·129CHINESEJOURNALOFCTANDMRI,FEB.2023,Vol.21,No.02TotalNo.160【第一作者】郭晓，男，主治医师，主要研究方向：腹部影像诊断研究。E-mail：418669951@qq.com【通讯作者】殷灿，男，主治医师，主要研究方向：医学影像诊断研究。E-mail：790945035@qq.com论著DiagnosticValueof3.0TMagneticResonanceMultimodalImaginginDifferentialdiagnosisofBenignandMalignantProstateLesions*GUOXiao,DENGXi-qing,HUZhen,YINCan*.MedicalImagingCenter,TheAffiliatedZhuzhouHospital,XiangyaMedicalCollegeCSU,Zhuzhou412007,HunanProvince,China.ABSTRACTObjectiveToanalyzethevalueof3.0TMrdiffusion-weightedimaging(DWI)anddynamiccontrast-enhancedMrimaging(DCE-MRI)inthedifferentialdiagnosisofbenignandmalignantprostatelesions.MethodsFromJuly2018toSeptember2020,86patientswithprostatediseaseswereexaminedbyroutineMRI,DWIandDCE-MRI.Inthisstudy,thepathologicalresultsweretakenasthegoldstandard,andtheresultsofroutineMRI,DWIandDCE-MRIinprostatelesionswereanalyzed.Theresultsofpathologicaldiagnosisshowedthattherewere37casesofmalignantlesionsofprostate(carcinoma)and39casesand10casesofbenignlesionsofprostate(hyperplasiaandprostatitis).ResultsTheaccuracy(96.51%),sensitivity(94.59%)andspecificity(97.96%)ofDWIwerehigherthanthoseofconventionalMRI(74.42%),sensitivity(70.27%)andspecificity(77.55%)(P<0.05).Whenbvalueswere600s/mm2,800s/mm2and1000s/mm2,theADCvalueofmalignantdiseasegroupwaslowerthanthatofbenigndiseasegroup(P<0.05).ThereweresignificantdifferencesinTmax,SImaxandRmaxbetweenthetwogroups.Tmaxinthebenignlesiongroupwashigherthanthatinthemalignantlesiongroup,whileSImaxandRmaxwerelowerthanthoseinthemalignantlesiongroup.Conclusion3.0TmagneticresonanceDWIandDCE-MRIareofhighvalueinthedifferentialdiagnosisofbenignandmalignantprostatelesions.Keywords:MRI;Prostate;BenignandMalignantLesions在临床上中老年男性前列腺病变较为常见，一般包括前列腺非肿瘤性病变(主要包括前列腺炎、前列腺增生)及前列腺肿瘤性病变等，可引发患者尿痛、尿频等排尿障碍症状，其中前列腺癌早期缺乏明显临床症状，恶性程度高且易转移，这会严重危害患者生命健康[1]。随着我国人口老龄化...
