR）。장량성낭성성분분성혈액、지질、농액、점액화장액5조，악성낭성성분분성장액、점액2조，병대각조적ADC치、RSI、CNR진행통계학분석。결과：량성병변5조불동낭성성분적ADC치、RSI급CNR조간차이유통계학의의（P균<0.05）。량악성병변지간장액적ADC치、RSI、CNR차이균무통계학의의（P균>0.05），점액적ADC치、RSI、CNR차이균무통계학의의（균P>0.05）。불동량성낭성종괴재상규MRI화DWI적표현각이。결론：통과대녀성부건낭성종괴적ADC치、RSI급CNR진행정량분석，능위기정성진단제공일정적의거；결합상규MRI，DWI유조우낭성성분적감별진단。
Objective:To evaluate the role of DWI in diagnosis of the adnexal cystic masses in female patients. Methods:To-tally 72 women with the adnexal cystic masses confirmed by pathology were collected retrospectively. All patients underwent routine MRI and DWI (b=800 s/mm2). The ADC value and the relative signal intensity (RSI) and the contrast to noise ratio (CNR) of cystic lesions of the benign adnexal masses falling into blood,lipid,abscess,mucinous fluid and serous fluid were respectively compared statistically,so were that of the malignant adnexal masses falling into serous fluid,mucinous fluid. Results:There were significant differences of the ADC value and the RSI and CNR among different benign cystic lesions (all P<0.05). The ADC value and RSI and CNR of serous fluid and mucinous fluid did not differ between benign and malignant adnexal masses (all P>0.05). The features varied of routine MRI and DWI among different benign cystic lesions. Conclusions:By analysis of the ADC values and the RSI and CNR of the cystic masses,we find that they could provide qualitative value for benign cystic ad-nexal masses,and that DWI combined with routine MRI is helpful for differential diagnosis of cystic components of adnexal masses.
