摘要
子宫肉瘤与子宫肌瘤的治疗方案和预后管理完全不同,对两者的鉴别诊断至关重要。MRI是诊断子宫肿瘤的重要影像方法,尤其是扩散加权成像(DWI)、扩散张量成像(DTI)、扩散峰度成像(DKI)、灌注加权成像(PWI)、MR波谱成像(MRS)、增强梯度回波T2*加权血管成像(ESWAN)等功能MRI及影像组学,在子宫良恶性肿瘤鉴别、病理分型分级和分子变化等方面可以进行量化分析,从而提供更多有价值的信息。就MRI在鉴别子宫肉瘤和子宫肌瘤中的应用进展作一综述。
It is of great importance to differentiate uterine sarcoma(US) from uterine leiomyoma(ULM) because of the totally different treatment and prognosis. MRI is a crucial imaging method for the diagnosis of uterine tumors, especially diffusion weighted imaging(DWI), diffusion tensor imaging(DTI), diffusion kurtosis imaging(DKI), perfusion weighted imaging(PWI), MR spectroscopy(MRS), enhanced gradient echo T2* weighted angiography(ESWAN) and other functional MRI and radiomics. The MRI data can provide more useful information for quantitative analysis in the differentiation of benign and malignant tumors, pathological classification and grading, and evaluation of molecular changes. This article provides a review of MRI application in the differential diagnosis of US and ULM.
作者
张靓雯
王青
ZHANG Jingwen;WANG Qing(Department of Radiology,Qilu Hospital,Shandong University,Jinan 250012,China)
出处
《国际医学放射学杂志》
北大核心
2023年第1期80-83,89,共5页
International Journal of Medical Radiology
基金
山东省自然科学基金(ZR2019MH049)。
关键词
磁共振成像
子宫肉瘤
子宫肌瘤
功能成像
影像组学
Magnetic resonance imaging
Uterine sarcoma
Uterine leiomyoma
Functional imaging
Radiomics
