Comparison of diagnostic value of 640-slice spiral CT and 1.5T magnetic resonance imaging for ovarian cancer

doi:10.3877/cma.j.issn.2095-2015.2019.05.005

Abstract

Abstract:

Objective

To investigate the diagnostic value of 640-slice spiral CT and 1.5T magnetic resonance imaging(MRI)for ovarian cancer.

Methods

A total of 80 patients with ovarian cancer in No.960 Hospital of PLA from January 2016 to January 2018 were studied.All patients underwent 640-slice CT and 1.5T MRI before operation.After the examination, combined with surgical pathological results, the diagnostic accuracy, pathological staging accuracy and recurrence and metastasis sensitivity of the two methods were evaluated.

Results

According to the postoperative pathological results, the diagnostic accuracy, pathological staging diagnosis accuracy, recurrence and metastasis diagnosis rate and sensitivity of ovarian cancer with 1.5T MRI were significantly higher than those with 640-slice CT, and the differences were statistically significant(P<0.05). There was no significant difference in the diagnostic accuracy between the two groups when the ovarian cancer was in stageⅣand the ovarian cancer invasion and metastasis appeared in the intestine and peritoneal retina(P>0.05).

Conclusion

Compared with 640-slice CT, 1.5T MRI has obvious advantages in the diagnosis of ovarian cancer, but there is no difference in the diagnosis rate of ovarian cancer stageⅣ, and invasion and metastasis to the intestine and peritoneal retina.The clinical combination of CT and MRI examination can be flexibly selected according to the actual characteristics of the patient.

Key words: Ovarian cancer, Tomography, X-ray computer, Magnetic resonance imaging, Diagnosis value

Shufen Zhang, Yabin Feng, Peng Zhang, Lei Liang, Qinglei Wang, Xingxing Li, Bo Li. Comparison of diagnostic value of 640-slice spiral CT and 1.5T magnetic resonance imaging for ovarian cancer[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2019, 09(05): 208-211.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhxhbyyxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-2015.2019.05.005

https://zhxhbyyxzz.cma-cmc.com.cn/EN/Y2019/V09/I05/208

Figures/Tables 2

References 20

1	刘清银，刘小庆，李艳晓，等．血清HE4和CA125联合检测诊断卵巢癌的意义[J]．国际检验医学杂志，2016，37(17)：2454-2456.
2	李巨春．CT在卵巢癌转移和复发诊断中的应用价值[J]．中国妇幼保健，2017，32(12)：2782-2784.
3	江维，曾四元，梁美蓉，等．CT在妇科恶性肿瘤淋巴结转移中的诊断价值[J]．实用癌症杂志，2016，29(6)：690-692.
4	陈东梅，宋萌颖.64排CT在妇科肿瘤中的应用价值[J]．实用癌症杂志，2015，30(8)：1237-1239.
5	高梅．MRI检查在卵巢肿瘤诊断及鉴别诊断中的临床价值研究[J]．中国CT和MRI杂志，2018，16(1)：118-120.
6	葛海云，蒋创.18F-FDG PET/CT在卵巢癌术后复发、转移监测中的应用[J]．南京医科大学学报，2010，30(8)：1203-1205.
7	汤钊猷．现代肿瘤学[M].3版．上海：复旦大学出版社，2011.
8	杨玥，何援利，王雪峰．数字化三维重建卵巢供血动脉模型在卵巢早衰与卵巢肿瘤中的差异[J]．中国妇幼保健，2014，29(36)：6121-6123.
9	Pang T, Liu Z, Deng K, et al.Preliminary application of multiple parameters spectral CT in the diagnosis of ovarian cancer[J]. Medicine(Baltimore), 2017, 96(32): e7786.
10	丁滨．卵巢癌治疗研究进展[J]．人民军医，2011，53(3)：237-239.
11	崔永伟，颜廷婷．C T、超声、CA125联合检测在卵巢癌诊断中的应用分析[J]．中国性科学，2012，21(9)：37-38.
12	毛卫霞，王永宏．卵巢癌的CT MRI诊断价值比较[J]．河北医学，2017，23(11)：1795-1798.
13	陈德平．MRI诊断肾上腺恶性肿瘤临床价值分析[J]．医学理论与实践，2017，30(4)：575-576.
14	Jang YJ, Kim JK, Park SB, et al.Variable CT findings of ep-ithelial origin ovarian carcinoma according to the degree of histologic differentiation[J]. Korean J Radiol, 2007, 8(2): 120-126.
15	罗新，陈永连，郭永梅，等．MRI在卵巢癌定性诊断及其分期中的应用价值[J]．实用妇产科杂志，2010，26(12)：903-905.
16	高梅．MRI检查在卵巢肿瘤诊断及鉴别诊断中的临床价值研究[J]．中国CT和MRI杂志，2018，16(1)：118-120.
17	曾苗雨，易旦冰，陈晓亮，等．CT、MRI诊断卵巢癌价值的临床研究[J/CD]．中华临床医师杂志(电子版)，2016，10(9)：1277-1278.
18	包杰，闫昆，胡碧波，等．全腹多层螺旋CT扫描对卵巢癌分期术前评价中的价值[J]．中华内分泌外科杂志，2016，10(1)：63-66.
19	王利顺，聂红艳，景彦民，等．超声、CT、MRI和血清CA125对卵巢癌诊断的对比分析[J]．世界中医药，2015，28(a2)：79-80.
20	李磊，赵永民，高新萍．超声、CT、MRI和血清CA125对卵巢癌诊断的对比分析[J]．河北医科大学学报，2017，38(3)：349-352.

