首页|MRI多模态成像在肝细胞肝癌诊断中的应用价值

MRI多模态成像在肝细胞肝癌诊断中的应用价值

Application Value of MRI Multimodal Imaging in the Diagnosis of Hepatocellular Carcinoma

扫码查看
目的 探究磁共振多模态成像在肝细胞肝癌诊断中的应用价值.方法 纳入 2022 年 10 月至 2023 年 10 月锦州医科大学附属第一医院收治的 80 例肝细胞肝癌(hepatocellular carcinoma,HCC)患者作为研究对象,对所有患者均采用CT动态增强扫描和多模态MRI扫描进行诊断,比较两种诊断模式下的影像学特点以及HCC患者的敏感度、特异度、准确度.结果 80 例纳入患者检出97 个病灶,其中,慢升快降型病灶有81 个,占比为83.51%,平台型病灶有11 个,占比为11.34%,无强化型病灶有5 个,占比为5.15%;当扩散敏感系数(B值)逐渐升高时,正常肝组织和肝癌组织表观弥散系数(apparent diffusion coefficient,ADC)值呈下降趋势,当B值相同时,肝癌组织的ADC值小于正常肝组织(P<0.05);对比多模态MRI诊断和 CT诊断结果,MRI 诊断结果显示,敏感度、特异度和准确度均为 100%,CT 扫描为 95.06%、75.00%、91.75%,差异有统计学意义(P<0.05).结论 相较于CT动态增强扫描,多模态成像技术对肝细胞肝癌有着较高的诊断效能,可尽早地帮助患者进行诊断,并提高诊断准确性.
Objective To explore the application value of multimodal imaging in the diagnosis of hepatocellular carcinoma.Methods 80 patients with hepatocellular carcinoma(HCC)admitted to the First Affiliated Hospital of Jinzhou Medical University from October 2022 to October 2023 were included as the study subjects.All patients were diagnosed using dynamic enhanced CT scans and multimodal MRI scans.The imaging characteristics of HCC patients under the two diagnostic modes were compared in terms of sen-sitivity,specificity and accuracy.Results Among the 80 patients,97 lesions were detected,of which 81 were slow rising and fast fallinglesions,accounting for 83.51%,11 were flat type lesions,accounting for 11.34%,and 5 were unenhanced lesions,ac-counting for 5.15%;when the diffusion sensitivity coefficient(B value)gradually increased,the apparent diffusion coefficient(ADC)value of normal liver tissue and liver cancer tissue decreased.When the B value was the same,ADC value of liver cancer tis-sue was smaller than that of normal liver tissue(P<0.05);compared with the results of multi-modal MRI diagnosis and CT diagno-sis,the results of MRI diagnosis showed that the sensitivity,specificity and accuracy were 100%,while those of CT scan were 95.06%,75.00%and 91.75%,with statistical significance(P<0.05).Conclusion Compared with CT dynamic enhanced scan,multimodal imaging technology has higher diagnostic efficiency for hepatocellular carcinoma,which can help patients to diagnose as early as possible and improve diagnostic accuracy.

multimodal imaginghepatocellular carcinomadiagnostic value

戚维宏、郭辉、张琳、陈伟雪、郭玲玲

展开 >

锦州医科大学附属第一医院,辽宁 锦州 121000

多模态成像 肝细胞肝癌 诊断价值

辽宁省自然科学基金项目辽宁省大学生创业项目

2024-MS-195S202210160031

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(4)