MSCT影像特征对胃肠道间质瘤危险度的预测价值

doi:10.13491/j.issn.1004-714X.2021.04.021

中国辐射卫生

2021, Vol. 30

Issue (4): 496-500 DOI: 10.13491/j.issn.1004-714X.2021.04.021

诊断与治疗/论著

本期目录 | 过刊浏览 | 高级检索

MSCT影像特征对胃肠道间质瘤危险度的预测价值

陈允志^1,2, 李文武¹

1. 山东省肿瘤防治研究院（山东省肿瘤医院），山东第一医科大学（山东省医学科学院），山东济南 250117;
2. 济宁市第一人民医院放射科，山东济宁 272002

The predictive value of MSCT imaging features on the pathological risk of gastrointestinal stromal tumors

CHEN Yunzhi^1,2, LI Wenwu¹

1. Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Ji'nan 250117 China;
2. Department of Radiology, Jining NO.1 People’s Hospital,Jining 272002 China

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摘要目的探讨MSCT影像特征对胃肠道间质瘤（GISTs）病理危险度的预测价值。方法回顾性分析120例经手术、病理及免疫组化证实的GISTs患者的MSCT表现，分析肿瘤的发病年龄、部位、肿瘤最大径、形态、生长方式、囊变坏死、有无钙化、瘤周脂肪间隙、强化方式、瘤周或瘤内血管、强化峰值所在期、有无转移以及Ki-67增殖指数与病理危险程度分级之间关系。结果 120例病例中分别有极低度和低度危险55例，中度危险28例，高度危险37例。不同危险程度GISTs在病变的部位、肿瘤最大径、形态、生长方式、囊变坏死、瘤周脂肪间隙、强化方式、瘤周或瘤内血管以及强化峰值所在期方面均有统计学差异（P < 0.05）；Ki-67增殖指数方面有统计学差异（P < 0.05）。而不同危险度的GISTs在病变有无钙化及CT平扫、增强扫描（三期）CT值、强化峰值、Ap、Vp、Dp方面无统计学差异（P > 0.05）。结论不同危险度的GISTs的多层螺旋CT（MSCT）表现存在差异，且与病理危险程度分级具有密切关系，对GISTs的诊断、临床治疗方案制订及判断预后有重要参考价值。

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	陈允志
	李文武

关键词 ：胃肠道间质肿瘤, 体层摄影术, 多层螺旋计算机, 病理学

收稿日期: 2020-12-15

PACS:

R816

通讯作者: 李文武,E-mail:Lwwzlm@outlook.com E-mail: Lwwzlm@outlook.com

作者简介: 陈允志(1986-),男,山东济宁人,主治医师,从事腹部影像诊断工作。E-mail:287091256@qq.com

引用本文:

陈允志, 李文武. MSCT影像特征对胃肠道间质瘤危险度的预测价值[J]. 中国辐射卫生, 2021, 30(4): 496-500.
CHEN Yunzhi, LI Wenwu. The predictive value of MSCT imaging features on the pathological risk of gastrointestinal stromal tumors. , 2021, 30(4): 496-500.

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http://www.zgfsws.com/CN/10.13491/j.issn.1004-714X.2021.04.021 或 http://www.zgfsws.com/CN/Y2021/V30/I4/496

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