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

来源期刊：广州医药 | 16-23 发布时间：2023-12-12 收稿时间：2025/11/13 18:29:03 阅读量：14

作者：: 刘国顺,

李雯曦,

刘晶,

谢安明,

黎蕾,

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; primary high- T1 signal septa sinonasal melanoma multi-parametric MRI

DOI：: 10.3969/j.issn.1000-8535.2023.11.003

收稿时间：: 2023-05-25
修订日期：
接收日期：
引用总数：: 0

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。

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