Comparison of contrast-enhanced ultrasound and contrast-enhanced CT in the differential diagnosis of the benign and malignant hepatic nodulesin Budd-Chiari syndrome
10.3760/cma.j.issn.1004-4477.2014.12.010
- VernacularTitle:超声造影及增强CT对Budd-Chiari综合征合并肝内结节良恶性鉴别诊断的对比研究
- Author:
Ruifang ZHANG
;
Tingting HUO
;
Yi SONG
;
Lulu SUN
;
Yuanyuan ZHOU
;
Quan ZHENG
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Microbubbles;
Budd-Chiari syndrome;
Liver neoplasms
- From:
Chinese Journal of Ultrasonography
2014;23(12):1045-1049
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the value of contrast-enhanced ultrasound(CEUS) and contrastenhanced CT(CECT) for the differential diagnosis of the benign and malignant hepatic nodules in BuddChiari syndrome(BCS).Methods Thirty-nine BCS patients with hepatic nodules underwent CEUS and CECT examination separately,through which the perfusion characters of the nodules in different phases were observed.With the pathological result as the golden standard,the sensitivity,specificity and accuracy of CEUS and CECT were compared on diagnosing benign regenerative nodules and hepatocellular carcinoma (HCC) in BCS.Results Of the 66 hepatic lesions in 39 patients,21 were hepatocellular carcinoma(HCC),and the other 45 were regenerative nodules.The sensitivity,specificity and accuracy of CEUS and CECT were 81％,91％,88％ and 71％,84％,80％ respectively.Thus the diagnostic efficiency difference between CEUS and CECT had no statistic significance(P ＞0.05).Conclusions The differential diagnoses of the benign and malignant hepatic nodules in BCS on CEUS and CECT have high consistency.Due to the convenience and safety of CEUS,it can be used as first-line method.
