[1]潘 悦.磁共振弥散加权成像在胰腺良恶性肿块诊断中的应用价值[J].医学信息,2021,34(10):176-178.[doi:10.3969/j.issn.1006-1959.2021.10.052]
　PAN Yue.Application Value of MRI Diffusion Weighted Imaging in the Diagnosis of Benign and Malignant Pancreatic Masses[J].Medical Information,2021,34(10):176-178.[doi:10.3969/j.issn.1006-1959.2021.10.052]
点击复制

磁共振弥散加权成像在胰腺良恶性肿块诊断中的应用价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年10期
页码:
176-178
栏目:
诊疗技术
出版日期:
2021-05-15

文章信息/Info

Title:
Application Value of MRI Diffusion Weighted Imaging in the Diagnosis of Benign and Malignant Pancreatic Masses
文章编号:
1006-1959（2021）10-0176-03
作者:
潘 悦
（佳木斯大学宏大医院磁共振室，黑龙江 佳木斯 154000）
Author(s):
PAN Yue
(Magnetic Resonance Room,Hongda Hospital,Jiamusi University,Jiamusi 154000,Heilongjiang,China)
关键词:
磁共振弥散加权成像; 胰腺肿块; 良恶性诊断
Keywords:
MRI diffusion weighted imaging; Pancreatic mass; Diagnosis of benign and malignant
分类号:
R735.9；R445.2
DOI:
10.3969/j.issn.1006-1959.2021.10.052
文献标志码:
A
摘要:
目的 探讨磁共振弥散加权成像（DWI）在胰腺良恶性肿块诊断中的应用价值。方法 收集我院2017年6月~2020年3月收治的64例疑似胰腺病变患者作为研究对象，患者均行DWI诊断，以b超检查为标准，比较不同b值差下（500 s/mm2及1000 s/mm2）胰腺正常人群、胰腺良性肿块及恶性肿块患者ADC值以及b值差为1200 s/mm2时胰腺良性肿块及恶性肿块的平均ADC值。结果 64例疑似胰腺病变患者中，胰腺正常18例，占28.13%；胰腺良性肿块23例，占35.94%；胰腺恶性肿块23例，占35.94%；b值差为500 s/mm2及1000 s/mm2时，胰腺恶性肿块的ADC值高于良性肿块及胰腺正常人群，胰腺良性肿块的ADC值高于胰腺正常人群，差异有统计学意义（P＜0.05）；b值差为1200 s/mm2时，胰腺恶性肿块直径较良性肿块长，ADC值高于良性肿块，差异有统计学意义（P＜0.05）。结论 DWI对于胰腺良恶性肿块的鉴别诊断具有高度的敏感性，有助于胰腺恶性肿块的检出，具有一定临床应用价值。
Abstract:
Objective To explore the application value of MRI diffusion weighted imaging (DWI) in the diagnosis of benign and malignant pancreatic masses.Methods A total of 64 patients with suspected pancreatic disease admitted to our hospital from June 2017 to March 2020 were collected as research objects.All patients were diagnosed by DWI, with b-ultrasound as the standard,compare the ADC values of patients with normal pancreas, benign and malignant pancreatic tumors under different b-value differences (500 s/mm2 and 1000 s/mm2), and the average ADC values of pancreatic benign and malignant pancreatic tumors when the b-value difference was 1200 s/mm2.Results Among 64 patients with suspected pancreatic disease, 18 had normal pancreas, accounting for 28.13%; 23 had benign pancreatic mass, accounting for 35.94%;23 cases of pancreatic malignant masses, accounting for 35.94%;When the difference in b value was 500 s/mm2 and 1000 s/mm2, the ADC value of pancreatic malignant tumors was higher than that of benign tumors and normal pancreas, and the ADC value of benign pancreatic tumors was higher than that of normal pancreas, the difference was statistically significant (P＜0.05);When the difference in b value was 1200 s/mm2, the diameter of pancreatic malignant tumors was longer than that of benign tumors, and the ADC value was higher than that of benign tumors,the difference was statistically significant (P＜0.05).Conclusion DWI is highly sensitive in the differential diagnosis of benign and malignant pancreatic tumors, which is helpful for the detection of malignant pancreatic tumors and has certain clinical application value.

参考文献/References:

[1]郝利国,荣玮,白连杰,等.磁共振弥散加权成像在家兔胰腺占位模型评价中的应用价值[J].中国老年学,2018,38(20):5065-5067.[2]韩高飞,卫一宾,张炽,等.磁共振弥散加权成像联合CT检测在急性胰腺炎中的诊断价值研究[J].中国医学装备,2019,16(1):67-70.[3]梁海昱,李洪义,高丹,等.3.0T磁共振扩散加权成像在乳腺癌诊断及病理分型中的应用价值[J].中华消化病与影像杂志(电子版),2020,10(5):201-205.[4]陈传新,马岩,梁彦中,等.不同b值磁共振弥散加权像对胰腺癌与局灶性胰腺炎的鉴别诊断[J].中国CT和MRI杂志,2020,128(6):104-107.[5]丁旭.腹部磁共振弥散加权成像(DWI)技术在对肝脏良,恶性肿瘤鉴别中的应用价值[J].影像研究与医学应用,2020,4(7):87-88.[6]曹晓轩.腹部磁共振弥散加权成像技术在对肝脏良恶性肿瘤鉴别中的应用[J].当代医学,2019,25(3):145-146.[7]黄武斌.磁共振弥散加权成像在卵巢囊实性良恶性肿瘤鉴别诊断中的应用[J].现代医用影像学,2019,28(6):1325-1326.[8]李晓青,文明,路彦斌,等.腹部磁共振弥散加权成像(DWI)技术在对肝脏良、恶性肿瘤鉴别中的应用价值分析[J].影像研究与医学应用,2019(6):96-97.[9]邱永娟,冯峰.联合应用磁共振动态增强及弥散加权成像对乳腺良恶性病变的诊断价值[J].影像研究与医学应用,2018,2(18):146-147.[10]刘建航,刘昊,陈道云,等.磁共振弥散张量成像技术在临床疾病诊治过程中更多的优势和价值[J].中国组织工程研究,2019,23(8):1241-1247.[11]张澍杰,饶圣祥,曾蒙苏,等.扩散加权成像对胰腺黏液性囊性肿瘤良恶性的鉴别诊断价值[J].中国临床医学,2018,25(1):48-51.[12]李军苗,杨登法,华浅近,等.1.5TMRI成像单指数模型及体素内不相干运动诊断胰腺癌的应用价值[J].浙江临床医学,2019,21(1):4-6.[13]何伟,陈云,赵亮,等.能谱CT及MR弥散加权成像对胰腺囊性肿瘤的临床应用研究[J].影像研究与医学应用,2020,4(19):19-20.[14]严诚,倪小艳,姚秀忠,等.自由呼吸弥散加权磁共振成像在自身免疫性胰腺炎与胰腺癌诊断中的应用分析[J].外科理论与实践,2019,24(3):230-235.[15]朱来军,张传好.磁共振弥散加权成像在胰腺良恶性肿块诊断中的应用价值[J].医学影像学杂志,2015(9):1698-1701.

相似文献/References:

[1]王 浩.DWI对超急性期脑梗塞的诊断价值[J].医学信息,2020,33(14):172.[doi:10.3969/j.issn.1006-1959.2020.14.057]
　WANG Hao.The Diagnostic Value of DWI in Hyperacute Cerebral Infarction[J].Medical Information,2020,33(10):172.[doi:10.3969/j.issn.1006-1959.2020.14.057]

更新日期/Last Update: 1900-01-01