Incremental value of morphologic features on high-resolution MRI in the diagnosis of lymph node metastasis of rectal cancer

YANG Yansong; LI Yueyue; ZHANG Yifei; ZHENG Guihua; SHEN Yuehong

doi:10.19732/j.cnki.2096-6210.2022.03.013

您当前的位置：

首页 >

文章列表页 >

Incremental value of morphologic features on high-resolution MRI in the diagnosis of lymph node metastasis of rectal cancer

更新时间：2025-12-15

- Incremental value of morphologic features on high-resolution MRI in the diagnosis of lymph node metastasis of rectal cancer
- Vol. 31, Issue 3, Pages: 296-300(2022)
- 作者机构：
  
  1. 南通市肿瘤医院影像科,江苏,南通,226361
  2. 南通市肿瘤医院病理科,江苏,南通,226361
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2022.03.013
  CLC：
- Published Online：28 June 2022，
  
  Published：28 June 2022
- 稿件说明：
移动端阅览
杨彦松,李月玥,张益飞,等. 高分辨率MRI上淋巴结形态学特征对诊断直肠癌淋巴结转移的增益价值[J]. 肿瘤影像学, 2022, 31(3): 296-300 https://doi.

org/10.19732/j.cnki.2096-6210.2022.03.013
杨彦松,李月玥,张益飞,等. 高分辨率MRI上淋巴结形态学特征对诊断直肠癌淋巴结转移的增益价值[J]. 肿瘤影像学, 2022, 31(3): 296-300 https://doi. DOI： 10.19732/j.cnki.2096-6210.2022.03.013.

org/10.19732/j.cnki.2096-6210.2022.03.013 DOI：

摘要

目的：

探讨高分辨率磁共振成像（magnetic resonance imaging，MRI）上形态学特征对诊断直肠癌淋巴结转移的增益价值。

方法：

回顾并分析2016年6月2020年12月直肠癌根治术前行高分辨率MRI的直肠癌患者155例［男性99例，女性56例；平均年龄（65.0610.17）岁］，以术后病理学检查结果为金标准，分别计算以短径5 mm、短径9 mm、尺寸结合形态学特征3个标准判断直肠癌患者有无淋巴结转移的效能，分析形态学特征对诊断直肠癌淋巴结转移的增益价值。采用

检验分析数据。

结果：

术后病理学检查结果显示60例患者存在淋巴结转移。短径5 mm诊断淋巴结转移的灵敏度、特异度、准确度分别为55.00%（33/60）、77.89%（74/95）、69.03%（107/155），短径9 mm诊断淋巴结转移的灵敏度、特异度、准确度分别为15.00%（9/60）、95.79%（91/95）、64.52%（100/155），尺寸结合形态学特征后灵敏度、准确度分别提高至73.33%（相较于短径5 mm、短径9 mm标准，

分别为4.385和41.397，

分别为0.036和0.000）、79.35%（相较于短径5 mm、短径9 mm标准，

分别为4.179和8.453，

分别为0.041和0.004），特异度为83.16%（79/95），相对于短径5 mm标准特异度差异无统计学意义（

=0.839，

=0.360），相对于短径9 mm标准特异度降低（

=8.047，

=0.005）。结合形态学特征后分别纠正短径5 mm、短径9 mm标准漏诊的淋巴结转移患者11例、35例。

结论：

高分辨率MRI上淋巴结尺寸结合形态学特征可显著提高诊断直肠癌淋巴结转移的灵敏度、准确度，有助于纠正尺寸标准的漏诊患者。

Abstract

Objective:

To investigate the incremental value of morp

hologic features on high-resolution magnetic resonance imaging (MRI) in the diagnosis of lymph node metastasis of rectal cancer.

Methods:

A total of 155 rectal cancer patients who underwent high-resolution MRI examination before radical resection from June 2016 to December 2020 ［99 males and 56 females; average age (65.0610.17) years］ were retrospectively enrolled. Based on postoperative pathological results as the gold standard

the value of short diameter5 mm

short diameter9 mm

size combined with morphological features in the diagnosis of lymph node metastasis of rectal cancer was calculated and compared.

test was used for data analysis.

Results:

Postoperative pathological results showed that 60 patients had lymph node metastasis. The sensitivity

specificity and accuracy of the diagnosis of lymph node metastasis with the criteria of short diameter5 mm are 55.00% (33/60)

77.89% (74/95)

69.03% (107/155)

and 15.00% (9/60)

95.79% (91/95)

64.52% (107/155) for short diameter9 mm. Combined with morphological features

the sensitivity and accuracy were increased to 73.33% (compared with the standard of short diameter5 mm and short diameter9 mm

=4.385 and 41.397

=0.036 and 0.000)

79.35% (compared with the standard of short diameter5 mm and short diameter9 mm

=4.179 and 8.453

=0.041 and 0.004). While the specificity is 83.16% (79/95)

which is no statistical difference with the 5 mm criteria (

=0.839

=0.360)

and is reduced with the 9 mm criteria (

=8.047

=0.005). 11 and 35 cases of lymph node metastasis that weremissed by the diameter 5 mm and diameter 9 mm criteria were corrected by combining the morphological features respectively.

Conclusion:

Combining size and the morphological features of lymph nodes on high-resolution MRI can significantly improve the sensitivity and accuracy of diagnosing lymph nod

e metastasis in rectal cancer

and help a lot to correct missed cases of size criteria.

关键词

Keywords

references

Views

916

下载量

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

Prediction of pathological nodal stage after neoadjuvant chemoradiotherapy by using the interaction between tumor features and lymph node features from pretreatment MRI in rectal cancer　

Research progress of quantitative assessment of MRI and radiomics for lymph node metastasis of rectal cancer

Diagnostic value of simplified MRI sequence in breast diseases

The value of diffusion kurtosis imaging combined with peripheral blood inflammatory markers in predicting the pathological grading of clear cell renal cell carcinoma

A flexible segmentation network for MRI: toward accurate tumor delineation and 3D reconstruction in brain glioma

Related Author

ZHU Haitao

ZHANG Xiaoyan

LI Xiaoting

SHI Yanjie

ZHU Huici

WANG Lin

WU Aiwen

SUN Yingshi

Related Institution

Department of Radiology, Peking University Cancer Hospital

Department of Gastrointestinal Surgery, Peking University Cancer Hospital

Department of Radiology, Jilin Provincial People's Hospital

Department of Medical Imaging, North China University of Science and Technology Affiliated Hospital

Department of Cardiothoracic Surgery, KaiLuan General Hospital

AI问答

⁰