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Diagnostic Value of Ovarian Vein Tracking Based on Multiplanar Reconstituted CT in Ovarian Origin Tumors |
YANG Lin-lin, WEI Ming-hua, ZHANG Shu-yi, et al |
Imaging Department,Hiser Medical Center of Qingdao,Qingdao 266000 |
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Abstract 【Objective】To explore the diagnostic value of ovarian vein tracking based on multiplanar reconstructed CT in identifying ovarian tumors. 【Methods】From March 2015 to March 2017, 116 cases of female pelvic tumors were examined by CT and treated surgically in our hospital. Multiplanar reconstructed CT ovarian vein tracing was used to determine whether the pelvic tumors were ovarian sources. The sensitivity, specificity, positive predictive value and negative predictive value of CT ovarian vein tracing were analyzed. 【Results】There were 141 pelvic tumors in 116 patients, 108 ovarian tumors and 33 non-ovarian tumors. 104 of 108 ovarian tumors were identified as ipsilateral ovarian tumors by CT, 3 unilateral ovarian tumors were identified as bilateral and 1 non-ovarian tumors; 26 of 33 non-ovarian tumors were identified as non-ovarian tumors by CT and 7 as ipsilateral ovarian tumors. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of CT in identifying ipsilateral ovarian tumors were 96.3%, 78.8%, 92.2%, 93.7% and 86.7%, respectively.【Conclusion】Ovarian vein tracing based on multi-planar reorganization CT is a simple, accurate and reproducible method for identifying ovarian tumors, which has important clinical application value.
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Received: 19 August 2018
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[1] 赵维敬,梁宇霆.卵巢相关解剖及卵巢与卵巢源肿物的 CT 识别[J].国际医学放射学杂志,2016,39(3):273-276. [2] 叶川,宁刚,曲海波,等.卵巢血管蒂征对于卵巢和非卵巢来源肿瘤的鉴别诊断价值[J].四川大学学报,2010,41(2):348-350. [3] Thomassin-Naggara I,Bazot M.MRI and CT-scan in presumed benign ovarian tumors [J].J Gynecol Obstet Biol Reprod(Paris),2013,42(8):744-751. [4] 段维武,易兰,兰勇,等.卵巢肿瘤蒂扭转的多排螺旋CT诊断价值[J].中国CT和MRI杂志,2013,11(2):50-52. [5] Li Y,Zheng Y,Chen J,et al.Determining the organ of origin of large pelvic masses in females using multidetector CT angiography and three-dimensional volume rendering CT angiography[J].Eur Radiol,2015,25(4): 1032-1039. [6] 易颂平,何援利,王雪峰,等.64 排螺旋 CT 血管造影三维重建卵巢早衰患者卵巢供血血管形态学的变化[J].广东医学,2014,35(6): 857-859. [7] 赵维敬,梁宇霆.卵巢相关解剖及卵巢与卵巢源肿物的 CT 识别[J].国际医学放射学杂志,2016,39:273-276. [8] 张玉会.超声与螺旋CT在妇科急腹症诊断中的应用价值对照研究[J].河北医药,2013,35(12):1841-1842. [9] 张鑫,陈跃辉,贾伟军,等.128 层螺旋 CT 血管重建在子宫肌瘤和卵巢肿瘤鉴别诊断中的价值[J].医药论坛杂志,2014,35:27-29. [10] 胡海菁,孙华平.MSCT 血管生成和图像融合对卵巢肿瘤的定位诊断[J].中国医学计算机成像杂志,2012,18(5): 471-473. [11] 孙昊洋,黄勇,李文武.卵巢静脉在 CT 诊断盆腔肿瘤中的应用[J].实用放射学杂志,2012,28(11):1731-1734. [12] 易颂平,何援利,王雪峰,等.64 排螺旋 CT 血管造影三维重建卵巢早衰患者卵巢供血血管形态学的变化[J].广东医学,2014,35:857-859. [13] 包宏伟,姚伟武,李长富,等. 多层螺旋 CT 血管成像评价下腹部来源不明肿瘤[J].中国医学计算机成像杂志,2014,20:361-365. |
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