摘要
目的分析多层螺旋CT(MSCT)与磁共振(MRI)动态增强扫描在胰腺囊性病变诊断中的应用价值。方法选取2023年1月至2024年5月安阳市人民医院收治的100例胰腺囊性病变患者作为研究对象,均接受MSCT及MRI动态增强扫描检查。以术后病理检查结果作为“金标准”,统计MSCT、MRI检查结果与病理检查结果的差异,计算两种检查方法的灵敏度、特异度、准确度,并比较两种检查方式的检查时间及影像学特点。结果术后病理检查结果显示,100例胰腺囊性病变患者中非肿瘤性囊肿患者占35.00%,囊性肿瘤患者占65.00%;其中非肿瘤性囊肿假性囊肿的男性患者多于女性患者,囊性肿瘤导管内乳头状黏液性肿瘤的男性患者多于女性患者,囊性肿瘤黏液性囊性肿瘤、实性假乳头状瘤的女性患者多于男性患者。以术后病理检查结果作为“金标准”,MSCT检查的灵敏度为87.69%(57/65)、特异度为80.00%(28/35)、准确度为85.00%(85/100),MRI检查的灵敏度为80.00%(52/65)、特异度为97.14%(34/35)、准确度为86.00%(86/100)。MSCT的检查时间明显比MRI短(P<0.05)。MSCT与MRI检查在囊变分房、钙化方面存在显著性差异(P<0.05)。结论MSCT及MRI动态增强扫描均能较为准确地诊断胰腺囊性病变,MSCT检查时间更短,而MRI特异性更强。
Objective To analyze the application value of multi-slice spiral CT(MSCT)and magnetic resonance imaging(MRI)dynamic enhanced scanning in the diagnosis of pancreatic cystic lesions.Methods 100 patients with pancreatic cystic lesions admitted to Anyang People's Hospital from January 2023 to May 2024 were selected as the research subjects,and all of them underwent MSCT and MRI dynamic enhanced scanning examinations.Using postoperative pathological examination results as the"gold standard",the differences of MSCT and MRI examination results with pathological examination results were counted,the sensitivity,specificity,and accuracy of the two examination methods were calculated,and the examination time and imaging characteristics of the two examination methods were compared.Results The postoperative pathological examination results showed that among 100 patients with pancreatic cystic lesions,non-tumor cyst patients accounted for 35.00%,while cystic tumor patients accounted for 65.00%;Among them,there were more male patients with pseudocysts of non-tumor cysts than female patients,more male patients with intraductal papillary mucinous neoplasm of cystic tumors than female patients,and more female patients with mucinous cystic tumor and solid pseudopapillary tumor of cystic tumors than male patients.Using postoperative pathological examination results as the"gold standard",the sensitivity,specificity,and accuracy of MSCT examination were 887.69%(57/65),80.00%(28/35),and 85.00%(85/100),respectively,and the sensitivity,specificity,and accuracy of MRI examination were 80.00%(52/65),97.14%(34/35),and 86.00%(86/100),respectively.The examination time of MSCTwas significantly shorter than that of MRI(P<0.05).There were significant differences between MSCT and MRI examinations in terms of septated cystic changes and calcification(P<0.05).Conclusions Both MSCT and MRI dynamic enhanced scanning can accurately diagnose pancreatic cystic lesions.MSCT has a shorter examination time,while MRI provides higher specificity.
作者
张彬
张尧
孔世杰
ZHANG Bin;ZHANG Yao;KONG Shijie(Department of Radiology,Anyang People's Hospital,Anyang 455000,China;Department of Ultrasound,Yellow River Sanmenxia Hospital,Sanmenxia 472000,China)
出处
《临床医学工程》
2025年第5期559-563,共5页
Clinical Medicine & Engineering
基金
三门峡市二〇二一年科技发展计划项目(项目编号:2021004003)。
关键词
多层螺旋CT
核磁共振动态增强扫描
胰腺囊性病变
诊断效能
影像学特点
Multi-slice spiral CT
Magnetic resonance imaging dynamic enhanced scanning
Pancreatic cystic lesion
Diagnostic efficacy
Imagingcharacteristics
