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高分辨率MRI技术在直肠癌术前T分期中的应用
引用本文:王晓阳,贾庆,蔡宇.高分辨率MRI技术在直肠癌术前T分期中的应用[J].中国现代医生,2012,50(25):87-89.
作者姓名:王晓阳  贾庆  蔡宇
作者单位:王晓阳 (温州医学院附属第三医院放射科,浙江瑞安,325200) ; 贾庆 (温州医学院附属第三医院放射科,浙江瑞安,325200) ; 蔡宇 (温州医学院附属第三医院放射科,浙江瑞安,325200) ;
基金项目:浙江省瑞安市2009年第三批科技计划项目
摘    要:目的探讨高分辨磁共振成像在直肠癌患者术前T分期的临床价值。方法经手术病理证实的45例直肠癌患者,术前均接受MRI检查,将MRI检查结果与术后病理组织学T分期结果进行对照分析。结果 MRI分期对患者T分期总的诊断准确性为86.67%(39/45);与术后病理结果比较,两者的一致性检验Kappa值为0.791,有统计学意义(χ2=49.999,P=0.000)。结论高分辨磁共振成像技术评价直肠癌T分期诊断有一定的临床价值,有助于手术方案的制定。

关 键 词:直肠  肿瘤  磁共振成像  分期

The application of high resolution MRI technology in preoperative T-staging of colorectal cancer
Authors:WANG Xiaoyang  JIA Qing  CAI Yu
Institution:WANG Xiaoyang JIA Qing CA I Yu( Department of Radiology,the Third Affiliated Hospital of Wenzhou Medical College, Ruian 325200,China)
Abstract:Objective To explore the high resolution magnetic resonance imaging in rectal cancer patients with preoperative T staging of clinical value. Methods Proved by operation and pathology in 45 patients with rectal cancer, preoperative underwent MRI examination, the results of MRI and postoperative histopathological T-staging results were compared and analyzed. Results The overall accuracy of preoperative T stage with MRI was 86.67% ;There was a better correlation be- tween the result of preperative MRI and postoperative Pathological T stage (kappa=0.791),and There was no obvious difference (X^2=49.999, P = 0.000). Conclusion High resolution magnetic resonance imaging in the evaluation of T-staging of rectal cancer has some clinical value, contribute to the operation plano
Keywords:Rectal  Neoplasms  Magnetic imaging  Stage
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