多模态影像学诊断心脏占位性病变  

Multimodal imaging for diagnosis of cardiac space-occupying lesions

作　　者：李岩[1] 王清国[2] 王丽园 李文秀[3] 刘文旭[3] 牛永超[1] 贾桢 翟慧萍 刘敏 徐加莉 帖永新[1] 李丹丹 秦金霞[1] LI Yan;WANG Qingguo;WANG Liyuan;LI Wenxiu;LIU Wenxu;NIU Yongchao;JIA Zhen;ZHAI Huiping;LIU Min;XU J iali;TIE Yongxin;LI Dandan;QIN Jinxia(The First Department of Ultrasound,Central Hospital of Xinxiang,Xinxiang 453000,China;Department of Ultrasound,Binzhou People’s Hospital,Binzhou 256603,China;Department of Ultrasound Medicine,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Department of Ultrasound,the Second People’s Hospital of Xinxiang,Xinxiang 453002,China)

机构地区：[1]新乡市中心医院超声一科,河南新乡453000 [2]滨州市人民医院超声科,山东滨州256603 [3]首都医科大学附属北京安贞医院超声医学科,北京100029 [4]新乡市第二人民医院超声科,河南新乡453002

出　　处：《中国介入影像与治疗学》2023年第12期745-748,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察多模态影像学诊断心脏占位性病变的价值。方法回顾性分析70例接受超声心动图及心脏CT(CCT)检查的心脏占位性病变患者,其中35例接受心脏MRI(CMRI);根据术后病理或临床诊断结果评估多模态影像学诊断心脏占位性病变的价值。结果70例中,经手术病理证实43例良性肿瘤,经手术病理证实3例、经临床诊断1例恶性肿瘤;经临床诊断23例非肿瘤占位性病变,治疗后病变均明显缩小。超声心动图正确诊断57例、误诊8例、5例诊断不明确,诊断准确率为81.43%(57/70);CCT正确诊断63例、误诊4例、漏诊3例,诊断准确率为90.00%(63/70)。35例CMRI诊断结果均与术后病理结果一致,诊断准确率100%(35/35)。结论多模态影像学检查可为临床诊断及治疗心脏占位性病变提供客观依据。Objective To observe the value of multimodal imaging for diagnosis of cardiac space-occupying lesions.Methods Data of 70 patients with cardiac space-occupying lesions who underwent echocardiography and cardiac CT(CCT)were retrospectively analyzed,among them 35 also underwent cardiac MRI(CMRI).The value of multimodal imaging for diagnosis of cardiac space-occupying lesions were explored according to the results of surgical pathology or clinical diagnosis.Results Among 70 cases,benign tumors were confirmed by surgical pathology in 43 cases,while malignant tumors were confirmed by surgical pathology in 3 cases and clinically diagnosed in 1 case.Meanwhile,nontumor-occupying lesions were clinically diagnosed in 23 cases,all obviously shrunken after treatments.Among 70 cases,echocardiography correctly diagnosed 57 cases,misdiagnosed 8 cases and unclearly diagnosed 5 cases,with diagnostic accuracy rate of 81.43%(57/70).CCT correctly diagnosed 63 cases,misdiagnosed 4 cases but missed 3 cases,with diagnostic accuracy rate of 90.00%(63/70).CMRI outcomes in all 35 cases were consistent with surgical pathologic results,with diagnostic accuracy rate of 100%(35/35).Conclusion Multimodal imaging might provide objective evidences for diagnosis and treatment of cardiac space-occupying lesions.

关 键 词：心脏肿瘤 诊断显像 

分 类 号：R732.1[医药卫生—肿瘤] R445[医药卫生—临床医学]