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不同b值下前列腺外周带癌灶ADC值的初步定量分析
引用本文:吴建明,马周鹏,滕华英,章顺壮,朱建忠. 不同b值下前列腺外周带癌灶ADC值的初步定量分析[J]. 医学影像学杂志, 2011, 21(6): 890-893
作者姓名:吴建明  马周鹏  滕华英  章顺壮  朱建忠
作者单位:1. 温州医学院附属慈溪医院放射科,浙江慈溪,315300
2. 泰山医学院附属医院影像中心,山东泰安,271000
基金项目:浙江省慈溪市科技局项目
摘    要:目的:探讨DWI在不同b值下前列腺外周带癌灶ADC值的参考值范围。方法:对28例前列腺外周带癌(PCa)的DWI在b值分别为300、600、8001、000 s/mm2时所得前列腺外周带癌灶和正常外周带ADC值进行定量分析。结果:b值分别为300、600、800、1000s/mm2下外周带癌灶的平均ADC值分别为(1.12±0.24)×10-3、(0.95±0.19)×10-3(、0.88±0.14)×10-3(、0.81±0.17)×10-3mm2/s,外周带非癌区平均ADC值分别为(1.93±0.39)×10-3、(1.78±0.23)×10-3、(1.61±0.21)×10-3、(1.53±0.21)mm2/s,同b值下2者比较有统计学意义(P<0.05)。b值分别为300、600、8001、000 s/mm2下外周带癌灶ADC值参考范围分别为(0.63~1.61)×10-3(、0.56~1.34)×10-3(、0.59~1.17)、(0.46~1.16)×10-3mm2/s。结论:前列腺外周带癌区和非癌区ADC值随b值变化而变化,通过ADC值测量可以定量分析前列腺外周带癌,提高前列腺癌诊断的准确率。

关 键 词:前列腺癌  磁共振成像  扩散加权成像  表观扩散系数

Primary quantitative analysis of prostatic peripheral zone cancer with apparent diffusion coefficient in different b-values
WU Jian-ming,MA Zhou-peng,TENG Hua-ying,ZHANG Shun-zhuang,ZHU Jian-zhong. Primary quantitative analysis of prostatic peripheral zone cancer with apparent diffusion coefficient in different b-values[J]. Journal of Medical Imaging, 2011, 21(6): 890-893
Authors:WU Jian-ming  MA Zhou-peng  TENG Hua-ying  ZHANG Shun-zhuang  ZHU Jian-zhong
Affiliation:WU Jian-ming1,MA Zhou-peng1,TENG Hua-ying1,ZHANG Shun-zhuang1,ZHU Jian-zhong2 1.Department of Radiology,Affiliated Cixi Hospital of Wenzhou Medical College,Cixi,Zhejiang 315300,P.R.China2.Image Center of Affiliated Hospital of Taishan Medical College,Taishan,Shandong 271000,P.R.China
Abstract:Objective:To explore the ADC reference range of prostatic peripheral zone cancer in different b-values by DWI.Methods:ADC values in different b-values(300,600,800,1000 s/mm2) of peripheral zone cancer and normal peripheral zone in 28 patients with prostatic peripheral zone cancer were analysed quantitatively.Results:The average ADC value in different b-values of prostatic peripheral zone cancer was(1.12±0.24)×10^-3,(0.95±0.19)×10^-3,(0.88±0.14)×10^-3,(0.81 ±0.17)×10^-3 mm2/s respectively,it was(1.93±0.39)×10^-3,(1.78±0.23)×10^-3,(1.61±0.21)×10^-3,(1.53±0.21) mm2/s in normal peripheral zone respectively.The average ADC values in prostate cancer group were significantly 1ower than that in normal groups in same b-values(P0.05).When b-value was 300,600,800,1000 s/mm2.Respectively,the ADC reference range of prostatic peripheral zone cancer was(0.63~1.61)×10^-3,(0.56~1.34)×10^-3,(0.59~1.17),(0.46~1.16)×10^-3 mm2/s respectively.Conclusion:The average ADC value of prostatic peripheral zone cancer and normal peripheral zone vary together with different b-values,Quantitative evaluation of ADC in prostatic periphyeral zone cancer was valuable for the diagnosis.
Keywords:Prostatic carcinoma  Magnetic resonance imaging  Diffusion weighted imaging  Apparent diffusion coefficient  
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