3.0T磁共振成像与64排螺旋CT在肝癌诊断中临床应用价值对比  

The clinical application value comparison of 3.0T MRI and 64 slice spiral CT in the diagnosis of hepatocellular carcinoma

作　　者：梁志鹏[1] 姚立正[1] 陈飞[1] 王雪扬[1] 陆鹏[1] 

机构地区：[1]东南大学医学院附属盐城医院影像科,224001

出　　处：《实用医学影像杂志》2016年第1期38-40,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨3.0T磁共振成像(MRI)与64排螺旋CT在肝癌诊断中临床应用价值对比。方法回顾性分析临床随访的经病理诊断的64例肝癌患者的影像表现。比较3.0T MRI与64排螺旋CT对于肝癌病灶检出的敏感性、准确性。结果 3.0T MRI对于肝癌病灶的诊断符合率(97%)较64排螺旋CT高(92%),特别对小肝癌较明显。结论 3.0T MRI对肝癌诊断效果要优于64排螺旋CT,但3.0T MRI和64排螺旋CT诊断肝癌各自有优缺点,临床对肝癌诊断3.0T MRI不能完全替代64排螺旋CT,应根据病变选择检查方式。Objective To investigate the clinical application value comparison of 3.0T MRI and 64 slice spiral CT in the diagnosis of hepatocellular carcinoma（HCC）. Methods Retrospective analysis the imaging findings of clinical follow up 64 patients with l HCC diagnosed by pathology. To compare the sensitivity and accuracy of 3.0T MRI and 64 slice spiral CT in the detection of focal hepatic lesions. Results The sensitivity and accuracy of 3.0T MRI in the detection of HCC lesions were higher than those of the 64 slice spiral CT,especially for small HCC. Conclusion 3.0T MRI is superior to 64 slice spiral CT in the diagnosis of HCC,but 3.0T MRI and 64 slice spiral CT have their own advantages and disadvantages in the diagnosis of HCC. 3.0T MRI can not completely replace the 64 slice spiral CT,it should be chosen according to lesion in clinical application.

关 键 词：肝肿瘤 磁共振成像 体层摄影术 螺旋计算机 

分 类 号：R735.7[医药卫生—肿瘤] R730.44[医药卫生—临床医学] R445.2