Early diagnosis value of MRI combined with DSA in cancer nodules from cirrhotic nodules
10.3760/cma.j.issn.1008-6706.2010.20.004
- VernacularTitle:核磁共振和数字减影血管显影联合应用对肝硬化结节癌变的早期诊断价值
- Author:
Hanqing LV
;
Zonggui XIE
;
Guangdong TONG
;
Mingwei XI
;
Yuanming HU
;
Xiaozhou ZHOU
- Publication Type:Journal Article
- Keywords:
Cirrhotic nodules;
Smaller hepatocellular carcinoma;
Magnetic resonance imaging;
Digital subtraction angiography
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(20):2745-2747
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the early diagnosis value of MRI combined with DSA in cirrhotic nodules (regenerative nodules, dysplastic nodules) becoming small hepatocellular carcinoma. Methods 40 patients diagnosed as cirrhosis and whose liver nodules detected by ultrasound were followed up as MR dynamic study. All patients were followed up by three dynamic contrast-enhanced MR scanning once every 3 months,and the changes of cirrhotic nodules were observed and analyzed in the signal. If MRI suggested cancerous nodules cirrhosis, hepatic artery DSA would be carried out. Results 40 patients were followed up for 1.5 to 3 years,all patients MR nodules were found in liver regeneration. Follow-up process, the dysplastic nodules were founded in 28 cases and the small hepatocellular carcinoma were founded in 18 patients. 16 cases of 18 patients with small hepatocellular carcinoma carried out routine DSA all had typical of hepatic arterial blood supply and angiogenesis, and were given to Integrated Traditional and Western intervention simultaneously. Conclusion Combined use of MRI-DSA in the evaluation of cirrhotic nodules had a definite value, and could find smaller hepatocellular carcinoma,provide the basis for smaller hepatocellular carcinoma therapy.
