您的位置：山东大学 -> 科技期刊社 -> 《山东大学学报（医学版）》

山东大学学报（医学版） ›› 2016, Vol. 54 ›› Issue (10): 76-79.doi: 10.6040/j.issn.1671-7554.0.2015.840

• • 上一篇    下一篇

CT、MRI对喉癌治疗方案选择的价值

孟祥水1,柴相君2,马祥兴1,任庆国1,杨志成1   

  1. 山东大学齐鲁医院 1.放射科;2. 感染管理科, 山东 济南 250012
  • 收稿日期:2015-09-06 出版日期:2016-10-10 发布日期:2016-10-10
  • 通讯作者: 孟祥水. E-mail:mengxiangshui2005@126.com E-mail:mengxiangshui2005@126.com
  • 基金资助:
    山东省科技攻关项目(2012GGE27137)

Value of CT and MRI in the treatment options of laryngeal cancer

MENG Xiangshui1, CHAI Xiangjun2, MA Xiangxing1, REN Qingguo1, YANG Zhicheng1   

  1. 1. Department of Radiology;
    2. Department of Infection Management, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-09-06 Online:2016-10-10 Published:2016-10-10

PDF (PC)

330

摘要： 目的 探讨CT、MRI对喉癌侵及范围及治疗方案选择的价值。 方法 分析35例喉癌患者平扫及强化CT、MRI显示声门上区、声门下区、声带、前联合、甲状软骨、声门旁间隙、杓状软骨肿瘤原发或侵及部位及颈部淋巴结转移情况,并与喉镜及手术病理结果对照。 结果 MRI平扫及强化显示声门上区、声门下区、声带、前联合、甲状软骨、声门旁间隙、杓状软骨病变及颈部淋巴结转移数多于CT,但无统计学差异,MRI平扫及强化敏感性一致,均高于CT平扫及强化,CT强化敏感性高于CT平扫;平扫及强化MRI、CT特异性、阳性预测值基本一致;MRI平扫、强化及CT强化Kappa值基本一致,均高于CT平扫;MRI平扫及强化阴性预测值一致,均高于CT平扫及强化,CT平扫及强化阴性预测值基本一致。 结论 MRI对喉癌侵及范围及治疗方案选择较CT能够提供更多信息。

关键词: 喉癌, 计算机断层扫描, 磁共振成像

Abstract: Objective To explore the value of CT and MRI on the invasive range and treatment options of laryngeal cancel. Methods Results of neck CT and MRI of 35 patients with laryngeal cancel were analyzed. Tumor lesions of infraglottic region, subglottic region, vocal cord, anterior commissure, thyroid cartilage, paraglottic space, arytenoid cartilage and cervical lymph node metastasis were compared with results of laryngoscope and surgical pathology. Results More lesions of the infraglottic region, subglottic region, vocal cord, anterior commissure, thyroid cartilage, paraglottic space, arytenoid cartilage and cervical lymph node metastasis were displayed on MRI than CT, but there were no statistical differences. The sensitivity of plain and contrast enhanced MRI were similar, and more than that of plain and contrast enhanced CT. The sensitivity of contrast enhancement CT was more than that of plain CT. Specific and positive predictive value of plain and enhanced MRI and CT were almost the same. Kappa value of plain and contrast enhanced MRI and contrast enhanced CT were similar, but more than that of plain CT. Negative predictive value of plain and enhanced MRI were the same, but more than that of plain and contrast enhanced CT. The negative predictive value of plain and enhanced CT were almost the same. Conclusion MRI can provide more information than CT for tumor invasive range and treatment options of laryngeal cancel.

Key words: Computed Tomography, Magnetic Resonance Imaging, Laryngeal Cancer

中图分类号: 

