钆塞酸二钠增强磁共振成像与CT增强扫描对肝细胞癌的诊断价值  

Application value of Gd-EOB-DTPA enhanced MRI and enhanced CT in the diagnosis of hepatocellular carcinoma

作　　者：柴梦琪 李娜[2] 吴英宁[2] 陆玉敏 CHAI Mengqi;LI Na;WU Yingning;LU Yumin(Youjiang Medical University for Nationalities,Baise,Guangxi Province 533000,China;Department of Radiology,the Affliated Hospital of Youjiang Medical University for Natiomalities,Baise,Guangxi Province 533000,China;De partment of Radiology,the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]右江民族医学院,广西百色533000 [2]右江民族医学院附属医院放射科,广西百色533000 [3]广西壮族自治区人民医院放射科,广西南宁530021

出　　处：《实用放射学杂志》2020年第7期1077-1080,共4页Journal of Practical Radiology

摘　　要：目的 探讨钆塞酸二钠(Gd-EOB-DTPA)增强MRI与CT增强扫描在肝细胞癌(HCC)诊断中的应用价值.方法 选取临床资料、影像数据完整的HCC患者共38例为研究对象,所有患者均接受Gd-EOB-DTPA增强MRI和CT增强扫描检查,分析2种检查方法对于HCC的强化方式、包膜检出率及检验效能.结果 38例患者中共检出45个瘤灶.Gd-EOB-DTPA增强MRI与CT增强扫描HCC的包膜检出组间比较差异无统计学意义(P>0.05).2种检查方法的各期影像学的表现特点及相同期相中不同检查方法的检验效能差异性对比,Gd-EOB-DTPA增强MRI与CT增强扫描在门脉期对HCC的检验效能有差异性(P<0.05).2种检查方法的各期影像学的表现特点及同一种检查方法在不同期相中检验效能差异性对比,Gd-EOB-DTPA增强MRI在20 min肝胆特异期对HCC的检验效能最显著.结论 Gd-EOB-DTPA增强MRI及CT增强2种影像学检查方法均能较好显示HCC的强化特征及对HCC包膜的检出,Gd-EOB-DTPA增强MRI对HCC病变的检出有更好的检验效能,尤其是肝胆特异期检验效能显著.Objective To instigate the utility of Gd-EOB-DTPA enhanced MRI and enbanced CT in the dingnosis of beellol carcinoma(HCC).Methouts A total of 38 patients with HCC with conmplte dinical and inaging dnta wre enrolled.All patients underwent Gid-E0OB-DTPA enhaneed MRI and enhanced CT.The enancerment modality,the detetio rste of the eapslo and the detetion eicincey of the two methods for HOC were snalyed.Resuts A total of 45 lsions were detected in 38 painsTher was no sgnifcant diferenre between the Gd EOB DTPA enbhanced MRI and enbanced CT in the detee tion of capsule of HOC(P>0.05).When compared the the innging charecteristicse between the two methods in cauch phase and the detetion eficieney of two merhods in the same phase,it was.found that there was a satistical dfference in the detetion eficieney in the poral phase(P<0.05).When compared the the imaging characteristies of the two metods in each phese and the detection eficieney ol one merhod in diverse phase,it wes fourd that the detection eficiency of Gt FOB DTPA enhanced MRI for HOC is the most sinifint in the hepobiliriy speifie phase at 20 mintesCondusion Both Gd-EOB DTPA enhanced MRI and enbsnced CT can show the enhancement chrarcristis of HCC and detet the capule,and Gid EOB DTPA enhanced MRI exhibis a blter deto eficincy for HCC epeially in the bepaobiliary specifie phase.

关 键 词：肝细胞癌 磁共振成像 计算机体层成像 

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