| 曹怡,方向军,代月黎.普美显MRI增强扫描鉴别肝硬化结节与肝癌应用价值.[J].中南医学科学杂志.,2020,(1):76-79. |
| 普美显MRI增强扫描鉴别肝硬化结节与肝癌应用价值 |
| Value of the application of MRI enhanced scan with Gd-EOB-DTPA in differentiating cirrhotic nodules from hepatocellular carcinoma |
| 投稿时间：2019-06-20 修订日期：2019-10-16 |
| DOI：10.15972/j.cnki.43-1509/r.2020.01.020 |
| 中文关键词: 普美显 肝硬化结节 肝癌 鉴别诊断 |
| 英文关键词:Gd-EOB-DTPA cirrhotic nodule liver cancer differential diagnosis |
| 基金项目: |
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| 中文摘要: |
| 选取本院2017～2018年的42例肝硬化患者行MRI增强扫描和普美显MRI增强扫描,将影像诊断与病理分析结果进行比较和探讨,发现MRI增强扫描和普美显MRI增强扫描的癌灶数量与病理诊断一致率分别为73.1%和96.2%,后者一致率更高(P<0.05)。此外,普美显MRI增强扫描对于诊断肝癌的灵敏度、特异性和准确度分别为94.1%、96.0%和97.6%,明显优于MRI增强扫描的诊断情况(P<0.05)。提示普美显MRI增强扫描可显著提高对肝硬化结节及肝癌的灵敏性、特异性和准确率,且能够将具有癌恶化趋势的肝硬化结节诊断出来,值得临床进一步研究和应用。 |
| 英文摘要: |
| patients with cirrhosis diagnosed in our hospital from 2017 to 2018 were selected and all patients underwent MRI enhanced scan and MRI enhanced scan with Gd-EOB-DTPA, to discuss the imaging diagnosis and pathological analysis results. It was found that the consistency rate of tumor lesions on MRI enhanced scan and on Gd-EOB-DTPA-MRI scan was 73.1% and 96.2%, respectively, and the latter was significantly higher (P<0.05). In addition, the sensitivity, specificity and accuracy of MRI enhanced scan with Gd-EOB-DTPA in the diagnosis of liver cancer were 94.1%、96.0 % and 97.6%, respectively, which were also significantly better than the diagnosis of MRI inhanced scan (P<0.05). MRI enhanced scan with Gd-EOB-DTPA could not only significantly improve the sensitivity, specificity and accuracy of cirrhotic nodules and liver cancer, but also diagnose cirrhotic nodules with a tendency of cancer deterioration, which is worthy of further clinical research and application. |
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