磁共振扩散加权成像在ct导引穿刺活检中的应用研究-中华医学会.docVIP

胸部MR-DWI成像对指导肺部病变穿刺活检价值的分析 马智军 冯 强 董海霞 房 伟 张友军 王树春 潍坊医学院附属益都中心医院影像科（山东 潍坊262500） 【摘要】目的：探讨磁共振扩散加权成像（DWI）。材料与方法：中肺癌35例，良性病变17例，图像传至站后处理对照分析实性区、内部的坏死区以及病变周围的肺不张、阻塞性肺炎区域在ADC图上测量感兴趣区域（ROI），CT和鉴别肿瘤与不张、肿瘤与坏死能力的比较应用配对四格表卡方(2)检验；卡方(2)检验P＜0.05为差异有统计学意义。结果：肺癌良性病变实性区ADC均值差异有统计学意义（P＜0.05）。肺癌与平均ADC值（.994±0.399）×10-3mm2/s（0.±0.293）×10-3mm2/s（P＜0.05和肺不张、阻塞性肺炎区ADC值（.865±0.149）×10-3mm2/s（.012±0.265）×10-3mm2/s（P＜0.05。P＜0.052=5.088，P＜0.05结论：DWI关键词：The value of chest MR-DWI in the lung biopsy analysis guided by CT.MA zhi-jun,FENG qiang,DONG hai-xia,FENG wei,ZHANG you-jun,WANG shu-chun(weifang medical university affiliated yi du central hospital,qingzhou 262500,China) 【】Objective To evaluate the value of MR diffusion -weighted imaging (DWI) in the CT-guided biopsy of benign and malignant pulmonary diseases. Materials and Methods 52 cases scanned by DWI were collected in the retrospective analysis, and all patients were confirmed by CT-guided biopsy. In this patients, 35 cases were lung cancer and 17 was benign lesions. Signal intensities of DWI images and ADC values of the tumors areas of parenchymal, internal necrotic and the atelectasis areas (obstructive pneumonia area) caused by tumors were compared by t test.The assessment between CT and MRI to display tumor, necrosis and atelectasis use Chi-square (χ2) test.The secend period is testify the result including 138 suspected lung cancer,one group use the MRI-DWI scan to target, the other group use CT，Chi-square (χ2) test was used. Results DWI signal intensity and ADC of the solid region were different between lung cancer and benign lesions (t=8.236,P＜0.05）. the ADC value of parenchymal, and internal necrotic were （.994±0.399）×10-3mm2/s（0.±0.293）×10-3mm2/s（P＜0.05 parenchymal and the atelectasis areas were （.865±0.149）×10-3mm2/s（.012±0.265）×10-3mm2/s（P＜0.05DWI is superior to CT on displaying necrosis lesions and distinguis