【正文】
DWIBS技術(shù)在子宮卵巢惡性腫瘤方面應(yīng)用價(jià)值黃澤春 冷淥清 蔡長壽 熊偉 王敏 胡蘇兵江西中寰醫(yī)院影像科 330038 南昌【摘要】 目的:探討磁共振背景抑制彌散成像(diffusion weighted imaging with background suppression,DWIBS)技術(shù)在子宮卵巢惡性腫瘤方面的應(yīng)用價(jià)值。方法:對臨床確診的14例子宮內(nèi)膜癌, 32例宮頸癌,5例卵巢癌,1例陰道癌患者進(jìn)行MRI常規(guī)及DWIBS檢查,經(jīng)3D容積與MIP重建,進(jìn)行影像與臨床對比分析。結(jié)果:根據(jù)FIGO外科分期,Ⅰ期25例、Ⅱ期15例、Ⅲ期10例、Ⅳ期7例、術(shù)后復(fù)發(fā)轉(zhuǎn)移4例、術(shù)后正常1例。48例患者原發(fā)和轉(zhuǎn)移病灶在DWIBS圖像上表現(xiàn)為高亮或高信號(hào),1例子宮內(nèi)膜癌Ⅰa期、2例宮頸癌Ⅰa期及1例宮頸癌術(shù)后患者病灶在DWIBS圖像上顯示為正常。結(jié)論: 除子宮內(nèi)膜癌及宮頸癌Ⅰa期病變外,結(jié)合MRI平掃與DWIBS圖像能清楚顯示病灶及其侵犯和轉(zhuǎn)移情況,對子宮與卵巢病變的術(shù)前分期及療效評(píng)估有較大的價(jià)值?!娟P(guān)鍵詞】 DWIBS。 子宮卵巢惡性腫瘤。 分期和療效 [Abstract] Objective To search the valuation of diffusion weighted imaging with background suppression (DWIBS) in uteri and ovarian malign tumor. Methods 14 cases of endometrial carcinoma, 32 cases of cervical carcinoma, 5 cases of ovarian carcinoma and 1 cases of vaginal carcinoma confirmed by pathology were included. MRI general and DWIBS seque