淋巴结报告和数据系统(Node-RADS)联合临床及影像学参数对宫颈癌淋巴结转移诊断效能的研究进展
Research Progress on the Diagnostic Efficacy of the Lymph Node Reporting and Data System (Node-RADS) Combined with Clinical and Imaging Parameters for Cervical Cancer Lymph Node Metastasis
DOI: 10.12677/acm.2026.161156, PDF,   
作者: 王禹静*, 李 晖#：华北理工大学附属医院医学影像中心，河北 唐山
关键词: 宫颈癌；淋巴结转移；影像学评估；Node-RADS；诊断效能；Cervical Cancer； Lymph Node Metastasis； Lmaging Assessment； Node-RADS； Diagnostic Efficacy
摘要: 宫颈癌是全球女性常见的恶性肿瘤之一，其淋巴结转移状态是影响患者预后的关键因素。近年来，影像学检查在宫颈癌淋巴结转移的评估中发挥了重要作用，包括超声、CT、PET-CT、MRI及新兴的影像组学与深度学习技术。然而，各类方法在灵敏度、特异度、操作标准化等方面仍存在局限。2021年提出的淋巴结报告与数据系统(Node-RADS)为淋巴结受累的标准化评估提供了新思路。本文系统回顾了宫颈癌淋巴结转移的影像学评估进展，重点探讨Node-RADS系统的理论基础、临床应用及其在宫颈癌中的潜在价值，为临床精准分期与个体化治疗提供参考。
Abstract: Cervical cancer is one of the common malignant tumors among women worldwide. The lymph node metastasis status of patients is a key factor influencing their prognosis. In recent years, imaging examinations have played an important role in the assessment of lymph node metastasis in cervical cancer, including ultrasound, CT, PET-CT, MRI, as well as emerging image biomarkers and deep learning technologies. However, various methods still have limitations in terms of sensitivity, specificity, and operational standardization. The lymph node reporting and data system (Node-RADS) proposed in 2021 provides a new idea for the standardized assessment of lymph node involvement. This article systematically reviews the progress in imaging assessment of lymph node metastasis in cervical cancer, focusing on the theoretical basis, clinical application, and potential value of the Node-RADS system in cervical cancer, providing a reference for clinical precise staging and individualized treatment.
文章引用：王禹静, 李晖. 淋巴结报告和数据系统(Node-RADS)联合临床及影像学参数对宫颈癌淋巴结转移诊断效能的研究进展[J]. 临床医学进展, 2026, 16(1): 1208-1214. https://doi.org/10.12677/acm.2026.161156

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