Consistencyanalysisofpreoperativeultrasoundand MSCTindiagnosing microvascularinvasioninhepatocellularcarcinoma
10.3969/j.issn.1002-1671.2019.05.016
- VernacularTitle:术前超声及多层螺旋CT诊断肝癌微血管侵犯的一致性分析
- Author:
Lianfeng LIU
1
;
Danke SU
;
Junjie LIU
;
Hang LI
;
Zhanling DING
;
Shengfa ZHAO
Author Information
1. 广西医科大学附属肿瘤医院超声科
- Keywords:
ultrasound;
computedtomography;
microvascularinvasion;
consistencyanalysis;
hepatocellularcarcinoma
- From:
Journal of Practical Radiology
2019;35(5):752-755,779
- CountryChina
- Language:Chinese
-
Abstract:
Objective Toinvestigatetheconsistencyofultrasoundand MSCTindiagnosing microvascularinvasion (MVI)in hepatocellularcarcinoma,andtocomparethediagnosticefficiencyofbothtwomethods.Methods TheultrasoundandMSCTdataof 82patientswithhepatocellularcarcinomawerecollected.Accordingtothepostoperativepathologicalresults,theconsistencyanddiagnostic efficiencyofultrasoundandMSCTindiagnosingMVIinhepatocellularcarcinomawerecompared.Results Accordingtothepostoperative pathologicalfindingsof82patients,30caseswerepositiveofMVI,while52caseswerenegative.ThepreoperativeMSCTandultrasound examinations had a strong consistency (Cohen’s Kappa＝0.829 ,P＜0.001 ).The sensitivity ,specificity and accuracy of preoperative ultrasoundinpredictingtheMVIinhepatocellularcarcinomawere76.67% (23/30),67.31% (35/52)and70.73% (58/82),respectively. Thesensitivity,specificityandaccuracyofpreoperativeMSCTinpredictinghepatocellularcarcinomaMVIwere83.33% (25/30),73.08%(38/52)and75.61% (63/82),respectively.Conclusion Preoperativeultrasoundand MSCThavegoodconsistencyandhighdiagnostic efficiencyindiagnosing MVIinhepatocellularcarcinoma.
