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山东大学学报(医学版) ›› 2016, Vol. 54 ›› Issue (5): 70-73.doi: 10.6040/j.issn.1671-7554.0.2015.863

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MRI在宫颈癌T分期中的诊断价值

张湛,许相丰,刘海东,王玮   

  1. 天津市中心妇产科医院放射科, 天津 300052
  • 收稿日期:2015-09-11 出版日期:2016-05-16 发布日期:2016-05-16
  • 通讯作者: 张湛. E-mail:zz07828@163.com E-mail:zz07828@163.com

Diagnostic value of MRI in the T-staging of cervical cancer

ZHANG Zhan, XU Xiangfeng, LIU Haidong, WANG Wei   

  1. Department of Radiology, Tianjin Central Hospital of Gynecology and Obstetrics, Tianjin 300052, China
  • Received:2015-09-11 Online:2016-05-16 Published:2016-05-16

摘要: 目的 探讨MRI在宫颈癌T分期中的诊断价值。 方法 回顾性分析经病理确诊的106例宫颈癌病例,评价MRI分期的准确率及阴道浸润和宫旁浸润的准确率。 结果 MRI分期的准确率约84.0%(89/106);阴道浸润的准确率为85.8%(91/106),敏感度为72.7%(8/11),特异度为87.4%(83/95),阳性预测值为40%(8/20),阴性预测值为96.5%(83/86);宫旁浸润的准确率为96.2%(102/106),敏感度为75%(3/4),特异度为97.1%(99/102),阳性预测值为50%(3/6),阴性预测值为99%(99/100)(P<0.05)。 结论 MRI在宫颈癌分期中准确率较高,并能较准确判断宫颈癌阴道浸润及宫旁浸润。

关键词: 宫颈肿瘤, 磁共振成像, 宫旁浸润, 阴道浸润, 分期

Abstract: Objective To evaluate the diagnostic value of MRI in the T-staging of cervical cancer. Methods Clinical date of 106 confirmed cervical cancer cases were retrospectively reviewed to evaluate the accuracy rate of staging by MRI, the accuracy rate of vaginal invasion and parametrial infiltration, the sensitivity, specificity, positive and negative predictive value. Results The accuracy rate of MRI staging was 84.0%(89/106). For vaginal invasion, the accuracy rate, sensitivity, specificity, positive predictive value, and negative predictive value was 85.8%(91/106), 72.7%(8/11), 87.4%(83/95), 40%(8/20), and 96.5%(83/86). For parametrial infiltration, the accuracy rate, sensitivity, specificity, positive predictive value, and negative predictive value was 96.2%(102/106), 75%(3/4), 97.1%(99/102), 50%(3/6), and 99%(99/100)(P<0.05). Conclusion The accuracy rate of MRI staging is high, and MRI can accurately assess vaginal invasion and parametrial infiltration.

Key words: Magnetic resonance imaging, Vaginal invasion, Staging, Parametrial infiltration, Cervical neoplasms

中图分类号: 

  • R445.2
[1] Jemal A, Bray F, Center MM, et al. Global cancer statistics[J]. CA Cancer J Clin, 2011, 61(2): 69-90.
[2] 周晖, 卢淮武, 彭永排, 等. 《2015年NCCN宫颈癌临床实践指南》解读[J]. 中国实用妇科与产科杂志, 2015, 3: 185-191.
[3] FIGO Committee on Gynecologic Oncology. FIGO Staging for carcinoma of the vulva, cervix, and corpus uteri[J]. Int J Gynecol Obstet, 2014, 125(2): 97-98.
[4] Freeman SJ, Aly AM, Kataoka MY, et al. The revised FIGO staging system for uterine malignancies: implications for MR imaging[J]. Radiographics, 2012, 32(6): 1805-1827.
[5] Bhosale P, Peungjesada S, Devine C, et al. Role of magnetic resonance imaging as an adjunct to clinical staging in cervical carcinoma[J]. J Comput Assist Tomogr, 2010, 34(6): 855-864.
[6] Noël P, Dubé M, Plante M, et al. Early cervical carcinoma and fertility treatment options: MR imaging as a tool in patient selection and a follow-up modality[J]. Radiographics, 2014, 34(4): 1099-1119.
[7] 江新青, 谢琦, 梁长虹, 等. 宫颈癌的MRI诊断及分期研究[J]. 中华放射学杂志, 2002, 36(7): 621-625. JIANG Xinqing, XIE Qi, LIANG Changhong, et al. MRI diagnosis and staging of cervical carcinoma[J]. Chinese Joural of Radiology, 2002, 36(7): 621-625.
[8] Evan S, Siegelman. Body MRI[M]. Saunders, 2012: 286.
[9] Dhoot NM, Kumar V, Shinagare A, et al. Evaluation of carcinoma cervix using magnetic resonance imaging: correlation with clinical FIGO staging and impact on management[J]. J Med Imaging Radiat Oncol, 2012, 56(1): 58-65.
[10] 郝建成, 郝金刚. MRI在宫颈癌诊断与分期中的应用价值[J]. 肿瘤学杂志, 2014, 20(8): 673-676. HAO Jiancheng, HAO Jingang. The value of MRI in the diagnosis and staging for cervical cancer[J]. Journal of Chinese oncology, 2014, 20(8): 673-676.
[11] Akita A, Shinmoto H, Hayashi S, et al. Comparison of T2-weighted and contrast-enhanced T1-weighted MR imaging at 1.5 T for assessing the local extent of cervical carcinoma[J]. Eur Radiol, 2011, 21(9): 1850-1857.
[12] Manfredi R, Gui B, Giovanzana A, et al. Localized cervical cancer(stage [13] Balleyguier C, Sala E, Da Cunha T, et al. Staging of uterine cervical cancer with MRI: guidelines of the European Society of Urogenital Radiology[J]. Eur Radiol, 2011, 21(5): 1102-1110.
[14] Rauch GM, Kaur H, Choi H, et al. Optimization of MR Imaging for pretreatment evaluation of patients with endometrial and cervical cancer[J]. Radiographics, 2014, 34(4): 1082-1098.
[15] Iwata S, Joja I, Okuno K, et al. Cervical carcinoma with full-thickness stromal invasion: efficacy of dynamic MR imaging in the assessment of parametrial involvement[J]. Radiat Med, 2002, 20(5): 247-255.
[16] Testa AC, Di Legge A, De Blasis I, et al. Imaging techniques for the evaluation of cervical cancer[J]. Best Pract Res Clin Obstet Gynaecol, 2014, 28(5): 741-768.
[17] 任翠, 薛华丹. 磁共振成像在宫颈癌的临床应用[J]. 协和医学杂志, 2011, 2(3): 277-280.
[18] deSouza NM, Dina R, Mclndoe GA, et al. Cervical cancer: value of an endovaginal coil magnetic resonance imaging technique in detecting small volume disease and assessing parametrial extension[J]. Gynecol Oncol, 2006, 102(1): 80-85.
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