首页|增强CT与Gd-EOB-DTPA增强MRI对体检发现的肝脏病变特征对比分析

增强CT与Gd-EOB-DTPA增强MRI对体检发现的肝脏病变特征对比分析

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随着影像技术的进步及医学体检的普及,越来越多的肝脏病变被偶然发现,这就要求提供对偶然发现的病变确诊具有更高准确率的影像学方法。本研究旨在对比分析增强多层螺旋CT(CT,MDCT)与Gd-EOB-DTPA增强MRI(Gd-EOB-DTPA-MRI)对偶然发现的肝脏病变的影像特征。方法:回顾性分析40例(男23例,女17例)排除了肝外恶性病变及慢性肝病的体检患者,总共发现肝脏病变63处(其中46处良性,17处恶性),请两位放射科专业医师单独阅片(MDCT 与Gd-EOB-DTPA-MRI),对比分析对良恶性病变的鉴别,以及肝局灶性结节性增生(FNH)、嗜酸性肉芽肿(EG)的诊断正确率。结果:对于良恶性病变的诊断率, Gd-EOB-DTPA-MRI (95.1-97.8%)高于MDCT(73.4-92.6%)。而对于FNH、EG病变Gd-EOB-DTPA-MRI的敏感率及诊断率均高于MDCT。结论:我们研究显示Gd-EOB-DTPA-MRI较MDCT显示偶然发现肝脏病变的特征更具准确性,尤其是对于FNH和EG的发现及诊断。
With the advancement of medical imaging technology and medical checkups popularity,more and more liver lesions were discovered by accident, which require imaging methods for diagnosis of lesions discovered incidental y has a higher accuracy rate.This study aims to compare the multislice spiral CT (MDCT) with Gd-EOB-DTPA enhanced MRI (Gd-EOB-DTPA-MRI) for the imaging features of incidental liver lesions.Results:The rate of diagnosis of benign and malignant lesions, Gd-EOB-DTPA-MRI (95.1∕97.8%) is higher than the MDCT(73.4∕92.6%).The sensitive and diagnosis rates of the FNH, EG diseases ,Gd-EOB-DTPA-MRI are higher than MDCT. Conclusion: Our results showed that Gd-EOB-MRI may provide a higher proportion of confident interpretations than MDCT, especial y for the diagnosis of incidental y found FNH and EG.

MDCTGd-EOB-DTPA-MRIFNHEG

MDCT Gd-EOB-DTPA-MRI FNH EG

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(23)
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