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T2 mapping技术在鉴别直肠黏液腺癌和非黏液腺癌中的价值

吴广太 贾进正 徐兴华 常玲玉 程连华 王林红 王青 王芳

中国中西医结合影像学杂志2024,Vol.22Issue(3):333-337,5.
中国中西医结合影像学杂志2024,Vol.22Issue(3):333-337,5.DOI:10.3969/j.issn.1672-0512.2024.03.019

T2 mapping技术在鉴别直肠黏液腺癌和非黏液腺癌中的价值

Value of T2 mapping technique in distinguishing rectal mucinous adenocarcinoma and non-mucinous adenocarcinoma

吴广太 1贾进正 2徐兴华 1常玲玉 3程连华 1王林红 1王青 1王芳1

作者信息

  • 1. 山东大学齐鲁医院放射科,山东 济南 250012
  • 2. 山东省平度市中医医院放射科,山东 青岛 266700
  • 3. 山东大学齐鲁医学院,山东 济南 250012
  • 折叠

摘要

Abstract

Objective:To investigate the value of T2 mapping in distinguishing rectal mucinous adenocarcinoma and non-mucinous adenocarcinoma.Methods:Sixty-nine patients with rectal cancer(9 patients with mucinous adenocarcinoma,60 patients with non-mucinous adenocarcinoma)underwent pelvic MRI T2 mapping and DWI.T2 and ADC values of lesions were measured independently by two experienced radiologists,and the differences between mucinous and non-mucinous adenocarcinoma were compared using independent sample t test or Mann-Whitney U test.The ROC curve and DeLong test were used to test the diagnostic efficiency of T2 and ADC values.Results:T2 and ADC values of rectal mucinous adenocarcinoma were higher than those of non-mucous adenocarcinoma(both P<0.05).AUCs of T2 value,ADC value and the combined indicators(T2+ADC)in distinguishing rectal mucinous adenocarcinoma and non-mucinous adenocarcinoma were 0.96,0.81 and 0.97,respectively,and the AUC of T2 value and the combined indicators were statistically different with that of ADC value(both P<0.05).Conclusions:T2 mapping has a higher diagnostic efficiency in differentiating rectal mucinous and non-mucinous adenocarcinoma than DWI.And DWI combined with T2 mapping can significantly improve the diagnostic accuracy.

关键词

直肠肿瘤/磁共振成像/T2 mapping/扩散加权成像/黏液腺癌

Key words

Rectal neoplasms/Magnetic resonance imaging/T2 mapping/Diffusion weighted imaging/Mucinous adenocarcinoma

引用本文复制引用

吴广太,贾进正,徐兴华,常玲玉,程连华,王林红,王青,王芳..T2 mapping技术在鉴别直肠黏液腺癌和非黏液腺癌中的价值[J].中国中西医结合影像学杂志,2024,22(3):333-337,5.

基金项目

山东省自然科学基金项目(ZR2019MH049). (ZR2019MH049)

中国中西医结合影像学杂志

OACSTPCD

1672-0512

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