  • R445
[1] DE Virgilio A, Bussu F, DE Vincentiis M. Evidence-based review of treatment options for patients with glottic cancer[J]. Acta Otorhinolaryngol Ital, 2012, 32(4):256-257.
[2] Joshi VM, Wadhwa V, Mukherji SK.Imaging in laryngeal cancers [J]. Indian J Radiol Imaging, 2012, 22(3): 209-226.
[3] 凌小莉, 戚乐, 丁建平, 等. MRI在喉癌诊断、分期及术后随访中的价值[J]. 实用医学杂志, 2013, 29(2):263-265. LING Xiaoli, QI Le, DING Jianping, et al. The value of MRI in the diagnosis, staging and postoperative follow-up of laryngeal cancer [J]. The Journal of Practical Medicine, 2013, 29(2):263-265.
[4] Maroldi R, Ravanelli M, Farina D. Magnetic resonance for laryngeal cancer [J]. Curr Opin Otolaryngol Head Neck Surg, 2014, 22(2):131-139.
[5] Bertrand M, Tollard E, Francois A, et al. CT scan, MR imaging and anatomopathologic correlation in the glottic carcinoma T1-T2 [J]. Rev Laryngol Otol Rhinol, 2010, 131(1):51-57.
[6] 罗文军, 郭伟, 罗甜, 等. 磁共振成像在喉癌诊断中的应用价值[J]. 实用临床医学, 2014, 15(6):103-105. LUO Wenjun, GUO Wei, LUO Tian, et al. Application of Magnetic Resonance Imaging in Diagnosis of Laryngeal Carcinoma[J]. Practical Clinical Medicine, 2014, 15(6):103-105.
[7] Kuno H, Onaya H, Fujii S, et al. Primary staging of laryngeal and hypopharyngeal cancer: CT, MR imaging and dual energy CT[J]. Eur J Radiol, 2014, 83(1):23-35.
[8] Li B, Bobinski M, Gandour-Edwards R, et al. Overstaging of cartilage invasion by multidetector CT scan for laryngeal cancer and its potential effect on the use of organ preservation with chemoradiation[J]. Br J Radiol, 2011, 84(997):64-69.
[9] Hartl DM, Landry G, Hans S, et al. Organ preservation surgery for laryngeal squamous cell carcinoma: low incidence of thyroid cartilage invasion [J]. Laryngoscope, 2010, 120(6):1173-1176.
[10] Hartl DM, Landry G, Bidault F, et al. CT-scan prediction of thyroid cartilage invasion for early laryngeal squamous cell carcinoma [J]. Eur Arch Otorhinolaryngol, 2013, 270(1):287-291.
[11] Peters TT, Castelijns JA, Ljumanovic R, et al. Diagnostic value of CT and MRI in the detection of paratracheal lymph node metastasis [J]. Oral Oncol, 2012, 48(5): 450-455.
[12] 窦社伟, 史大鹏, 李艳, 等. 喉癌的CT诊断[J]. 实用放射学杂志, 2007, 23(9):1167-1169. DOU Shewei, SHI Dapeng, LI Yan, et al. CT Diagnosis of Laryngeal Cancer[J]. Journal of Practical Radiology, 2007, 23(9):1167-1169.
[1] 沈薇,金晨曦,李娜,李潇旋,郭泾. 儿童三维颅颌面及上气道结构与呼吸暂停低通气指数的相关性[J]. 山东大学学报 (医学版), 2025, 63(7): 44-53.
[2] 金晨曦,沈薇,李娜,孙建锋,杨驰,郭泾. ADDWoR关节镜下盘复位术盘-髁运动的定量分析[J]. 山东大学学报 (医学版), 2025, 63(7): 54-61.
[3] 刘晶晶,庞婧,赵晓丹,林昕,付敏,陈静静. 基于乳腺X线摄影及DCE-MRI机器学习模型预测乳腺癌新辅助治疗后病理完全缓解:双中心研究[J]. 山东大学学报 (医学版), 2025, 63(1): 60-72.
[4] 刘小文,曹永泉,侯明源,于德新. EOB-MRI多定量参数对肝胆期乏血供低信号结节进展风险的评估价值[J]. 山东大学学报 (医学版), 2024, 62(4): 31-39.
[5] 赵天然,刘东旭. 上颌快速扩弓联合前方牵引对替牙期骨性Ⅲ类错牙合畸形的矫治疗效[J]. 山东大学学报 (医学版), 2024, 62(3): 77-86.
[6] 吴思雨,沈业隆,王锡明. 影像组学预测原发性中枢神经系统淋巴瘤的Ki-67标记指数[J]. 山东大学学报 (医学版), 2024, 62(11): 67-72.
[7] 靳新娟,左立平,邓展昊,李安宁,于德新. MRI影像组学对135例肝癌耐药蛋白PFKFB3的预测价值[J]. 山东大学学报 (医学版), 2023, 61(6): 79-86.
[8] 王磊,张帅,刘钢,由胜男,王植,朱珊,陈超,马信龙,杨强. MRI诊断140例腰椎智能网络自动检测分型MCs方法的比较[J]. 山东大学学报 (医学版), 2023, 61(3): 71-79.
[9] 杨咏青,赵鹏,汪玉,马文静,田迷迷,程亚旎,祖璐,林祥涛. 细胞外容积分数对62例不同病理类型肺癌的诊断价值[J]. 山东大学学报 (医学版), 2023, 61(2): 88-94.
[10] 靳新娟,蔡大幸,范金蕾,邓展昊,李楠,于德新,李安宁. 显微镜高分辨率MRI鉴别皮肤良、恶性局灶隆起性结节[J]. 山东大学学报 (医学版), 2023, 61(12): 51-61.
[11] 艾江山,高会江,艾仕文,李恒艳,石国栋,魏煜程. CT影像组学对囊腔型肺癌的诊断价值[J]. 山东大学学报 (医学版), 2023, 61(12): 70-77.
[12] 赵恩举,赵硕,郭云亮,王锡明. 282例颈动脉钙化与脑小血管病MRI总负荷评分的关联性[J]. 山东大学学报 (医学版), 2023, 61(1): 38-44.
[13] 陶国伟,王芳,董向毅,徐亚瑄,赵琳丽,胡蓓蓓. 子宫腺肌病的超声与MRI诊断及进展[J]. 山东大学学报 (医学版), 2022, 60(7): 56-65.
[14] 高琳,于鑫鑫,康冰,张帅,王锡明. CT影像组学对肺纯磨玻璃结节浸润性的预测价值[J]. 山东大学学报 (医学版), 2022, 60(5): 87-97.
[15] 冯宝民,王舟,徐晗,李佳存,于乔文,修建军. 抗髓鞘少突胶质细胞糖蛋白IgG抗体相关疾病临床及影像特征[J]. 山东大学学报 (医学版), 2022, 60(3): 45-50.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
版权所有 © 2018 《山东大学学报(医学版)》编辑部　
地址:山东大学科技期刊社（济南市历城区山大南路27号山东大学中心校区明德楼B座721室） 电话: 0531-88366918 E-mail: xbyxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发