在副腔空间的多形腺瘤和神经瘤之间的区别:明显扩散系数的直方图分析
Natsuko Kunimatsu1,2, Akira Kunimatsu1, Koki Miura3
1Department of Radiology, International University of Health and Welfare Mita Hospital, Tokyo, Japan.
Dento maxillo facial radiology
|September 4, 2023
概括
表面扩散系数 (ADC) 组图分析,特别是斜度和形,可以从 schwannomas 区分 parapharyngeal 形腺瘤. 平均ADC值在这些瘤类型之间没有显著差异.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 副喉空间瘤带来了诊断方面的挑战.
- 在治疗规划中,区分多形腺瘤和形腺瘤至关重要.
研究的目的:
- 调查表面扩散系数 (ADC) 历史图分析在区分副喉多形腺瘤与 schwannomas 的实用性.
- 用扩散权重核磁共振 (MRI) 来比较这两种瘤类型之间的ADC值的组图度量.
主要方法:
- 追溯分析了29个形腺瘤和22个副腔空间的形腺瘤.
- 从手术前的MRI中测量ADC值和组织图度量 (平均值,斜率,曲率).
- 使用Wilcoxon的等级总和测试进行统计比较,包括基于b值和磁场强度的子组分析.
主要成果:
- 平均ADC值显示 pleomorphic腺瘤和 schwannomas 之间没有显著差异.
- 在ADC组图中,与形腺瘤相比,斯万诺瘤的斜度显著更高 (p=0.0001) 和曲化率更低 (p=0.003).
- 在所有子组分析中,在 schwannomas 中,度仍然显著更高.
结论:
- ADC 基因组图的斜率和形是区分副喉多形腺瘤和 schwannomas 的有价值的参数.
- 单独的平均ADC值不足以区分这些副喉瘤.
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