基于计算机断层扫描影像术前预测肝细胞癌微血管侵犯的研究进展
Advances in preoperative prediction of microvascular invasion in hepatocellular carcinoma based on CT imaging
王粟 1张雷 2李淑文 1寇文豪 1杨世忠3
作者信息
- 1. 青海大学附属医院肝胆胰外科,青海 西宁 810000
- 2. 清华大学附属北京清华长庚医院超声科,北京 102218
- 3. 清华大学附属北京清华长庚医院肝胆胰中心清华大学精准医学研究院清华大学临床医学院,北京 102218
- 折叠
摘要
微血管侵犯(microvascular invasion,MVI)是肝细胞癌患者根治术后近期复发和转移的重要危险因素,诊断MVI的金标准是术后病理学检查.建立术前无创评估MVI的方法,可以指导肝细胞癌患者术前治疗决策和确定手术方式,从而改善患者生存.本文针对术前计算机断层扫描影像预测肝细胞癌MVI的研究进展进行梳理,以期对肝细胞癌的临床治疗决策提供帮助.
Abstract
Microvascular invasion(MVI)is an important risk factor for recent recurrence and metastasis after radical surgery in hepatocellular carcinoma(HCC)patients,and the gold standard for diagnosing MVI is postoperative pathologic examination.The establishment of a preoperative noninvasive assessment of MVI can guide preoperative treatment decisions and determine the surgical approach in patients with HCC,thereby improving patient survival.In this article,we summarize the research progress of preoperative computed tomography imaging for predicting MVI in HCC,with the aim of helping optimize clinical decisions for HCC treatment.
关键词
肝细胞癌/微血管侵犯/影像学/复发/转移Key words
Hepatocellular carcinoma/Microvascular invasion/Imaging/Recurrence/Metastasis引用本文复制引用
基金项目
国家自然科学基金重大项目(82090052)
清华大学精准医学科研项目(2022ZLA007)
出版年
2024
国家科技期刊平台
NSTL
万方数据