肝细胞癌TACE术后影像学检查技术新进展  

Recent advance in imaging examination techniques for hepatocellular carcinoma after transcatheter hepatic artery chemoembolization

作　　者：曹志超 贺克武 CAO Zhichao;HE Kewu(Imaging Center of the Third Affiliated Hospital of Anhui Medical University,Hefei,Anhui Province 230061,China)

机构地区：[1]安徽医科大学第三附属医院影像中心,安徽合肥230061

出　　处：《介入放射学杂志》2025年第2期218-222,共5页Journal of Interventional Radiology

摘　　要：肝细胞癌的发病率及恶性程度很高,临床上大多数患者一经发现即为中晚期。经导管肝动脉化疗栓塞术(TACE)是不可切除性肝癌患者的首选治疗方式,能够显著减轻患者的痛苦。目前常使用增强CT或增强MR评估TACE的疗效,但对TACE术后肿瘤反应的早期和客观准确评估尚有一定困难。近年来锥形束计算机断层扫描、能谱CT、磁共振功能成像、超声造影、正电子发射计算机断层显像、影像组学等方法的出现使得更加微观及客观地反映肿瘤变化成为可能。该文就肝细胞癌TACE后影像学检查的新进展进行综述。Clinically,hepatocellular carcinoma(HCC)is characterized by its high incidence and high malignancy,and in most patients the disease has already been in the middle-advanced stage when the diagnosis is confirmed.Transcatheter hepatic artery chemoembolization(TACE)has been the preferred treatment for patients with unresectable HCC,which can significantly reduce the pain of patients′suffering.So far,enhanced CT scan or enhanced MR scan are often used to evaluate the efficacy of TACE,but there are still certain difficulties in making accurate and objective evaluation of the early tumor response after TACE treatment.With the emergence of novel imaging methods such as cone beam CT,energy spectrum CT,functional MR imaging,contrast-enhanced ultrasonography,positron emission CT in recent years,the observation of microscopic and objective changes in tumors has become possible.This paper aims to make a comprehensive review about the recent advance in imaging examination techniques for HCC after TACE.

关 键 词：肝细胞癌 经导管肝动脉化疗栓塞术 锥形束计算机断层扫描 能谱CT 磁共振功能成像 超声造影 正电子发射计算机断层显像 影像组学 

分 类 号：R735.7[医药卫生—肿瘤]