Clinical Effect Study on Accuracy of Spiral CT Enhanced Scanning in Diagnosing Liver Masses
Objective To analyze effect and value of multi row spiral CT enhanced scanning in diagnosis of liver masses.Methods The paper chose 56 suspected liver mass patients in Radiology Department of Jiangyin City the Third People's Hospital from January 2018 to December 2022 as study subjects,treated with CT plain scan,multi row spiral CT enhanced scan,and surgical pathological examination,analyzed and compared difference in diagnosis of liver mass between CT plain scan and multi row spiral CT enhanced scan with gold standard of results of surgical pathological examination.Results ① Through surgical and pathological examination,45 cases suspected liver masses were diagnosed among 56 cases,including 7 cases of liver abscess,5 cases of liver metastasis,6 cases of primary hepatocellular carcinoma,16 cases of liver cyst,2 cases of focal liver hyperplasia,and 9 cases of liver hemangioma.The remaining 11 cases with no liver masses were diagnosed with fatty liver through pathological diagnosis.② Through multi row spiral CT enhanced scanning,43 cases suspected liver masses were diagnosed among 56 cases,including 6 cases of liver abscess,5 cases of liver metastasis,6 cases of primary hepatocellular carcinoma,15 cases of liver cyst,2 cases of focal liver hyperplasia,and 9 cases of liver hemangioma through CT plain scan.③ Based on CT plain scan,37 cases out of 56 suspected liver mass patients were diagnosed,including 5 cases of liver abscess,4 cases of liver metastasis,5 cases of primary hepatocellular carcinoma,13 cases of liver cyst,and 10 cases of liver hemangioma.④ By comparing results of different examination methods in diagnosis of liver masses,it was found that diagnostic sensitivity,specificity,and accuracy of multi row spiral CT enhanced scan was higher than CT plain scan(P<0.05).⑤ By comparing image quality of different examination methods,it was found excellent rate of multi row spiral CT enhanced scan images was higher than CT plain scan,with(P<0.05).Conclusion Multi row spiral CT enhanced scanning has advantages of high sensitivity,specificity,and accuracy in diagnosis of liver masses,and image quality of the examination method is higher,doctors can determine liver masses of patients better,which has higher application value.
Multi row spiral CT enhanced scanDiagnosisLiver masses