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磁共振与CT评估肝癌患者介入术后肿瘤活性的临床价值对比

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目的 比较磁共振与CT评估肝癌患者介入术后肿瘤活性的临床价值.方法 选取 2019 年 8 月至 2021 年 8 月我院行介入栓塞治疗的 52 例肝癌患者(65 个病灶),于介入术后 3~5 周行磁共振与CT检查.以病理检查结果作为"金标准",分析磁共振、CT对肝癌患者介入术后肿瘤阳性病灶的诊断效能.结果 65 个肿瘤病灶中有 26 个经术后病理检查证实为阳性;磁共振共检出 24 个阳性病灶,CT共检查出 16 个阳性病灶;磁共振的灵敏度、准确度分别为 84.62%、90.77%,均高于CT的 46.15%、72.31%(P<0.05).κ检验显示,磁共振与病理检查结果的一致性极好(κ=0.805,P=0.000);CT与病理检查结果的一致性差(κ=0.384,P=0.001).结论 与CT相比,磁共振在肝癌患者介入术后肿瘤活性评估中的应用价值更高,可提高肿瘤阳性病灶检出率,为临床治疗提供有效的参考依据.
Comparison on Clinical Value between Magnetic Resonance Imaging and CT in the Evaluation of Tumor Activity in Liver Cancer Patients after Interventional Surgery
Objective To compare the clinical value between magnetic resonance imaging and CT in the evaluation of tumor activity in liver cancer patients after interventional surgery.Methods 52 liver cancer patients(65 lesions)with interventional embolization therapy in our hospital from August 2019 to August 2021 were selected and given magnetic resonance imaging and CT at 3 to 5 weeks after the interventional surgery.Taking pathological examination results as the gold standard,the diagnostic efficacy of magnetic resonance imaging and CT for tumor positive lesions in liver cancer patients after interventional surgery was analyzed.Results Among 65 tumor lesions,26 tumor lesions were confirmed as positive by pathological examination after surgery.A total of 24 positive lesions were detected by magnetic resonance imaging,and 16 positive lesions were detected by CT.The sensitivity and accuracy of magnetic resonance imaging were 84.62%and 90.77%,respectively,higher than 46.15%and 72.31%of CT(P<0.05).κtest showed excellent consistency between magnetic resonance imaging and pathological examination results(κ=0.805,P=0.000),and poor consistency between CT and pathological examination results(κ=0.384,P=0.001).Conclusions Compared with CT,magnetic resonance imaging has higher application value in the evaluation of tumor activity in liver cancer patients after interventional surgery,which can improve the detection rate of tumor positive lesions and provide effective reference for clinical treatment.

Liver cancerMagnetic resonance imagingDigital subtraction angiographyInterventional surgeryTumor activitySensitivity

陈鑫、王凌飞

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南阳医学高等专科学校第一附属医院放射科,河南南阳 473058

肝癌 磁共振 数字减影血管造影 介入手术 肿瘤活性 灵敏度

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(7)