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• Clinical Article •
The diagnosis values of CT and MR imaging index for pelvic lymph node metastasis
JIANG Lin  ZHANG Xu-hui 

DOI:10.12015/issn.1674-8034.2016.11.011.


[Abstract] Objective: To investigate the diagnosis values of CT and MR imaging index for pelvic lymph node metastasis.Materials and Methods: From September 2011 to February 2015, selected 56 cervical cancer diagnosed patients in Fangxian people's hospital department of oncology, all patients were performed CT and MR imaging detection and contrast, and pathological analysis was performed.Results: In the 56 patients, clinical judgment of lymph node metastasis were 38 patients, the metastasis was 67.9%. CT analysis showed that patients with lymph node metastasis of lymph nodes as the prototype, the central necrosis, and more with the presence of extracapsular invasion, and the size of lymph nodes were significantly higher than that of patients without lymph node metastasis (P<0.05). MRI DWI images showed ADC in patients with lymph node metastasis were significantly lower than in patients without lymph node metastasis (P<0.05), but the eADC were significantly higher (P<0.05). And compared to the pathologic findings, the sensitivity of CT and MRI in the diagnosis of lymph node metastasis were 97.4% and 100.0%, specificity were all 100%, there was no statistically significant difference between the two groups (P>0.05).Conclusions: The cervical lymph node metastasis in clinical is relatively common that can lead to changes in MR imaging parameters and CT image, CT and MR imaging index for pelvic lymph node metastasis are very sensitive and specific detections that worth popularizing in clinic.
[Keywords] Lymphatic metastasis；Lymph nodes；Pelvic neoplasms；Magnetic resonance imaging；Tomography scanners, X-Ray computed

JIANG Lin MR, CT room, Fangxian People's Hospital, Shiyan City, Hubei Province, Shiyan 442100, China

ZHANG Xu-hui* Department of Radiology, Dongfeng Hospital Affiliated to Hubei Medical College, Shiyan 442008, China

*Correspondence to: zhang XH, E-mail: zhangxuhui91@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  Science and technology research project of Shiyan City No. 14Y52
Received  2016-05-19
Accepted  2016-10-08
DOI: 10.12015/issn.1674-8034.2016.11.011
DOI:10.12015/issn.1674-8034.2016.11.011.

[1]
喻晴，楼向明. ⅠB和ⅡA期宫颈癌患者术后生存评估体系建立与分析.浙江临床医学, 2015, 3(21): 401-402.
[2]
岳慧敏，薛秀华，张萍.宫颈癌神经侵袭与其预后的相关性分析.中华临床医师杂志(电子版), 2015, 5(12): 731-734.
[3]
Thaker NG, Klopp AH, Jhingran A, et al. Survival outcomes for patients with stage IVB vulvar cancer with grossly positive pelvic lymph nodes: time to reconsider the FIGO staging system? Gynecol Oncol, 2015, 136(2): 269-273.
[4]
李烁，薛华丹，金征宇.磁共振扩散加权成像用于动物模型淋巴结病变的实验研究.临床放射学杂志, 2008, 27(7): 952-956.
[5]
曾洪武，王培军.磁共振扩散加权与弥散张量成像原理分析及比较.中国医学影像技术, 2005, 21(12): 945-1947.
[6]
Zygouris D, Kotsopoulos IC, Chalvatzas N, et al. Laparoscopic para-aortic and pelvic lymphadenectomy and radical hysterectomy in a patient with cervical cancer, six months after primary chemoradiation. Eur J Gynaecol Oncol, 2013, 34(5): 484-486.
[7]
田金徽，李金龙，葛龙,等. PET/CT对宫颈癌淋巴结转移诊断价值的Meta分析.肿瘤防治研究, 2015, 42(3): 270-276.
[8]
张勇.多层螺旋CT诊断宫颈癌淋巴结转移的价值.中国现代药物应用, 2015, 1(22): 64-65.
[9]
Miccò M, Vargas HA, Burger IA, et al. Combined pre-treatment MRI and 18F-FDG PET/CT parameters as prognostic biomarkers in patients with cervical cancer. Eur J Radiol, 2014, 83(7): 1169-1176.
[10]
李治群，高金鸟. MRI术前诊断宫颈癌宫旁浸润和淋巴结转移中的价值研究.中国妇幼保健, 2015, 30(4): 632-634.
[11]
廖秋玲，赵继泉，朱新进,等.宫颈癌的功能磁共振成像研究现状.实用医学杂志, 2015, 8(12): 1360-1362.
[12]
Vag T, Heck MM, Beer AJ, et al. Preoperative lymph node staging in patients with primary prostate cancer: comparison and correlation of quantitative imaging parameters in diffusion-weighted imaging and 11C-choline PET/CT. Eur Radiol, 2014, 24(8): 1821-1826.
[13]
刘红宇，生启芳，裘华敏,等. 50例宫颈癌术前MRI诊断与分期.中国现代医生, 2014, 52(15): 47-49.
[14]
黄叶才，漆云翔，任静,等.磁共振成像对宫颈癌小淋巴结转移的诊断价值和对放射治疗靶区设计的影响.肿瘤防治研究, 2014, 41(8): 920-924.
[15]
Lin G, Chen CY, Liu FY, et al. Computed tomography, magnetic resonance imaging and FDG positron emission tomography in the management of vulvar malignancies. Eur Radiol, 2015, 25(5): 1267-1278.
[16]
张洁，任翠，薛华丹,等.弥散加权成像对宫颈癌淋巴结转移的诊断价值.中国医学科学院学报, 2014, 36(1): 73-78.
[17]
叶芬.磁共振间接淋巴造影在宫颈癌淋巴结转移诊断的价值.中国医学装备, 2015, 3(21): 76-77.
[18]
王海波. CT在宫颈癌初诊及随访患者中的临床应用价值.延边医学, 2015, 3(12): 88-90.

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