多参数MRI对T1高信号间隔与非T1高信号间隔的原发性鼻腔鼻窦黑色素瘤的鉴别价值

doi:10.3969/j.issn.1000-8535.2023.11.003

广州医药 ›› 2023, Vol. 54 ›› Issue (11): 16-23.DOI: 10.3969/j.issn.1000-8535.2023.11.003

多参数MRI对T₁高信号间隔与非T₁高信号间隔的原发性鼻腔鼻窦黑色素瘤的鉴别价值

刘国顺¹, 李雯曦², 刘晶³, 谢安明⁴, 黎蕾⁴

1 广州市第一人民医院放射科（广东广州 510180）
2 广州市第一人民医院老年病科（广东广州 510180）
3 首都医科大学附属同仁医院（北京 100000）
4 中国人民解放军联勤保障部队第908医院（江西南昌 330000）

收稿日期:2023-05-25 出版日期:2023-11-20 发布日期:2023-12-12
通讯作者: 黎蕾,E-mail：12155328@qq.com
基金资助:
广州市科技计划项目（202102020711）

Value of multi-parameter MRI in differentiating primary sinonasal melanoma with high- and non-high-T₁ signal septa

LIU Guoshun¹, LI Wenxi², LIU Jing³, XIE Anming⁴, LI Lei⁴

1 Department of Radiology,Guangzhou First People's Hospital,Guangzhou 510180,China;
2 Department of Geriatrics,Guangzhou First People's Hospital,Guangzhou 510180,China;
3 Department of Radiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;
4 Department of Radiology,the 908th Hospital of Chinese PLA Joint Logistic Support Force,Nanchang 330000,China

Received:2023-05-25 Online:2023-11-20 Published:2023-12-12

摘要/Abstract

摘要： 目的探讨多参数磁共振成像对T₁高信号间隔与非T₁高信号间隔的原发性鼻腔鼻窦黑色素瘤（PSM）的鉴别价值。方法回顾性分析经病理证实的 PSM 44例,术前均接受常规,DWI 和DCE-MRI检查。通过单因素和多因素Logistic分析评估T₁高信号间隔与非T₁高信号间隔PSM各MRI参数的差异。结果 44例PSMs 中,T₁高信号间隔PSMs 25例,非T₁高信号间隔PSMs 19例。两者在多参数MRI中,仅T₂低信号间隔,ADC值、达峰时间（Tp）及最大相对增强率（MRER）在单变量分析中差异存在统计学意义（均P<0.05）,在多因素Logistic分析中差异均无统计学意义（P均>0.05）。结论多参数MRI对区分T₁高信号间隔与非T₁高信号间隔的PSM具有一定的指导价值,但并不能作为区分两者的独立预测指标。

关键词: 原发性, T₁高信号间隔, 鼻窦鼻腔, 黑色素瘤, 多参数磁共振成像

Abstract: Objective To evaluate the diagnostic value of multi-parameter MRI in differential diagnosis of primary sinonasal melanoma（PSM）with high- and non-high-T₁ signal septa．Methods Forty-four patients pathologically confirmed with PSMs underwent conventional,DWI and DCE-MRI examinations before operation．Univariate and multivariate Logistic analyses were used to evaluate the differences of MRI parameters between high- and non-high-T₁ signal septa in PSMs．Results Among 44 PSMs,25 cases had high T₁ signal septa and 19 cases had non-T₁ high signal septa．In multi-parameter MRI,only T₂ low signal septa,the value of ADC,peak time（TP）and maximum relative enhancement rate（MRER）were significantly different in univariate analysis（P<0.05）,but not in multivariate Logistic analysis（P>0.05）．Conclusions Multi-parameter MRI has some value in differentiating PSM with high-T₁and non-high-T₁ signal septa,but it can not be used as an independent predictor to distinguish them．

Key words: primary, high-T₁ signal septa, sinonasal, melanoma, multi-parametric MRI

刘国顺, 李雯曦, 刘晶, 谢安明, 黎蕾. 多参数MRI对T₁高信号间隔与非T₁高信号间隔的原发性鼻腔鼻窦黑色素瘤的鉴别价值[J]. 广州医药, 2023, 54(11): 16-23.

LIU Guoshun, LI Wenxi, LIU Jing, XIE Anming, LI Lei. Value of multi-parameter MRI in differentiating primary sinonasal melanoma with high- and non-high-T₁ signal septa[J]. Guangzhou Medical Journal, 2023, 54(11): 16-23.

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多参数MRI对T₁高信号间隔与非T₁高信号间隔的原发性鼻腔鼻窦黑色素瘤的鉴别价值

Value of multi-parameter MRI in differentiating primary sinonasal melanoma with high- and non-high-T₁ signal septa

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