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磁共振扩散加权成像在膀胱病变鉴别诊断中的应用价值

亢晓春 翟蕊 陈学军 冯广森

中国临床医学影像杂志2012,Vol.23Issue(5):331-334,4.
中国临床医学影像杂志2012,Vol.23Issue(5):331-334,4.

磁共振扩散加权成像在膀胱病变鉴别诊断中的应用价值

The value of MR diffusion-weighted imaging in the differential diagnosis of urinary bladder lesions

亢晓春 1翟蕊 1陈学军 2冯广森1

作者信息

  • 1. 郑州大学第二附属医院放射科,河南郑州450014
  • 2. 河南省肿瘤医院放射科,河南郑州450014
  • 折叠

摘要

Abstract

Objective: To investigate the value of MR diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC) in the differential diagnosis of urinary bladder lesions. Methods: Fifty-three patients with urinary bladder cancer and 12 patients with benign urinary bladder lesions constituted the study group and 11 individuals with normal urinary bladder constituted the control group. DWI of all individuals were analyzed and ADC values of lesions and normal walls were measured. Results: All the 53 urinary bladder cancers displayed a restriction in diffusion. Two of 12 the benign lesions displayed a mild restriction in diffusion and the others displayed no restriciton. The sensitivity,specificity and accuracy of DWI in the diagnosis of malignant urinary bladder cancer was 100%,83.3%,and 96.9% respectively. The mean ADC value of the urinary bladder cancer was (0.76±0.17)×10-3mmVs,which was significantly lower than that of the benign Iesions(1.21±0.20)×l0-3mm2/s and the control group(1.55±0.15)×l0-3mm2/s(F=89.04,P<0.001). Conclusion: DWI and ADC have a high value in the differential diagnosis of benign and malignant urinary bladder lesions.

关键词

膀胱肿瘤/膀胱疾病/磁共振成像

Key words

Bladder neoplasms/Bladder diseases/Magnetic resonance imaging

分类

医药卫生

引用本文复制引用

亢晓春,翟蕊,陈学军,冯广森..磁共振扩散加权成像在膀胱病变鉴别诊断中的应用价值[J].中国临床医学影像杂志,2012,23(5):331-334,4.

中国临床医学影像杂志

OACSTPCD

1008-1062

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