利用3.0T磁共振观察子宫恶性肿瘤组织弥散效应的初步研究

目的： 利用磁共振成像（MRI）的弥散加权成像（DWI）技术，观察子宫恶性肿瘤的弥散受限程度。方法: 采用3.0 T磁共振成像仪，对子宫颈癌病例及正常子宫颈对照组、子宫内膜癌病例及正常子宫内膜对照组进行常规MRI及DWI扫描，测量其表观弥散系数（ADC），并对子宫颈癌与正常子宫颈、子宫内膜癌与正常子宫内膜的ADC值进行统计学分析。结果: (1)37例子宫颈癌和16例正常子宫颈的ADC值分别为（0.92±0.20）×10-3 mm2/s和（1.26±0.24）×10-3 mm2/s，子宫颈癌和正常子宫颈2组ADC值比较有显著差异（P<0.01）。(2)14例子宫内膜癌和14例正常子宫内膜的ADC值分别为（0.87±0.17）×10-3 mm2/s和 （1.34±0.26）×10-3 mm2/s，子宫内膜癌和正常子宫内膜2组ADC值比较有显著差异（P<0.01）。结论: 子宫颈癌和子宫内膜癌较正常子宫组织弥散受限，3.0T磁共振DWI的ADC值测量能够定量反映子宫恶性肿瘤的弥散受限程度。

Diffusion effect of malignant tumor in cervix observed by 3.0T magnetic resonance imaging

AIM: To investigate the diffusion effect of malignant tumor in cervix by diffusion weighted imaging (DWI) of magnetic resonance imaging (MRI).METHODS: Routine MRI sequences and axial diffusion weighted sequences were performed in the cases of cervical cancer and endometrial carcinoma. Normal cervixes and endometria were served as controls. The ADC values of cervical cancer and normal cervix, endometrial carcinoma and normal endometrium were measured and analyzed respectively.RESULTS: (1)The ADC values in 37 cases of cervical cancer and normal cervix of 16 volunteers were (0.92±0.20)×10-3 mm2/s and (1.26±0.24)×10-3 mm2/s respectively, with statistically significant difference between cervical cancers and normal cervixes (P<0.01). (2)The ADC values in 14 cases of endometrial carcinoma and normal endometrium of 14 volunteers were (0.87±0.17)×10-3 mm2/s and (1.34±0.26)×10-3 mm2/s respectively, with statistically significant difference between endometrial carcinoma and normal endometria (P<0.01).CONCLUSION: The diffusion effects of cervical cancer and endometrial carcinoma were different from those of normal cervical tissues. The DWI of 3.0T MRI may be used to quantitatively determine the limitation of diffusion effect in the malignant tumor in cervix by measuring the ADC value.