3D—VIBE序列动态增强扫描对卵巢癌分期的应用研究(1)
[摘要] 目的 探讨与分析3D-VIBE序列动态增强扫描对卵巢癌分期的应用。方法 选择2014年1月—2017年1月期间该院收治的原发性卵巢癌患者30例患者为研究对象，对其予以3D-VIBE序列动态增强扫描，对检查结果进行回顾性分析。结果 30例原发性卵巢癌中2例颗粒细胞癌、4例子宫内膜样癌、6例粘液性囊腺癌、17例浆液性囊腺癌、1例透明细胞癌。对原发灶定位、盆腔(子宫输卵管)局部浸润、腹膜转移>2 cm及肝转移、盆腔局部浸潤其它盆腔组织及腹膜转移≤2 cm、远处腹膜转移、淋巴转移等3D-VIBE序列动态增强扫描的准断 准确率分别为93.33%、100.00%、86.67%、90.00%、86.67%。结论 在卵巢肿瘤形态学特征、血供特征及信号特征等方面3D-VIBE序列动态增强扫描能够清晰显示，具有重要的应用价值。
[关键词] 3D-VIBE；动态增强扫描；卵巢癌
[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-0742(2017)04(a)-0185-03
Research on Application of 3D-VIBE Sequence Dynamic Enhancement Scan for the Staging of Ovarian Cancer
LUO Ping， LONG Yan， GAO Zhi-lin， XIE Yi-jian， DENG Kai-chuang， YAN Yu-xi， WANG Dai-shun
Department of Radiology， Fifth Affiliated Hospital of Kunming Medical University， Kunming， Yunnan Province， 661000 China
[Abstract] Objective To discuss and analyze the application of 3D-VIBE sequence dynamic enhancement scan for the staging of ovarian cancer. Methods 30 cases of patients with primary ovarian cancer admitted and treated in our hospital from January 2014 to January 2017 were selected as the research objects and were given the 3D-VIBE sequence dynamic enhancement scan， and the examination results were retrospectively analyzed. Results In the 30 cases of patients with primary ovarian cancer， there were 2 cases with granular cell carcinoma， 4 cases with endometrioid carcinoma， 6 cases with cystadenocarcinoma mucinosum， 17 cases with serous cystadenocarcinoma and 1 case with clear cell carcinoma， and the accurate rate of primary lesion positioning， pelvic cavity (uterine oviduct) local infiltration， peritoneal metastasis>2 cm，hepatic metastases， peritoneal metastasis≤2 cm， distant peritoneal metastasis and lymphatic metastasis was respectively 93.33%，100%，86.67%，90%，86.67%. Conclusion The 3D-VIBE sequence dynamic enhancement scanning can clearly show the morphological features of ovarian tumors， blood supply features and signal features， which is of important application value.
[Key words] 3D-VIBE； Dynamic enhancement scanning； Ovarian cancer
卵巢癌是女性生殖系统最常见的三大恶性肿瘤之一[1]。3D-VIBE序列动态增强扫描具有三维、薄层和快速动态采集数据的优点，为明确3D-VIBE序列动态增强扫描对卵巢癌分期的应用价值，现选择2014年1月—2017年1月该院收治的30例患者为研究对象，现总结报道如下。
1 对象与方法
1.1 研究对象
选取经临床、CT及超声拟诊，术后证实的原发性卵巢癌患者30例患者为研究对象，年龄30～72岁，平均(44.3±2.5)岁。入组标准：在该院行手术治疗，并在MRI室行MRI检查的病例；MRI检查与手术间隔时间<2周；在MRI检查与手术间隔期间未进行化疗、放疗等治疗；手术、临床及病理资料齐全。排除标准：有MRI扫描的禁忌证；不能耐受扫描及手术的患者；可疑卵巢癌的患者在MRI扫描前已接受手术或放化疗的治疗；欧乃影(钆双胺GD-DTPA)过敏患者。
1.2 检查方法, 百拇医药(罗平 龙艳 高志霖 谢忆坚 邓开闯 严钰玺 王代顺)
[关键词] 3D-VIBE；动态增强扫描；卵巢癌
[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-0742(2017)04(a)-0185-03
Research on Application of 3D-VIBE Sequence Dynamic Enhancement Scan for the Staging of Ovarian Cancer
LUO Ping， LONG Yan， GAO Zhi-lin， XIE Yi-jian， DENG Kai-chuang， YAN Yu-xi， WANG Dai-shun
Department of Radiology， Fifth Affiliated Hospital of Kunming Medical University， Kunming， Yunnan Province， 661000 China
[Abstract] Objective To discuss and analyze the application of 3D-VIBE sequence dynamic enhancement scan for the staging of ovarian cancer. Methods 30 cases of patients with primary ovarian cancer admitted and treated in our hospital from January 2014 to January 2017 were selected as the research objects and were given the 3D-VIBE sequence dynamic enhancement scan， and the examination results were retrospectively analyzed. Results In the 30 cases of patients with primary ovarian cancer， there were 2 cases with granular cell carcinoma， 4 cases with endometrioid carcinoma， 6 cases with cystadenocarcinoma mucinosum， 17 cases with serous cystadenocarcinoma and 1 case with clear cell carcinoma， and the accurate rate of primary lesion positioning， pelvic cavity (uterine oviduct) local infiltration， peritoneal metastasis>2 cm，hepatic metastases， peritoneal metastasis≤2 cm， distant peritoneal metastasis and lymphatic metastasis was respectively 93.33%，100%，86.67%，90%，86.67%. Conclusion The 3D-VIBE sequence dynamic enhancement scanning can clearly show the morphological features of ovarian tumors， blood supply features and signal features， which is of important application value.
[Key words] 3D-VIBE； Dynamic enhancement scanning； Ovarian cancer
卵巢癌是女性生殖系统最常见的三大恶性肿瘤之一[1]。3D-VIBE序列动态增强扫描具有三维、薄层和快速动态采集数据的优点，为明确3D-VIBE序列动态增强扫描对卵巢癌分期的应用价值，现选择2014年1月—2017年1月该院收治的30例患者为研究对象，现总结报道如下。
1 对象与方法
1.1 研究对象
选取经临床、CT及超声拟诊，术后证实的原发性卵巢癌患者30例患者为研究对象，年龄30～72岁，平均(44.3±2.5)岁。入组标准：在该院行手术治疗，并在MRI室行MRI检查的病例；MRI检查与手术间隔时间<2周；在MRI检查与手术间隔期间未进行化疗、放疗等治疗；手术、临床及病理资料齐全。排除标准：有MRI扫描的禁忌证；不能耐受扫描及手术的患者；可疑卵巢癌的患者在MRI扫描前已接受手术或放化疗的治疗；欧乃影(钆双胺GD-DTPA)过敏患者。
1.2 检查方法, 百拇医药(罗平 龙艳 高志霖 谢忆坚 邓开闯 严钰玺 王代顺)