超声及磁共振不同增强模式在软组织肿块良恶性诊断中的应用
DOI:
作者:
作者单位:

江苏省人民医院

作者简介:

通讯作者:

中图分类号:

基金项目:

国家自然科学基金青年科学基金


Evaluation of Ultrasound and MR Contrast Enhancement Patterns for Soft Tissue Tumor Diagnosis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [摘要] 目的: 探讨超声以及磁共振不同增强模式在软组织肿块鉴别诊断中的应用价值。 方法: 对2018年5月-2020年2月本院41例软组织肿块患者的临床及影像资料进行回顾性分析。采用logistic回归分析判断患者年龄、性别、病变层次、部位及大小等因素与肿块良恶性之间的关系。将软组织肿块超声造影(Contrast Enhanced Ultrasound, CEUS)及磁共振(Magnetic Resonance Imaging, MRI)增强模式设为4种(P1,P2,P3和P4),通过卡方检验列联表分析来判断不同增强模式与肿块良恶性之间的关系。 结果: 以手术或穿刺病理为金标准,回归分析显示患者年龄、性别、病变的部位、层次及肿块大小与肿块良恶性无明显相关性(P>0.05)。CEUS与MR增强的P1、P2增强模式均为良性病变。卡方检验列连表分析显示CEUS与MR增强的P3模式与恶性肿块密切相关(P≤0.001),其诊断敏感性、特异性、阳性预测值、阴性预测值分别为89.7%、66.7%、86.7%、72.7% (CEUS)及96.6%、58.3%、84.8%、87.5% (MRI),两种检查诊断效能无明显统计学差异。 结论: 超声造影与磁共振增强均可为软组织肿块的诊断提供更多的信息。

    Abstract:

    OBJECTIVE The purpose of this study was to evaluate the application of contrast-enhanced ultrasound and MRI patterns in the diagnosis of soft-tissue masses. MATERIALS AND METHODS A retrospective study was performed with 41 cases from May 2018 to February 2020 which had clinical records of soft-tissue masses and imaging data. Logistic regression analysis was used to determine the relationships between diagnostic properties of the masses (benign or malignant) and patients’ age, gender, lesion layer, location or size. Imaging results were described as four predefined contrast enhancement (CE) pattern (P1, P2, P3, P4), and the correlations between CE patterns and masses properties were assessed by contingency table analysis. RESULTS All 41 soft tissue masses were obtained by puncture or surgery, which examined by contrast enhanced ultrasound (CEUS)and contrast-enhanced Magnetic Resonance Imaging (MRI) before the surgery or puncture. Logistic regression analysis showed that there was no significant correlation between tumor properties (benign or malignant) and patients’ age, gender, the size of the mass, location or lesion layer. P1 and P2 pattens of two examinations were both benign lessions. Both CEUS and MRI enhancement of soft tissue masses showed that P3 enhancement pattern was correlated with malignant tumor (P≤0.001). The sensitivity, specificity, positive predictive value and negative predictive value of CEUS were 89.7% 66.7% 86.7%, 72.7% while MR enhanced sensitivity, specificity, positive predictive value, negative predictive value were 96.6% 58.3% 84.8% 87.5%). The two kinds examinations had no statistical significance of diagnostic efficiency. CONCLUSIONS Both contrast-enhanced ultrasound and MRI could provide information for the diagnosis of an unknown soft-tissue mass.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-03-20
  • 最后修改日期:2020-12-13
  • 录用日期:2021-07-23
  • 在线发布日期:
  • 出版日期: