张继斌,沈钧康,许建铭,李晓兵,须同禄,刘仁坚,陆之安.MR弥散加权成像在前列腺良恶性病变诊断中的价值初探[J].中国医学影像技术,2004,20(11):1732~1734 |
MR弥散加权成像在前列腺良恶性病变诊断中的价值初探 |
MR diffusion-weighted imaging for differentiation of benign from malignant prostate lesions |
投稿时间:2004-04-11 |
DOI: |
中文关键词: 前列腺增生 前列腺癌 磁共振成像 弥散 |
英文关键词:Prostatic hyperplasia Prostatic cancer Magnetic resonance imaging Diffusion |
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中文摘要: |
目的 探讨MR弥散加权成像(DWI)表观弥散系数(ADCs)在前列腺病变诊断中的价值。方法 对良性前列腺增生(BPH)42例、前列腺癌(PCa)15例进行MR弥散加权成像,测算病灶表观弥散系数(ADCs)。结果 BPH组前列腺中央带增生结节与外周带的平均ADC值分别为:(1.783±0.282)×10-3mm2/ s和(2.025±0.358)×10-3mm2/ s;前列腺癌组前列腺中央带与外周带癌灶平均ADC值分别为:(1.632±0.082)×10-3mm2/ s和(0.267±0.07)×10-3mm2/ s (P<0.05)。结论 DWI对于BPH、PCa可提供定量诊断信息,反映其病理变化;ADC值是鉴别BPH与PCa的一个很有价值的参数。 |
英文摘要: |
Objective To evaluate the value of diffusion weighted imaging (DWI) of apparent diffusion coefficients (ADCs) in distinguishing benign and malignant prostate lesions. Methods Forty-two cases with benign prostate hyperplasia (BPH) and 15 cases with prostate cancer (PCa) were examined by DWI. Results The ADCs of the central gland, peripheral zone of the BPH groups was (1.783±0.282)×10-3 mm2/s, (2.025±0.358)×10-3 mm2/s, respectively, and (1.632±0.082)×10-3 mm2/s, (0.267±0.07)×10-3 mm2/s in the prostate cancer groups, respectively. The average ADCs of peripheral zone in the prostate cancer were significantly lower than that of the BPH (P<0.05). Conclusion DWI can give quantitative information for pathological changes in BPH and PCa. ADCs are effective parameters in distinguishing malignant and benign prostate lesions. |
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