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不同分化程度子宫内膜癌表观扩散系数与DCE-MRI定量参数的关系
引用本文:张明,孟迎春,周扬. 不同分化程度子宫内膜癌表观扩散系数与DCE-MRI定量参数的关系[J]. 现代肿瘤医学, 2021, 0(7): 1229-1233. DOI: DOI:10.3969/j.issn.1672-4992.2021.07.027
作者姓名:张明  孟迎春  周扬
作者单位:荆州市中心医院放射科,湖北 荆州 434020
摘    要:目的:探究不同分化程度的子宫内膜癌表观扩散系数(apparent diffusion coefficient,ADC)与磁共振动态增强扫描成像(dynamic contrast enhanced MRI,DCE-MRI)定量参数之间的关系.方法:回顾性分析2016年10月至2018年10月于我院就诊的子宫内膜癌患者90...

关 键 词:子宫内膜癌  分化  表观扩散系数  磁共振动态增强扫描成像  相关性

The relationship between apparent diffusion coefficient and DCE-MRI parameters in endometrial carcinoma with different degrees of differentiation
ZHANG Ming,MENG Yingchun,ZHOU Yang. The relationship between apparent diffusion coefficient and DCE-MRI parameters in endometrial carcinoma with different degrees of differentiation[J]. Journal of Modern Oncology, 2021, 0(7): 1229-1233. DOI: DOI:10.3969/j.issn.1672-4992.2021.07.027
Authors:ZHANG Ming  MENG Yingchun  ZHOU Yang
Affiliation:Radiology Department,Jingzhou Central Hospital,Hubei Jingzhou 434020,China.
Abstract:Objective:To investigate the relationship between apparent diffusion coefficient(ADC)and quantitative parameters of dynamic contrast enhanced MRI(DCE-MRI)in endometrial carcinoma with different degrees of differentiation.Methods:90 endometrial cancer patients in our hospital from October 2016 to October 2018 were retrospectively analyzed.According to the clinical pathology information,patients were divided into low-differentiation group(18 cases),medium-differentiation group(52 cases)and high-differentiation group(20 cases).DCE-MRI and diffusion weighted imaging(DWI)images of each group were analyzed,and the mean value of ADC as well as DCE-MRI related parameters Ktrans,Ve and Kep values were measured and further analyzed for their correlation.Results:ADC mean,K trans,Ve and Kep values were significantly different in endometrial carcinoma with degrees of different differentiation(P<0.05).ADC mean values in the medium-and low-differentiation groups were negatively correlated with Ktrans,Ve and Kep values(P<0.05),and the correlation enhanced along with the decrease of differentiation degree(r low,K trans=-0.612,r low,Ve=-1.313,r low,Kep=-0.568).Conclusion:There are significant differences in ADC mean,Ktrans,Ve and Kep indifferent differentiation endometrial carcinoma.ADC mean in the medium-and low-differentiation groups is negatively correlated with Ktrans,Ve and Kep.Moreover,the correlation is enhanced with the decrease of differentiation degree.These findings provide a basis for the preoperative differentiation grade diagnosis of endometrial cancer.
Keywords:endometrial carcinoma  differentiation  apparent diffusion coefficient  dynamic contrast enhanced MRI  correlation
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