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:
作者单位
曹怡 南华大学附属第二医院放射影像科, 湖南 衡阳 421001 
方向军 南华大学附属第二医院放射影像科, 湖南 衡阳 421001 
代月黎 南华大学附属第二医院放射影像科, 湖南 衡阳 421001 
摘要点击次数: 451
全文下载次数: 371
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.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=207E1B5284232C52FF18C019EF3D8393DB2A359A6FEFBA731D8B4431C6D2AEC9911C99366A85FF63E7C3CF5EA54CB607C0B2DA3CCDE15724998A28455B77A905A912F06AE6A2BBE648193D1581C04267880DD781ACE9C97C20A36E1EFFB3066FB325BF794134656FD1B699511219706631DC5FDD08AC1DBDCE67EF2742720DBA4E5F9F382169C3E2&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=6A20DF2A798996E24F064D5ECF83A153&yid=0D1D160AB8016934&aid=4145DAB3660DF776D9FC770447D4AC0A&vid=&iid=CA4FD0336C81A37A&sid=228A710F49B6CE58&eid=9C65ADEB5990B252&fileno=20200120&flag=1&is_more=0">