[1]林淑莹,黄子成,郑彬彬,等.MRI与MSCTA诊断胰腺癌胰周血管侵犯的价值比较[J].中国医学物理学杂志,2020,37(9):1143-1147.[doi:10.3969/j.issn.1005-202X.2020.09.012]
　LIN Shuying,HUANG Zicheng,ZHENG Binbin,et al.Comparison of diagnostic efficiency of MRI versus MSCTA in peripancreatic vascular invasionin pancreatic cancer[J].Chinese Journal of Medical Physics,2020,37(9):1143-1147.[doi:10.3969/j.issn.1005-202X.2020.09.012]
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MRI与MSCTA诊断胰腺癌胰周血管侵犯的价值比较()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
37
期数:
2020年第9期
页码:
1143-1147
栏目:
医学人工智能
出版日期:
2020-09-25

文章信息/Info

Title:
Comparison of diagnostic efficiency of MRI versus MSCTA in peripancreatic vascular invasion in pancreatic cancer
文章编号:
1005-202X（2020）09-1143-05
作者:
林淑莹1; 黄子成2; 郑彬彬1; 孙锁锋3
1. 福建医科大学附属泉州市第一医院城东分院内窥镜室，福建泉州362000；2. 福建医科大学附属泉州市第一医院城东分院消化 科，福建泉州362000；3. 河南省人民医院消化内科，河南郑州450003
Author(s):
LIN Shuying1;  HUANG Zicheng2;  ZHENG Binbin1;  SUN Suofeng3
1. Endoscopy Room, East Branch of Quanzhou First Hospital Affiliate to Fujian Medical University, Quanzhou 362000, China 2. Department of Gastroenterology, East Branch of Quanzhou First Hospital Affiliate to Fujian Medical University, Quanzhou 362000, China 3. Department of Gastroenterology, Henan Provincial Peoples Hospital, Zhengzhou 450003, China
关键词:
磁共振成像; 多层螺旋电子计算机断层扫描血管造影; 胰腺癌; 胰周血管侵犯
Keywords:
magnetic resonance imaging multi-slice spiral computed tomography angiography pancreatic cancer peripancreatic vascular invasion
分类号:
R576；R814.42
DOI:
10.3969/j.issn.1005-202X.2020.09.012
文献标志码:
A
摘要:
目的：研究磁共振成像（MRI）与多层螺旋电子计算机断层扫描血管造影（MSCTA）诊断胰腺癌胰周血管侵犯的应用 价值。方法：选择86例胰腺癌患者，根据手术结果发现其中胰周血管侵犯63例，无血管侵犯23例，所有患者均进行MRI与 MSCTA检测。统计两种方式检查胰周血管受侵犯的诊断效能、对不同等级血管侵犯检出率、对不同类型血管侵犯情况检出 率。结果：MSCTA的灵敏度及特异度分别为96.83%、91.30%，MRI为85.71%、86.96%，差异无统计学意义（P>0.05）；MSCTA 诊断准确度为95.35%，高于MRI的86.05%（P<0.05）；MSCTA对1、2、3、4级血管侵犯与手术结果比较符合率分别为94.29%、 98.04%、96.36%、95.83%，MRI分别为88.57%、92.16%、92.73%，87.50%，差异无统计学意义（P>0.05）；两种检测方式对不同 类型血管侵犯检出率无明显差异（P>0.05）。结论：MSCTA检测胰腺癌胰周血管侵犯准确率更高。
Abstract:
Objective To study the application value of magnetic resonance imaging (MRI) and multi-slice spiral computed tomography angiography (MSCTA) in the diagnosis of peripancreatic vascular invasion in pancreatic cancer. Methods A total of 86 patients with pancreatic cancer were enrolled. According to surgical results, it was found that there were 63 cases with peripancreatic vascular invasion and 23 cases without vascular invasion.All patients underwent MRI and MSCTA. The diagnostic efficiencies of two detection methods in peripancreatic vascular invasion, the detection rates for different grades of vascular invasions, and the detection rates for different types of vascular invasions were statistically analyzed. Results There was no significant difference in diagnostic sensitivity and specificity between MSCTAand MRI (96.83% vs 85.71%, 91.30% vs 86.96% P>0.05). The diagnostic accuracy of MSCTA was significantly higher than that of MRI (95.35% vs 86.05%, P<0.05). The coincidence rates between MSCTA and surgical results in the diagnosis of grade 1-4 vascular invasions were 94.29%, 98.04%, 96.36%and 95.83%, which were similar to those betweenMRI and surgical results (88.57%, 92.16%, 92.73%and 87.50%), without statistical differences (P>0.05). Moreover, there was no significant difference in the detection rate for different types of vascular invasions between two methods (P>0.05). Conclusion MSCTA is more accurate in detecting peripancreatic vascular invasion in pancreatic cancer.

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备注/Memo

备注/Memo:
【收稿日期】2020-05-08 【基金项目】河南省中医药科学研究专项（2019ZY2008） 【作者简介】林淑莹，副主任医师，研究方向：放射医学，E-mail: qz_lsy@ 163.com 【通信作者】孙锁锋，博士，主治医师，研究方向：肝癌诊治新靶点，Email: sunsuofeng1982@yeah.net
更新日期/Last Update: 2020-09-25