FIGO分期	例数	640层CT组	1.5T MRI组	P值
Ⅰ	13	3(23.08)	12(92.31)	0.00
Ⅱ	19	10(52.63)	18(94.74)	0.08
Ⅲ	22	13(59.09)	20(90.91)	0.03
Ⅳ	26	23(88.46)	24(92.31)	1.10
合计	80	60(75.00)	74(92.50)	0.00

FIGO分期	例数	640层CT组	1.5T MRI组	P值
Ⅰ	13	3(23.08)	12(92.31)	0.00
Ⅱ	19	10(52.63)	18(94.74)	0.08
Ⅲ	22	13(59.09)	20(90.91)	0.03
Ⅳ	26	23(88.46)	24(92.31)	1.10
合计	80	60(75.00)	74(92.50)	0.00

侵袭转移部位	个数	640层CT组		1.5T MRI组		P值
侵袭转移部位	个数	确诊	敏感度(%)	确诊	敏感度(%)	P值
肠管及周围	19	15	78.95	19	100.00	0.11
盆腔淋巴结	24	14	58.33	22	91.67	0.02
腹膜后淋巴结	20	10	50.00	17	85.00	0.04
腹膜网膜	9	5	55.56	8	88.89	0.29
肝脏等远处	12	4	33.33	10	83.33	0.04

侵袭转移部位	个数	640层CT组		1.5T MRI组		P值
侵袭转移部位	个数	确诊	敏感度(%)	确诊	敏感度(%)	P值
肠管及周围	19	15	78.95	19	100.00	0.11
盆腔淋巴结	24	14	58.33	22	91.67	0.02
腹膜后淋巴结	20	10	50.00	17	85.00	0.04
腹膜网膜	9	5	55.56	8	88.89	0.29
肝脏等远处	12	4	33.33	10	83.33	0.04

[1]	Lianlian Zhang, Pinjing Hui, Yafang Ding. Clinical value of carotid Doppler ultrasonography in assessing vulnerability of atherosclerotic plaques [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 816-821.
[2]	Yanna Ye, Ruiting Ye, Yanling Chen, Wen Peng, Le Liu, Wenqiu Xiao, Hui Huang, Mingshen Li, Muyi Zhong, Xian Ye. Nomogram based on clinicopathological and imaging features to predict recurrence of benign and borderline breast phyllodes tumor [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(04): 229-237.
[3]	Xinyu Fang, Changyu Huang, Hongxin Hu, Yiming Lin, Yang Chen, Nanxin Zhang, Wenming Zhang. Treatment options and efficacy analysis of subchondral insufficiency fractures of knee [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 583-587.
[4]	Xiaoyan Dong, Qi Zhao, Jun Tang, Li Zhang, Xiaoyan Yang, Jiao Li. Clinical characteristics of neonates infected with the Omicron variant of severe acute respiratory syndrome coronavirus 2 [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 595-603.
[5]	Huizhu Chen, Yingkun Guo, Xinrong Wang, Gang Ning, Xijian Chen. Current research status on the " dualistic model" of epithelial ovarian cancer and its molecular biology [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(04): 394-402.
[6]	Wen Zhang, Yanchun Zhang, Kaibo Liu, Hongyan Xu. Prenatal MRI diagnosis and perinatal outcome of fetal congenital hydrocephalus in Beijing [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 345-349.
[7]	Yu Han, Wu Zhang, Anqi Li, Wenying Chen, Sidong Xie. Diagnostic value of MRI Liver Image Reporting and Data System (LI-RADS) for hepatocellular carcinoma in patients with non-cirrhotic hepatitis B [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 669-673.
[8]	Manshi Lei, Sisi Deng, Xinrong Wang, Jinbin Huang, Qing Xiang, Anni Xiong, Zhan'ao Meng. Application of artificial intelligence-assisted compression sensing technology in upper abdominal fat-suppressed T2WI sequence [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 551-556.
[9]	Guangjun Zhong, Chunhua Liu, Wansen Zhu, Xiaolei Xu, Zhaojun Wang. Application of conventional MRI combined with different scanning sequences in preoperative staging diagnosis, chemotherapy efficacy and prognosis evaluation of gastric cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 378-382.
[10]	Baoru Hu, Naijian Shang, Di Gao. DCE-MRI and DWI findings of advanced hepatocellular carcinoma and their correlation with prognosis after immunotherapy [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 399-403.
[11]	Yuxian Wu, Yayuan Feng, Lei Huo, Ningyang Jia, Juan Zhang. Study on the diagnostic value of imaging in primary hepatic lymphoma [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(05): 349-353.
[12]	Haitao Feng, Tao Xu, Wenyang Liu, Chen Sun, Shangchao Cao. Value of three-dimensional arterial spin labeling combined with DCE-MRI in the diagnosis of postoperative recurrence and radiation brain necrosis of glioma [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(04): 262-265.
[13]	Zhiwen Wang, Xuemei Zheng, Qingkun Zhang, Haijiang Wang. Clinical analysis of 75 cases of spontaneous intracranial hypotension [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(04): 398-401.
[14]	Yongfei Yue, Liping Zhu, Xiaoyan Wang. Evaluation of blood loss by magnetic resonance imaging during cesarean section in placenta accreta spectrum disorders [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(03): 167-172.
[15]	Tun Zhao, Jihua Xu, Youdi He, Ming Lu. Acute spontaneous trace amount cerebral hemorrhage misdiagnosed as cerebral infarction and nearly thrombolysis: a case report [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 369-372.

Please choose a citation manager

Content to export