| 许奇俊,邢振,江飞,陈金姐,林成灿,曹代荣.MRI术前分期诊断舌鳞状细胞癌[J].中国医学影像技术,2018,34(5):660~663 |
| MRI术前分期诊断舌鳞状细胞癌 |
| Preoperative MRI staging in diagnosis of tongue squamous cell carcinomas |
| 投稿时间：2017-11-09 修订日期：2018-02-05 |
| DOI：10.13929/j.1003-3289.201711056 |
| 中文关键词: 磁共振成像 舌肿瘤 肿瘤分期 |
| 英文关键词:Magnetic resonance imaging Tongue neoplasms Neoplasm staging |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨MRI在舌鳞状细胞癌（TSCC）术前分期中的价值。方法 对154例TSCC患者行MR检查，观察TSCC的MRI表现，并行T分期、N分期和美国癌症联合委员会（AJCC）分期，评价MRI与术后病理分期的一致性。结果 MRI术前诊断T1期TSCC 37例，T2期54例，T3期7例，T4期56例；N0期104例，N1期31例，N2期19例；AJCC分期中I期34例，Ⅱ期37例，Ⅲ期21例，Ⅳ期62例。术前MRI与术后病理T分期、N分期及AJCC分期一致性的Kappa值分别为0.814、0.786和0.790（P均<0.01）。术前MRI对TSCC T分期、N分期及AJCC分期的准确率分别为87.01%（134/154）、88.96%（137/154）和85.06%（131/154）。结论 MRI在TSCC术前分期与术后病理T分期、N分期及AJCC分期的一致性较好。 |
| 英文摘要: |
| Objective To observe the value of MRI in preoperative staging of tongue squamous cell carcinomas (TSCC). Methods Totally 154 patients with TSCC underwent MR scanning. MR manifestations of TSCC were analyzed, and the preoperative staging of Tumor (T), Node (N) and American Joint Committee on Cancer (AJCC) were performed. Then the consistency between preoperative MRI staging and postoperative pathology staging was evaluated. Results Preoperative MRI T staging were T1 in 37 patients, T2 in 54, T3 in 7 and T4 in 56 patients, respectively, while N staging were N0 in 104 patients, N1 in 31 and N2 in 19 patients, respectively. For AJCC staging, there were 34 patients in I stage, 37 in Ⅱ stage, 21 in Ⅲ stage and 62 in Ⅳ stage, respectively. Between preoperative MRI and postoperative pathology staging, the Kappa of T, N and AJCC staging was 0.814, 0.786 and 0.790, respectively (all P<0.01). The accuracy rate of preoperative MRI T, N and AJCC staging of TSCC was 87.01% (134/154), 88.96% (137/154) and 85.06% (131/154), respectively. Conclusion The consistency was good between preoperative MRI T, N and AJCC staging and postoperative pathology staging of TSCC. |
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