3D-SPACE序列在深部浸润型子宫内膜异位症的价值分析

发布时间：2018-01-12 06:33

本文关键词：3D-SPACE序列在深部浸润型子宫内膜异位症的价值分析　出处：《中国医学计算机成像杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:评价3D-SPACE序列在深部浸润型子宫内膜异位症(DIE)的应用价值。方法:连续收集妇产科医院41例经腹腔镜证实为子宫内膜异位症的病人入组,入组病人均进行前瞻性MRI扫描,包含MRI常规序列和3D-SPACE特殊序列。采用SPSS软件统计分析两名阅片者(R1、R2)对DIE的诊断性评价和一致性评价。结果:两名医师(R1、R2)对深部浸润性子宫内膜异位症各亚型的诊断灵敏度、特异度和正确率分别结果如下:右侧宫骶韧带(R1:0.923、1.000、0.976;R2:0.923、1.000、0.976,K值1.000),左侧宫骶韧带(R1:0.923、0.964、0.951;R2:1.000、0.964、0.976,K值0.945),阴道直肠膈(R1:0.917、1.000、0.951;R2:1.000、1.000、1.000,K值0.901),直乙状结肠(R1:0.929、0.889、0.902;R2:1.000、0.926、0.951,K值0.898),子宫直肠陷凹(POD)(R1:0.893、0.846、0.878;R2:0.929、0.846、0.902,K值0.945),膀胱和输尿管结果一致均为(R1:1.000、1.000、1.000;R2:1.000、1.000、1.000,K值1.000),且两名医生诊断结果一致性非常好。结论:MRI的3D-SPACE序列作为高分辨率MRI成像技术对深部浸润型子宫内膜异位症的诊断准确性高,建议3D-SPACE序列作为DIE的有效补充序列。
[Abstract]:Objective: to evaluate the application of 3D-Space sequence in deep invasive endometriosis (DIEs). Methods: 41 cases of endometriosis confirmed by laparoscopy in obstetrics and gynecology hospital were collected. Prospective MRI scans were performed in all patients, including MRI routine sequence and 3D-space special sequence. Two patients were statistically analyzed by SPSS software. Results: the diagnostic sensitivity of two physicians to each subtype of deep invasive endometriosis. The results of specificity and accuracy were as follows: R1: 0.923 ~ 1.000 ~ 0.976; R2: 0.923 ~ 1.000 ~ (0.976U) K = 1.000, R ~ (1): 0.923 ~ (0.964N) ~ (0.951); The K value of R2: 1.000 ~ 0.964 ~ (0.976U) was 0.945, and the R1: 0.917 ~ (1.000) ~ (0.951) of vaginal rectum phrenic gyrus; R2: 1.000 ~ (1.000) K = 0.901g, R _ 1: 0.929 / 0.889n 0.902; R2: 1.000 ~ 0.926 ~ (0.951) K = 0.898N, R1: 0.893n ~ (0.846) ~ (?) ~ (0.878); The K value of R2: 0.929 ~ 0.846 ~ (0.902) K was 0.945%. The results of bladder and ureter were consistent with that of R1: 1.000 ~ (1.000) ~ (1.000); R2: 1.000 K = 1.000). Conclusion the 3D-Space sequence of the two doctors is highly accurate in the diagnosis of deep invasive endometriosis as a high-resolution MRI imaging technique. It is suggested that 3D-Space sequence be an effective complementary sequence to DIE.
【作者单位】：复旦大学附属华山医院放射科;复旦大学附属妇产科医院放射科;
【基金】：上海市科学技术委员会课题项目No.14ZR1404400~~
【分类号】：R445.2;R711.71
【正文快照】： 深部浸润型子宫内膜异位症(deeply infiltratingendometriosis,DIE),为子宫内膜异位症(EM)的一种重要类型,是指异位的子宫内膜腺体和间质浸润至腹膜表面以下5mm以上,可累及邻近组织结构,主要见于阴道直肠膈、直乙状结肠、膀胱和其他的盆腔纤维肌性结构,如子宫骶韧带和阴道等。

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