磁共振波谱联合 MRI 常规多参数扫描方案在前列腺癌中的诊断价值
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郑州市第一人民医院影像科 ( 郑州 , 450000 )

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The Diagnostic Value of MRI Combined with Conventional Multi-parameter Scanning Scheme in Prostate Cancer
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Department of Imaging , Zhengzhou First People's Hospital (Zhengzhou, 450000)

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    摘要:

    目的 探讨磁共振波谱(MRS)联合磁共振成像常规多参数扫描(MP-MRI)方案在前列腺癌(PCa)中的诊断价值。 方法 将 104 例疑诊 PCa 患者作为研究对象,均给予 MRS 联合 MP-MRI 检查,比较二者诊断价值和 Cho/Cit 和(Cho+Cre)/Cit 水平。 结果 病理结果显示,52 例为前列腺增生,52 例为 PCa。MRS 联合 MP-MRI 检查特异度(84.62%)、敏感度(92.31%)较 MP- MRI 检查高(63.46%)、(76.92%),(P<0.05);PCa 组胆碱(Cho)/ 枸橼酸盐(Cit)以及[Cho+ 肌酸(Cre)]/Cit 水平 均高于前列腺增生组(P<0.05)。结论 Cho 以及 Cit 在 PCa 患者中高表达,MRS 联合 MP-MRI 方案检查 PCa 可提高诊断价值。

    Abstract:

    Objective To explore the diagnostic value of magnetic resonance spectroscopy (MRS) combined with conventional multi-parameter magnetic resonance imaging (MP-MRI) in prostate cancer (PCa). Methods 104 patients with suspected PCa were treated as the research objects. MRS combined with MP- MRI examinations were given to all patients, the diagnostic value and Cho/Cit and (Cho+Cre)/Cit levels of MRS combined with MP-MRI and MP-MRI were compared. Results The pathological results showed that 52 patients had prostate hyperplasia and 52 patients had PCa. The specificity (84.62%) and sensitivity (92.31%) of MRS combined with MP-MRI were higher than that of MP-MRI (63.46%) and (76.92%), (P<0.05); PCa group choline (Cho)/citrate Cit and [Cho+creatine (Cre)]/Cit levels were higher than those in the prostate hyperplasia group (P<0.05). Conclusions Cho and Cit are highly expressed in PCa patients. Using MRS combined with MP-MRI to check PCa can improve the diagnostic value.

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燕瑞兵,李世佳,郭治平.磁共振波谱联合 MRI 常规多参数扫描方案在前列腺癌中的诊断价值[J].生物医学工程学进展,2022,(1):32-

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  • 在线发布日期: 2022-09-07
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