CT与MRI在原发性肝癌介入术后病灶残留及复发中的应用价值  

Application Values of CT and MRI in the Lesion Residues and Recurrence after Primary Hepatic Carcinoma after Interventional Therapy

作　　者：朱风叶 李红 乔继红 王全华 ZHU Feng-ye;LI Hong;QIAO Ji-hong(Department of Radiology,Zhumadian Central Hospital,Zhumadian 463000,Henan Province,China)

机构地区：[1]河南省驻马店市中心医院放射科

出　　处：《中国CT和MRI杂志》2018年第7期97-99,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨电子计算机断层扫描（Computed Tomography，CT）与核磁共振（Magnetic Resonance lmaging，MRI）在原发性肝癌（Primary hepatic carcinoma，PHC）介入术后病灶残留及复发中的应用价值。方法选取本院2015年6月-2017年6月收治的PHc患者6O例为研究对象，共84个病灶，患者均在行经导管肝动脉化疗栓塞术（transarterial Chemoembolization，TACE）后2—6个月来院复查，采用CT、MRI和数字减影血管造影（Digita1 subtraction Angiography，DSA）检查。以DSA为金标准，比较CT和MRl检查对术后病灶残留、复发诊断的准确度、敏感度、特异度，以及对病灶肿瘤包膜的检出率。结果CT病灶残留或复发诊断准确度、敏感度、特异度分别为79．76％、72．58％和100．00％，MRI病灶残留或复发诊断准确度、敏感度、特异度分别为94．05％、91．94％和100．00％，MRI诊断的准确厦和敏感度显著高于CT（P〈0．O5）；CT肿瘤包膜检出率为3．57％，显著低于MRI肿瘤包膜检出率10．71％（P〈0．05）。结论MRI对于PHC患者TACE术后疗效诊断准确度高，明显优于CT诊断。Objective To explore the application values of CT and MRI in the lesion residues and recurrence of primary hepatic carcinoma （PHC） intervention. Methods A total of 60 cases of PHC patients treated in our hospital from June 2015 to June 2017 were selected for the study with a total of 84 lesions, and all the patients were given the review at 2-6 months after the rransarterial chemoembolization （TACE）. The CT, MRI and digital subtraction angiography （DSA） were performed. The accuracy, sensitivity, specificity of the lesion residues and recurrence and the detection rare of the lesion tumor capsule were analyzed by CT and MRI examination taking the DSA as the gold standard. Reaults The accuracy, sensitivity and specificity of lesion residues and recurrence were 79.76%, 72.58% and 100.00% respectively by CT and were 94.05%, 91.94% 100.00% by MRI, and the accuracy and sensitivity of MRI diagnosis were significantly higher than those by CT （P〈0.05）. The detection rare of the lesion tumor capsule by CT was significantly lower than that by MRI （3.57% vs 10.71%） （P〈0.05）. Conclusion MRI has the high accuracy＂ of efficacy diagnosis for PHC patients after TACE, which is significantly better than the CT diagnosis.

关 键 词：CT 核磁共振 原发性肝癌 行经导管肝动脉化疗栓塞术 病灶残留及复发 

分 类 号：R735.7[医药卫生—肿瘤]