合成磁共振成像在直肠癌术前评估中的价值_邵建国.pdf

1、 2022 27 12 Modern Interventi onalDi agnos i sand Treatm enti n G as troenterol ogy 2022，V ol 27，No 12 1597 J 2019 23 12 2081-2085 23 1 J 2019 30 16 2886 2928 24 Ignee A CuiX Schues s l er G etal P ercutaneoustrans hepati cchol angi ography and drai nageus i ng extravas cul arcontras tenhancedul tra

2、s ound J Z G as troenterol 2015 53 5 385-90 25 J 2021 27 10 789-792 2022-10-08【】。2020 6 2022 6 78 3.0 TM I T1WI T2WI、T2WI DWI M I。M I T1、T2、P D ADC。T、N、EM V I、C M T1、T2、P D ADC。T1、T2、P D ADC T、EM V I C M P 0.05 N1 N2 T2 P D N0 T2 P D P 0.05 T1 ADC P 0.05。OC T2、P D T2+P D N AUC。T2 P D N。【】445 574 A D

3、OI 10 3969/j i s s n 1672 2159 2022 12 024 235000 E-m ai l 18156156937 163 com AH WJ2021b147 2020 2020 H K03 1。TNM、extram uralvenousi nvas i on EM V I、ci rcum ferenti al res ecti on m argi n C M 2 3。T1 2N0 neoadj uvantchem oradi otherapy NC T T3 T4 T1 2N1 2 4。CT M I 5 M I。M I m ul ti dynam i cm ul t

4、i echo M DM E M I M I l ongi tudi nalrel axati onti m e T1、trans vers e rel axati on ti m e T2 proton dens i ty P D 6。M I 7 8、9、10 M I 11。M I。M I。1 1 1 2020 6 2022 6 78 18 M I。1598 2022 27 12 Modern Interventi onalDi agnos i sand Treatm enti n G as troenterol ogy 2022，V ol 27，No 12、M I M I。1 2 1 M I

5、 3 0 T M I Si gnaP i oneer G E H eal thcare 32。M I T1WI T2WI、T2WI di ffus i on w ei ghtedi m agi ng DWI M I。1。M I FSE M DM E 16.2/89.4 m s 4 32。M DM E M I Li nk pi ng Sw eden 10 T1、T2 P D DWI ADC。1 M I T1WI T2WI T2WI T2WIDWI b 0 800 s/m m2 M I/m s 478/9 9 3163/75 4 2233/85 7 2719/85 4000/59 5 4000/1

6、6 2/89 4 m m 5 5 3 3 5 5 m m 1 1 0 5 1 1 1 cm 38 38 0 5 20 38 38 384 288 384 384 320 320 320 288 128 128 320 256 2 2 2 5 1 6 1 m i n s 2 03 2 13 1 57 1 52 1 48 4 32 DICOM 2 M I。3 M I。T2WI OI T1 P D。ADC OI T2WI。“DISTANCE”12、T、C M EM V I。M I T1 2 T3 4、N0 N1 2、EM V I EM V I、C M C M、T1、T2、P D ADC。1 3 SP

7、 SS20.0 t M ann-Whi tney U OC AUC、P 0.05。2 2 1 78 43 35 55 78 63.4 7.6 2.54 10.55ng/m L 5.03 ng/m L。M I T1 2 20 T3 4 58 N0 26 N1 2 52 EM V I 20 EM V I 58 C M 22 C M 56 18 60 NC T 50 NC T 28。2 2 T1、T2、P D ADC T1、T2、P D ADC T、EM V I C M P 0.05。N1 N2 T2 P D N0 T2 P D P 0.05 T1 ADC P 0.05。2。2 3 T2 P D N

8、 OC T2、P D T2+P D N N0=0 N1 2=1=0=1 OC。T2、P D T2+P D N AUC。3 1。3 2 66 T3N2 EM V I C M。A、B C M I T1、T2 P D D DWI T1=1335m s、T2=80 m s、P D=77pu ADC=1308 10 6m m2/s。3 70 T2N0 EM V I C M。A、B C M I T1、T2 P D D DWI T1=1344 m s、T2=74 m s、P D=72pu ADC=1269 10 6m m2/s。4 13。2022 27 12 Modern Interventi onalDi

9、 agnos i sand Treatm enti n G as troenterol ogy 2022，V ol 27，No 12 1599 2 T1、T2、P D ADC T1 m s T2 m s P D pu ADC 10 6m m2/s T1 2 20 1336 1256 1478 84 56 5 69 80 75 82 1313 1156 1402 T3 4 58 1342 1250 1485 83 34 5 02 79 76 80 1278 1143 1386 Z/t 0 569 0 859 0 542 0 855P 0 647 0 426 0 626 0 342N0 26 13

