首页|MRI与增强CT对原发性肝癌的诊断效能比较

MRI与增强CT对原发性肝癌的诊断效能比较

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目的 对比MRI与增强CT诊断原发性肝癌的效能.方法 纳入2021年3月至2023年4月期间在我院就诊的94例疑似原发性肝癌患者,均进行MRI与增强CT检查.以肝穿刺活检结果为金标准,分析MRI与增强CT诊断原发性肝癌的效能,比较MRI与增强CT对不同肿瘤直径病灶的检出情况.结果 增强CT与肝穿刺活检诊断结果的一致性一般(Kappa=0.714,P<0.001),MRI与肝穿刺活检诊断结果的一致性较好(Kappa=0.893,P<0.001).MRI诊断原发性肝癌的灵敏度、特异度、准确率均明显高于增强CT(P<0.05).MRI对直径<1 cm肝癌病灶的检出率明显高于增强CT(P<0.05).结论 MRI诊断原发性肝癌的效能优于增强CT,可提高诊断准确率.
Comparison on the Diagnostic Efficacy of MRI and Enhanced CT for Primary Liver Cancer
Objective To compare the efficacy of MRI and enhanced CT in the diagnosis of primary liver cancer.Methods A total of 94 patients with suspected primary liver cancer admitted to our hospital from March 2021 to April 2023 underwent MRI examination and enhanced CT examination.The results of liver biopsy were used as the gold standard to analyze the efficacy of MRI and enhanced CT in the diagnosis of primary liver cancer,and the detections of lesions with different tumor diameters were compared between MRI and enhanced CT.Results The consistency between enhanced CT and liver biopsy results was general(Kappa=0.714,P<0.001),and the consistency between MRI and liver biopsy results was good(Kappa=0.893,P<0.001).The sensitivity,specificity and accuracy of MRI in the diagnosis of primary liver cancer were significantly higher than those of enhanced CT(P<0.05).The detection rate of liver cancer lesions with diameter<1 cm by MRI was significantly higher than that by enhanced CT(P<0.05).Conclusions MRI has higher efficacy than enhanced CT in the diagnosis of primary liver cancer,which can improve the diagnostic accuracy.

Primary liver cancerMRIEnhanced CTDiagnostic efficacy

李嵘、许园晨、杜森

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河南大学第一附属医院医学影像科,河南开封 475000

河南大学第一附属医院胸外科,河南开封 475000

原发性肝癌 MRI 增强CT 诊断效能

开封市科技发展项目

2103015

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(6)
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