MDCT对胃癌术前诊断与分期的价值评估
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摘要
目的评价多排螺旋CT(MDCT)在胃癌术前诊断与分期中的价值。方法选取术前进行过MDCT检查且经手术病理证实的胃癌患者43例,对比影像学诊断结果与病理结果。结果 MDCT针对胃癌T分期具有72.09%的准确性,一致性中等;针对N分期存在83.72%的准确性,一致性良好;对M分期的准确率为93.02%,一致性极强。结论 MDCT于胃癌诊断以及术前分期过程内具有很高的准确性,具有较高的临床价值。
Objective To evaluate the value of multi-slice spiral CT(MDCT) in preoperative diagnosis and staging of gastric cancer. Methods 43 patients with gastric cancer who had been examined by MDCT preoperative and confirmed by operation and pathology were selected as the study subjects. The imaging diagnosis results were compared with the pathological results. Results For gastric cancer T staging, MDCT has 72.09% accuracy, consistency belongs to the middle level; for N staging there is 83.72% accuracy, good consistency; for M staging accuracy is 93.02%, consistency is very strong. Conclusion MDCT is highly accurate in the diagnosis and preoperative staging of gastric cancer. It has high value in clinical application.
Objective To evaluate the value of multi-slice spiral CT(MDCT) in preoperative diagnosis and staging of gastric cancer. Methods 43 patients with gastric cancer who had been examined by MDCT preoperative and confirmed by operation and pathology were selected as the study subjects. The imaging diagnosis results were compared with the pathological results. Results For gastric cancer T staging, MDCT has 72.09% accuracy, consistency belongs to the middle level; for N staging there is 83.72% accuracy, good consistency; for M staging accuracy is 93.02%, consistency is very strong. Conclusion MDCT is highly accurate in the diagnosis and preoperative staging of gastric cancer. It has high value in clinical application.
引文
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[6]曹征,肖刚,兰军.64排螺旋CT对进展期胃癌患者术前分型和分期的临床研究[J].解放军医药杂志,2018,30(2):106-109.
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[9]李婷,郭玉林,何花,等.64层MSCT在进展期胃癌术前T分期中的诊断价值[J].放射学实践,2014,29(7):801-804.
[10]M Ohashi,S Morita,T Fukagawa,et al.Evaluation of 64-channel contrast-enhanced multi-detector row computed tomography for preoperative N staging in cT2-4 gastric carcinoma[J].World J Surg,2016,40(1):165-171.
[2]屈昭慧,高雪梅,程敬亮,等.扩散加权成像评价胃癌血管内皮生长因子表达及病理分化程度的研究[J].中国医学影像学杂志,2016,24(9):666-668.
[3]高亚洲,王霞,张晓智.胃癌术前分期的多层螺旋CT影像评估价值研究[J].中国CT和MRI杂志,2016,14(6):91-94.
[4]陈钟,唐庆林,韩忠政,等.胃癌的治疗进展[J].国际消化病杂志,2017,37(2):77-78.
[5]刘勇,陈中银,冯燕,等.多层螺旋CT增强扫描对胃癌浸润程度及淋巴结转移的诊断价值[J].山西医药杂志,2017,46(3):289-291.
[6]曹征,肖刚,兰军.64排螺旋CT对进展期胃癌患者术前分型和分期的临床研究[J].解放军医药杂志,2018,30(2):106-109.
[7]Yoshikawa T,Tanabe K,Nishikawa K,et al.Accuracy of CT staging of locally advanced gastric cancer after neo-adjuvant chemotherapy:cohort evaluation within a randomized phase II study[J].Ann Surg Oncol,2014,21(3):1-5.
[8]韦章诚,夏玉梅,符艳梅.MSCT在胃癌病理分期及诊断中的应用价值[J].放射学实践,2016,31(5):402-406.
[9]李婷,郭玉林,何花,等.64层MSCT在进展期胃癌术前T分期中的诊断价值[J].放射学实践,2014,29(7):801-804.
[10]M Ohashi,S Morita,T Fukagawa,et al.Evaluation of 64-channel contrast-enhanced multi-detector row computed tomography for preoperative N staging in cT2-4 gastric carcinoma[J].World J Surg,2016,40(1):165-171.