多模态MRI在囊型肝包虫病诊断与分型中的价值研究  

Study on the application value of multimodal MRI in diagnosis and classification of hepatic cystic echinococcosis

作　　者：艾洁尔古丽·麦合苏木 艾买提江·阿不力米提 帕提曼·买买提 戴国朝[1] Aijieerguli·Maihesumu;Aimatijiang·Abulimiti;Patiman·Maimaiti;Dai Guochao(Center of Medical Image,The First People's Hospital of Kashi Region,Kashi 844000,China)

机构地区：[1]喀什地区第一人民医院影像中心,喀什844000

出　　处：《中国医学装备》2024年第7期66-70,共5页China Medical Equipment

基　　金：新疆维吾尔自治区自然科学基金(2021D01C015);省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2020-KS6)。

摘　　要：目的:探讨多模态磁共振成像(MRI)在肝囊型棘球蚴病(CE)诊断与CE分型的价值,为CE治疗提供指导。方法:选取2021年1月至2023年6月喀什地区第一人民医院收治的60例CE患者,均行上腹部超声及MRI检查,评估患者MRI影像并比较不同CE分型患者表观弥散系数(ADC)值,探讨多模态MRI在鉴别不同类型囊性肝包虫的作用。结果:60例患者中,共有78个包虫囊肿,CE1型16例,CE2型8例,CE3型11例,CE4型17例,CE5型8例。5种不同CE型患者ADC值比较,差异有统计学意义(H=12.86,P<0.05)。其中,CE1型与CE2型、CE4型及CE5型患者ADC值比较,差异有统计学意义(Z=2.30、3.372、3.89,P<0.05)。CE2型与CE4型及CE5型患者ADC值比较,差异有统计学意义(Z=2.75、3.29,P<0.05)。结论:MRI能清晰的显示肝包虫的位置、数目、大小及与周围组织器官的比邻关系,磁共振胆胰管造影(MRCP)序列可作为评估包虫患者胆管并发症的无创的影像学检查方法,弥散加权成像(DWI)衍生的ADC值可以区分不同类型CE,指导临床治疗干预。Objective:To explore the application value of multimodal magnetic resonance imaging(MRI)in the diagnosis and classification of hepatic cystic echinococcosis(CE),so as to provide guidance for treating CE.Methods:A total of sixty patients with CE who admitted to the First People's Hospital of Kashi Region from January 2021 to June 2023 were collected,and all of them underwent ultrasound examination and MRI examination on upper abdomen.MRI images of patients were assessed,and the apparent diffusion coefficient(ADC)values of patients with different CE types were compared.And then,the effect of multimodal MRI was explored in distinguishing different types of hepatic cystic echinococcosis.Results:In 60 patients,there were 78 hydatid cyst,which included 16 cases of CE1 type,8 cases of CE2 type,11 cases of CE3 type,17 cases of CE4 type and 8 cases of CE5 type.The differences of ADC values among 5 type of CE patients were significant(H=12.86,P<0.05).Among of them,the differences of ADC values between CE1 type and CE2 type,and between CE4 type and CE5 type were significant(Z=2.30,3.372,3.89,P<0.05),respectively.In addition,the differences of ADC values among CE2 type,CE4 type and CE5 type were significant(Z=2.75,3.29,P<0.05).Conclusion:MRI can clearly display the position,the number and the size of hepatic hydatid,and the neighborhood relationship of that with surrounding tissues and organs.The sequence of magnetic resonance cholangiopancreatography(MRCP)can be used as non-invasive imaging examination method to assess the complications of bile duct of patients with hepatic hydatid.In addition,the derived ADC value of diffusion weighted imaging(DWI)can distinguish different type of CE,which can guide the intervention of clinical treatment.

关 键 词：囊型肝包虫 多模态MRI 扩散加权成像(DWI) 磁共振胆胰管造影(MRCP) 

分 类 号：R445.2[医药卫生—影像医学与核医学]