10、66 1246 1486 87 03 6 12 81 77 83 1295 1134 1369 N1 2 52 1352 1234 1469 83 41 4 69 76 73 80 1275 1136 1352 Z/t 0 895 6 325 5 426 0 564P 0 323 0 001 0 005 0 623 EM V I 58 1344 1259 1485 83 46 4 96 75 72 79 1269 1142 1385 EM V I 20 1359 1267 1496 84 19 5 12 76 73 80 1277 1155 1414 Z/t 0 754 0 569 0 423

11、 0 956P 0 426 0 502 0 659 0 242 C M 56 1349 1256 1492 83 69 3 67 77 74 83 1276 1145 1423 C M 22 1337 1241 1486 84 57 4 95 78 75 82 1264 1133 1401 Z/t 0 963 0 795 0 756 0 954P 0 342 0 324 0 423 0 243 60 1349 1242 1499 84 59 5 66 80 75 83 1243 1140 1356 18 1326 1226 1475 81 74 4 48 77 74 79 1252 1145

12、1378 Z/t 0 996 5 856 5 234 0 658P 0 124 0 001 0 010 0 375 3 T2 P D N OC AUC 95%CI P%N T2 m s 0 776 0 702 0 835 0 001 72 5 77 6 85 11P D pu 0 701 0 654 0 789 0 005 78 8 56 4 78T2+P D 0 833 0 758 0 886 0 001 72 3 90 6 T2 m s 0 689 0 610 0 743 0 009 61 2 65 6 82 96P D pu 0 712 0 665 0 812 0 004 77 9 74

13、 8 79T2+P D 0 799 0 745 0 876 0 001 76 4 82 3 1 T2 P D N OC 2 T3N2 EM V I 1600 2022 27 12 Modern Interventi onalDi agnos i sand Treatm enti n G as troenterol ogy 2022，V ol 27，No 12 3 T2N0 EM V I M I DWI、14、15 16。ADC、17 18。、M I。T2 T2。T2。T2WI、DWI M I、。M I。、。M I T1、T2 P D ADC N1 N2 T2 P D N0 T2 P D P 0

14、.05。、TNM。T2 P D。M I T1、T2 P D。T2 P D。、T2 P D 19 20。T2、21 22。T2 P D。DWI ADC 23 24。25 26。、。T2 P D。OC T2、P D T2+P D N AUC、。Zhao L 27 T2WI SN、CN、P 0.05。T2WI T2WI T EM V I P 0.05。T2 AUC=0.854=90.0%=71.4%=80.3%。T2WI EM V I。CaiQ 28 M I M I ADC。M I。、M I OI 29 30 M I。T2 P D N。1 Sung H Ferl ay J Si egel L et

15、al G l obal Cancer Stati s ti cs2020 G LOBOCAN Es ti m ates of Inci dence and M ortal i tyWorl dw i de for36Cancersi n185Countri es J CA CancerJCl i n 2021 71 12 209-249 2 Bens on AB V enook AP Al-H aw ary M M etal ectalCancer V ers i on2 2018 NCCN Cl i ni calP racti ce G ui del i nesi n Oncol ogy J

16、 JNatlCom prCancNetw 2018 16 7 874-901 3 Lu Z Wang L Xi aK etal P redi cti on of Cl i ni calP athol ogi cP rognos ti cFactorsfor ectalAdenocarci nom a V ol um etri cTextureAnal ys i sBas ed on ApparentDi ffus i on Coeffi ci entM aps J JM edSys t 2019 43 9 331 2022 27 12 Modern Interventi onalDi agno

17、s i sand Treatm enti n G as troenterol ogy 2022，V ol 27，No 12 1601 4 G l ynne-Jones Wyrw i cz L Ti retE etal ectalcancer ESM OCl i ni calP racti ce G ui del i nesfor di agnos i s treatm entand fol l ow-up J Ann Oncol 2017 28 10 22-40 5 Bhoday J Bal yas ni kovaS Wal e A etal H ow Shoul d Im agi ngDi

18、rect/Ori ent M anagem ent of ectal Cancer J Cl i n Col on ectalSurg 2017 30 15 297-312 6 M I M I J 2022 56 7 766-771 7 G ao W Zhang S G uo J et al Inves ti gati on of Syntheti c el axom etry and Di ffus i onM eas uresi ntheDi fferenti ati onof Beni gnand M al i gnant Breas t Les i onsasCom pared to

19、BI-ADS J JM agn es on Im agi ng 2021 53 16 1118-1127 8 CuiY H an S Li u M etal Di agnos i sand G radi ng of P ros tateCancer by el axati on M aps From Syntheti c M I J J M agn es on Im agi ng 2020 52 17 552-564 9 LiS Li u J Zhang F etal NovelT2 M appi ng for Eval uati ngCervi calCancer Featuresby P

