摘要
目的 对我院收治的1例结直肠癌患者术前使用多层螺旋CT联合MRI诊断判断患者分期中的应用效果。方法 观察了1例患者通过多层螺旋CT联合MRI的影像学检查协助发现和诊断结直肠癌。结果 对此例患者采取多层螺旋CT联合MRI诊断,能够提高T分期诊断正确率及灵敏度、特异度。同时也能够提供更加全面和准确的影像学信息。结论 针对于结直肠癌患者而言,通过多层螺旋CT与MRI联合诊断的方式,可以掌握患者的疾病分期,掌握患者的疾病诊断,为患者提供更为全面且准确度较高的影像学内容,使得结直肠癌诊断的准确率以及特异度得到提升,整体收到的效果更佳,适合广泛推广及应用。
关键词: 多层螺旋CT;MRI;结直肠癌;术前诊断;分期;应用价值
Abstract
Objective To investigate the application effect of multi-slice spiral CT combined with MRI in the diagnosis and staging of a patient with colorectal cancer admitted to our hospital before surgery. Methods A patient was observed to be assisted in the discovery and diagnosis of colorectal cancer by multi-slice spiral CT combined with MRI imaging examination. Results Multi-slice spiral CT combined with MRI diagnosis for this patient can improve the accuracy, sensitivity and specificity of T staging diagnosis. At the same time, it can also provide more comprehensive and accurate imaging information. Conclusion For patients with colorectal cancer, the combined diagnosis of multi-slice spiral CT and MRI can grasp the disease staging and diagnosis of the patient, provide patients with more comprehensive and accurate imaging content, improve the accuracy and specificity of colorectal cancer diagnosis, and achieve better overall results, which is suitable for wide promotion and application.
Key words: Multi-slice spiral CT; MRI; Colorectal cancer; Preoperative diagnosis; Staging; Application value
参考文献 References
[1] 肖栋,韩拓,翟超,等 .MRI联合MSCT 检查对结直肠癌术前T、N 分期诊断价值研究[J].中国CT和MRI杂志,2020, 18(10):135-137.
[2] 王振,高星,王金勇.多层螺旋 CT 显像对结直肠癌术后再分期、区域淋巴结转移及疗效的评估价值[J].实用癌症杂志,2022,37(7):1125-1127,1139.
[3] 颜俏燕,丁士申,陈刚,等.低剂量多层螺旋CT结肠成像联合iDose4 迭代重建技术在结直肠癌N分期中的应用[J].广西医学,2021,43(1):116-118.
[4] 张萌,廖新华,吕铁升,等 .64 排MSCT检查对结直肠癌术前T分期诊断价值研究[J].中国 CT 和 MRI 杂志,2020, 18(7) : 131-132,150.
[5] 方磊,郭磊,周思桦 .MSCT 术前诊断结直肠癌及 TNM 分期评估价值[J].湖南师范大学学报(医学版),2020, 17(3) :123-127.
[6] 张姣,陈志仁,梁妍,等.PET-MRI检查技术在结直肠癌诊断中的应用进展[J].中国实验诊断学,2021,25(1):134-136.
[7] 金之涵 .256 排MSCT与MRI 在结直肠癌术前T分期诊断中的价值研究[J].全科医学临床与教育,2021,19(8) : 715-717,721.
[8] 张正杰,程云章,黄陈.影像组学在结直肠癌诊疗中的应用及研究进展[J].生物医学工程研究,2023,42(1):96-99.
[9] 余丽惠,黄伟俊,简国亮,等.超声双重造影在结直肠癌术前T3与T4分期诊断中的应用价值[J].中国超声医学杂志, 2023, 39(1):70-73.
[10] 覃秘,刘满荣,龚莫锋,等 .CT 能谱成像在结直肠癌术前 N 分期评估中的价值[J]. 中国临床医学影像杂志, 2023, 34(6) :419- 422,432.