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CT与MRI对肝癌患者的诊断价值研究

The Diagnostic Value of CT and MRI in Patients with Liver Cancer

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目的:探究CT与磁共振成像(MRI)对肝癌(HCC)患者的诊断价值,以期为临床早期筛查诊断、针对性制定干预方案提供参考.方法:回顾性收集2022年2月~2023年8月于本院就诊的108例疑似HCC患者,以病理活检为"金标准",可将其分为HCC组(43例)、良性肿瘤组(65例),比较两组CT密度强化情况及MRI信号强化情况检出率,统计分析CT、MRI单独、联合诊断结果及诊断效能,并对其不同大小病灶的检出率进行比较.结果:HCC组经CT诊断动脉期、门脉期、平衡期CT密度强化情况及MRI信号强化情况检出率均明显高于良性肿瘤组(P<0.05);CT、MRI联合诊断的灵敏度为97.67%,高于单独诊断,漏诊率为2.33%,低于单独诊断(P<0.05);CT、MRI联合诊断的总检出率及<2cm病灶检出率分别为97.67%、93.75%,均高于单独诊断(P<0.05).结论:CT、MRI联合诊断在肝癌患者中诊断灵敏度较高,漏诊率较低,可为临床诊断HCC提供可靠依据.
Objective:To explore the diagnostic value of CT and magnetic resonance imaging(MRI)in patients with liver cancer(HCC),in order to provide reference for early clinical screening diagnosis and targeted intervention.Methods:108 cases of suspected HCC patients admitted to our hospital from February 2022 to August 2023 were retrospectively collected.Using pathological biopsy as the"gold standard",they could be divided into HCC group(43 cases)and benign tumor group(65 cases).The detection rates of CT density enhancement and MRI signal enhancement were compared between the two groups.The diagnostic results and efficacy of CT and MRI alone and combined were analyzed,and the detection rates of different size lesions were compared.Results:The detection rates of CT density enhancement and MRI signal enhancement at arterial,portal and equilibrium stages in HCC group were significantly higher than those in benign tumor group(P<0.05).The sensitivity of CT and MRI combined diagnosis was 97.67%,higher than that of single diagnosis,and the missed diagnosis rate was 2.33%,lower than that of single diagnosis(P<0.05).The total detection rate of CT and MRI combined diagnosis and the detection rate of<2cm lesions were 97.67%and 93.75%,respectively,which were higher than that of single diagnosis(P<0.05).Conclusion:The combined diagnosis of CT and MRI has high diagnostic sensitivity and low missed diagnosis rate in HCC patients,which can provide a reliable basis for clinical diagnosis of HCC.

magnetic resonance imaging(MRI)CTliver cancerdiagnostic value

王精华、林芬芳

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复旦大学附属肿瘤医院厦门医院放射诊断科 (福建 厦门 361113)

MRI CT 肝癌 诊断价值

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(18)