- 期刊
運用磁振造影來評估直腸癌的T分期
Assessment of T Staging in Rectal Cancer Using MRI
摘要
近年來隨著國人飲食習慣日益西化，直腸癌目前已躍升為台灣十大癌症死亡原因的第三位。不同臨床分期的直腸癌，有其適合的治療方式，因此如何得到正確的臨床分期就成為一門重要的課題。我們回溯性收集32個直腸癌病例，皆接受MRI檢查和手術治療，有詳細的病理分析。以磁振造影檢查的影像來診斷直腸癌侵犯的層次，得到臨床T分期的結論，再與手術後的檢體報告來做相互應證，藉此探討磁振造影影像在T分期診斷上的準確率。結果顯示總體準確率為84.4%，總體高估率為9.4%，總體低估率為6.2%，Kappa值為0.76。利用MRI檢查來做直腸癌的分期，其準確率是相當不錯的，也與病理結果有不錯的一致性，可以提供直腸癌病患詳細且正確的T分期訊息。
並列摘要
The prevalence rate of colorectal cancer in Taiwan has consistently increased to the third leading cause of death from cancer in recent years. Precise preoperative clinical T staging is essential for planning of optimal therapy for patients with rectal cancer. In this retrospective study, we evaluate the sensitivity of MRI in assessment of T staging of 32 cases with rectal cancer during the period of Jan. to Oct. 2009. The findings of MRI were compared with pathological reports. The overall accuracy rate was about 84.4%, rate of oversage about 9.4%, rate of undersage about 6.2%, and the Kappa value about 0.76. MRI showed a good accuracy rate and correlation to pathological report for T staging of rectal cancer.
延伸閱讀
- 黃科庭、陳霆霖、王基誠、陳素秋、杜俊元（2016）。直腸癌術前TNM分期於磁振造影之臨床應用。台灣應用輻射與同位素雜誌，12(3)，1339-1345。https://www.airitilibrary.com/Article/Detail?DocID=18156290-201609-201610170006-201610170006-1339-1345
- 陳冠至（2019）。評估大腸鏡轉介對於大腸直腸癌效益之統計方法〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201903592
- Sheu, M. H., Wang, J. H., Liu, W. M., Chiang, H., & Chang, C. Y. (1998). 以磁振造影評估子宮內膜癌對子宮肌層之侵犯－初期報告. 中華放射線醫學雜誌, 23(6), 207-210. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199812-23-6-207-210-a
- 許瓊如、廖漢弘、林秋湧、楊博堯、廖玉山（2007）。多排偵測器電腦斷層於直腸癌分期之評估。中華放射線技術學雜誌，31(2)，119-127。https://doi.org/10.30045/CJRT.200712.0006
- Shum, H. C., Wan, Y. L., Ng, K. K., Tan, C. F., Kea, C. L., Hung, C. F., Tsai, C. C., & Lai, C. H. (1995). Assessment of Intrauterine Invasion of Endometrial Cancer by Magnetic Resonance Imaging. 中華放射線醫學雜誌, 20(3), 217-226. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199509-20-3-217-226-a