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1、中国CT和MRI杂志2010年4月第8卷第2期总第31期Theapplicationofwhole-bodymagnetic论著resonancediffusion-weightedimaginginthemalignanttumorCHENGGuo-ying,LIUChang-zhu.DepartmentofRadiology,BeijingNO.6Hospital,Beijing,100007,China磁共振全身扩散加权成像技术在恶性[Abstract]ObjectiveToevaluatethewhole-b
2、odymagneticresonancediffusion-weightedimaging(WB-DWI)inthemalignanttumoroftheapplication.Methods20肿瘤中的应用healthyindividualsand70casesofmalignanttumorpatientswerescannedbyWB-DWI.In70casesofmalignanttumorpatients,34caseswerebreastcancerpatients,,inwhich1caseforthe
3、preoperativeexaminationandtheremainingpatientswerereviewedcases;北京市第六医院放射科bloodsystemdiseasesin13cases,threecasesofmyeloidleukemia,fivecasesofnon-程国英刘长柱Hodgkin'slymphoma,multiplemyeloma5cases;8casesofovariancancer;4casesofendometrialcancer;lungcancer,colorectal
4、cancer,gastriccancerin3caseseach;prostatecancer,esophagusin1case.1caseofnon-Hodgkin'slymphomahadbeendonefor2WB-【摘要】目的评价全身磁共振扩DWIexaminations.Theprimarytumorwereconfirmedbyhistopathology,thediagnosis散加权成像（whole-bodymagneticofmetastatictumorhistopathologicalfindi
5、ngsandavarietyofintegratedimagingexami-resonancediffusion-weightednationmaybe.OfWB-DWIimages,conventionalMRimagesandCTimagesoftheframeimaging，WB-DWI）在恶性肿瘤疾病中的应用价值。方法20例健康体检lineframewerecompared.Apparentdiffusioncoefficient(ADC)valuesofnormallymph者及70例恶性肿瘤患者行WB-
6、DWI检nodesandmalignantlymphnodesweremeasuredandanalyzedstatistically.Results查。70例患者中乳癌34例，1例为WB-DWIdetectedbenignlesionsin5casesofhealthyindividuals,70casesofmalignant术前检查，其余均为术后复查病例；血液系统疾病13例，粒细胞性白血tumorpatients,excluding37caseswithoutmetastasisandthreecasesofs
7、ystemicdiffuse病3例，非何杰金氏淋巴瘤5例，多proliferationofbonemarrowislimited,the30casesofWB-DWIwerefoundinabnormal发性骨髓瘤5例；卵巢癌8例；子宫signalotherthantheprimarytumor136,inwhichtruepositive,false-positive,respec-内膜癌4例；肺癌、大肠癌、胃癌各3例；前列腺癌、食道癌各1例。其tively118and18,false-negative15,the
8、detectionratewas86.8%(118/136).Chi-square中1例非何杰金氏淋巴瘤做了2次testADCvaluesofnormallymphnodesandmalignantlymphnodes,thereweresignifi-WB-DWI检查。原发灶皆经病理组织cantdifferences(p<0.05).Conc
