磁共振弥散张量成像技术在骨肌系统 良恶性病变和浸润评价中的应用
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刘勇,E-mail :1909768139@qq.com ;Tel :15883032727

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Value of magnetic resonance DTI technique in evaluation of benign and malignant lesions of musculoskeletal system and their infiltration ranges
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    摘要:

    目的 分析磁共振弥散张量成像技术(DTI)在良恶性病变及其范围评价中的应用价值。 方法 选取2014 年1 月-2016 年1 月于西南医科大学附属中医院收治的良性和恶性四肢肌骨病变患者,使 用不同核磁共振线圈对病变位置的不同轴状位、冠状位及矢状位进行检查,并使用单次回波平面呈现技术对 轴向位进行检查。分析病变中心、边缘及周围正常组织间的差异。结果 良性病变组病变中心Iso、ADC 高 于恶性病变组(P <0.05),良性病变组病变边缘Iso、ADC 高于恶性病变组(P <0.05),良性病变组病变边缘 FA、VrA 低于恶性病变组(P <0.05),良性病变组病变边缘FA 值低于恶性病变组(P <0.05);良性病变组病 变中心、边缘FA 值低于正常组织(P <0.05),病变中心、边缘Iso、ADC 值高于正常组织(P <0.05);恶性 病变组病变中心、边缘FA、ADC 值低于正常组织(P <0.05),病变中心、边缘区Iso 值高于正常组织(P <0.05); 磁共振DTI 技术对骨肌系统良恶性病变及其浸润范围进行诊断的AUC 值为0.89。结论 良恶性病变均可能 出现病变组织及正常组织差异,因而使用DTI 技术对肌骨系统良恶性病变及其浸润进行评价时具有较高的临 床价值。

    Abstract:

    Objective To analyze the value of magnetic resonance diffuse tensor imaging (DTI) technique in evaluation of benign and malignant lesions and their ranges, so as to provide the basis for clinical application. Methods From January 2014 to January 2016, 28 patients with benign bone lesions of the limbs and 28 patients with malignant bone lesions of the limbs were treated in Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University. Different MRI coils were used to inspect different axial, coronal and sagittal positions of the lesions, and the single echo planar presentation technique was applied to check on axial position. The differences among the central areas and marginal areas of the lesions and the surrounding normal tissues were analyzed. Results Iso and ADC in the central and marginal regions of the lesions in the benign group were significantly higher than those in the malignant group (P < 0.05). FA and VrA values in the marginal zones of the benign lesions were significantly lower than those of the malignant lesions (P < 0.05), FA value in the central and marginal areas of the benign lesions was lower than that of the normal tissues (P < 0.05), while Iso and ADC in the central and marginal areas of the benign lesions were higher than those of the normal tissues (P < 0.05). FA and ADC in the central and marginal areas of the malignant lesions were lower than those of the normal tissues (P < 0.05), while Iso in the central and marginal areas of the malignant lesions was higher than that in the normal tissues (P < 0.05). The AUC value of magnetic resonance DTI technique in diagnosis of musculoskeletal benign and malignant lesions and their invasive ranges was 0.89. Conclusions Both benign and malignant lesions may be different from normal tissues, so magnetic resonance DTI technique has high clinical value in evaluation of benign and malignant lesions of musculoskeletal system and their infiltration ranges.

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胡华,连杰,宋震宇,黄冰锋,张燕燕,江澜,刘勇.磁共振弥散张量成像技术在骨肌系统 良恶性病变和浸润评价中的应用[J].中国现代医学杂志,2018,(20):93-97

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  • 收稿日期:2017-12-15
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  • 在线发布日期: 2018-07-20
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