20、rovi di ng Quanti tati ve T2 M apsandSyntheti cM orphol ogi cIm ages A P rel i m i nary Study J J M agn es on Im agi ng 2020 52 8 1859-1869 10 H agi w araA Warntj esM H oriM etal SyM Iof the Brai n api d Quanti fi cati on of el axati on atesand P roton Dens i ty Wi thSyntheti c M I Autom ati c Brai

21、n Segm entati on and M yel i nM eas urem ent J Inves t adi ol 2017 52 14 647-657 11 M I J 2021 55 6 609-614 12 Nougaret S ei nhol d C M i khaelH W et al The us e of M i m agi ng i n treatm entpl anni ng for pati entsw i th rectalcarci nom a have youchecked the“DISTANCE”J adi ol ogy 2013 268 123 330-

22、344 13 J 2021 12 4 1-5 29 14 ZhuL P an Z M aQ etal Di ffus i on Kurtos i sIm agi ng Study of ectalAdenocarci nom aAs s oci ated w i th H i s topathol ogi cP rognos ti cFactors P rel i m i nary Fi ndi ngs J adi ol ogy 2017 284 102 66-76 15 Lu B Yang X Xi ao X et al Intravoxel Incoherent M oti onDi ff

23、us i on-Wei ghted Im agi ng of P ri m ary ectal Carci nom a Correl ati on w i th H i s topathol ogy J M ed SciM oni t 2018 24 6 2429-2436 16 Yu X Song W G uo D et al P reoperati ve P redi cti on ofExtram uralV enousInvas i on i n ectalCancer Com pari s on of theDi agnos ti cEffi cacy of adi om i csM

24、 odel sand Quanti tati ve Dynam i cContras t-Enhanced M agneti c es onanceIm agi ng J FrontOncol 2020 10 1 459 17 ADC nADC J 2021 28 24 1902-1908 18 M oux T H i l bert M H us s am i M T_2 M J 2020 43 1 114 19 ZhaoL Li ang M ShiZ etal P reoperati ve vol um etri cs yntheti cm agneti c res onance i m a

25、gi ng of the pri m ary tum or for a m oreaccurate predi cti on of l ym phnode m etas tas i si n rectalcancer J QuantIm agi ng M ed Surg 2021 11 5 1805-1816 20 Ari taY TakaharaT Yos hi daS etal Quanti tati veAs s es s m entofBone M etas tas i s i n P ros tate Cancer Us i ng Syntheti c M agneti c es o

26、nance Im agi ng J Inves t adi ol 2019 54 10 638-644 21 Ari ta Y Aki ta H Fuj i w ara H et al Syntheti c m agneti cres onance i m agi ng for pri m ary pros tate cancer eval uati on Di agnos ti c potenti al of a non-contras t-enhanced bi-param etri capproach enhanced w i th rel axom etry m eas urem en

27、ts J Eur J adi olOpen 2022 9 2 100403 22 DKI J 2021 27 6 529-533 23 Fuj i okaT M oriM Oyam a J et al Inves ti gati ng the Im ageQual i ty and Uti l i ty of Syntheti cM Ii ntheBreas t J M agn es onM ed Sci 2021 20 4 431-438 24 M I T1、T2 J 2022 13 4 89-93 25 Konar AS Shah AD P audyal et al Quanti tati

28、 ve Syntheti cM agneti c es onance Im agi ng for Brai n M etas tas es A Feas i bi l i tyStudy J Cancers Bas el 2022 14 11 2651 26 ZhaoL Li ang M Xi e L et al P redi cti on of pathol ogi calprognos ti cfactorsof rectalcancerby rel axati on m apsfrom s yntheti cm agneti cres onance i m agi ng J Eur J

29、adi ol 2021 138 5 109658 27 ZhaoL Li ang M WuP Y etal A prel i m i nary s tudy of s yntheti cm agneti cres onance i m agi ng i n rectalcancer i m agi ng q ual i ty andpreoperati ve as s es s m ent J Ins i ghtsIm agi ng 2021 12 1 120 28 CaiQ Wen Z H uang Y et al Inves ti gati on of Syntheti cM agneti

30、 c es onance Im agi ng Appl i ed i n the Eval uati on of theTum or G rade of Bl adder Cancer J J M agn es on Im agi ng 2021 54 6 1989-1997 29 Konar AS Shah AD P audyal et al Quanti tati ve Syntheti cM agneti c es onance Im agi ng for Brai n M etas tas es A Feas i bi l i tyStudy J Cancers Bas el 2022 14 11 2651 30 G aoW Yang Q LiX et al Syntheti c M I w i th q uanti tati vem appi ngsfor i denti fyi ng receptor s tatus prol i ferati on rate andm ol ecul ars ubtypesof breas tcancer J Eur J adi ol 2022 148 3 110168 2022-09-28