Diagnostic value of CEUS for small focal liver lesions under the background of hepatocirrhosis
10.16571/j.cnki.1008-8199.2017.03.016
- VernacularTitle:肝硬化背景下超声造影对肝内微小结节的诊断价值
- Author:
Yanli HUANG
;
Xiaoping Lü
;
Chimin ZHANG
- Keywords:
Contrast-enhanced ultrasound;
Conventional ultrasound;
Hepatic cirrhosis;
Small hepato-cellular carcinoma
- From:
Journal of Medical Postgraduates
2017;30(3):298-301
- CountryChina
- Language:Chinese
-
Abstract:
Objective Diagnosis of contrast-enhanced ultrasound ( CEUS) for small focal liver lesions under the background of hepatocirrhosis has been a difficult problem in clinical practice .CEUS has significantly improved the accuracy of liver cancer diagno-sis, but little research has been done in minimal lesions .The article was to investigate the diagnostic value of CEUS in liver cirrhosis with small focal liver lesions (≤2 cm) . Methods 70 patients with cirrhosis and 76 small focal hepatic lesions who were admitted in our hospital from March 2015 to August 2015 were examined by conventional ultrasound and CEUS .Comparative analysis was made be-tween the results of tests and pathology to calculate the sensitivity , specificity and accuracy of CEUS and conventional ultrasound . Results The sensitivity , specificity and accuracy in diagnosing small hepatic cancer lesions complicated with cirrhosis by CEUS and conventional ultrasound were 47.6%、79.4%、61.8%and97.6%、97.1%、97.4%,respectively.CEUS was in high consistence with the results of pathology ( Kappa 0.947) and significantly higher than those of conventional ultrasound (Kappa 0.259). Conclusion CEUS has high application value in the differential diagnosis of small focal he-patic lesions complicated with cirrhosis .
