3.0t核磁共振动态增强扫描及弥散加权成像在进展期胃癌m分期评估中的临床应用

《3.0t核磁共振动态增强扫描及弥散加权成像在进展期胃癌m分期评估中的临床应用》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号08010010010HebeiMedicalUniversity硕士学位论文专业学位3.0T核磁共振动态增强扫描及弥散加权成像在进展期胃癌M分期评估中的临床应用研究生：谷霄龙导师：赵群教授李勇教授专业：外科学二级学院：第四医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研宄成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关

2、的论文，第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。年J月乂曰河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研宄成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人己经发表或撰写的研宄成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。rp>研宄生签名：导师签章/f年/月曰目录中文摘要·························································

3、········································1英文摘要·································································································3研究论文3.0T核磁共振动态增强扫描及弥散加权成像在进展期胃癌M分期评估中的临床应用前言········································································

4、··························6材料与方法·······················································································7结果································································································9附图······································

5、·························································10附表·······························································································14讨论·······························································································15结论

6、·······························································································18参考文献························································································18综述胃癌的分期评估及核磁共振分期的临床应用····································21致谢·······

7、·······························································································33个人简历·····························································································34中文摘要3.0T核磁共振动态增强扫描及弥散加权成像在进展期胃癌M分期评估中的临床应用摘要目的：胃癌是困扰人类的难题疾病之一。准

8、确进行胃癌术前分期对于手术科室选取恰当的治疗方案具有决定性影响。目前临床上，四期胃癌患者的比例被严重低估，术前影像学评估中精确筛查避免胃癌远处转移（M1）的无谓探查则显得尤其重要。临床上应用MSCT评价胃癌术前分期已广泛应用。但评价诸如D3站淋巴结转移、肝转移、腹膜种植转移等M1的问题MSCT的准确性尚不令人满意。腹腔镜探查虽然能一定程度上进行腹膜种植转移评估，但对于其它