ThevalueofGd-EOB-DTPA-enhanced MRIindiagnosisofhepatocellularcarcinoma
10.3969/j.issn.1002-1671.2019.07.011
- VernacularTitle:普美显MRI增强检查对肝细胞肝癌定性诊断的价值
- Author:
Wei ZHOU
1
;
Genji BAI
;
Wenli SHAN
;
Hui CAO
Author Information
1. 南京医科大学附属淮安第一医院影像科
- Keywords:
hepatocellularcarcinoma;
Gd-EOB-DTPA;
computedtomography;
magneticresonanceimaging
- From:
Journal of Practical Radiology
2019;35(7):1073-1076
- CountryChina
- Language:Chinese
-
Abstract:
Objective ToexplorethediagnosticvalueofenhancedCTandGd-EOB-DTPA-enhanced MRIinthedetectionofhepatocellular carcinoma (HCC).Methods 41patientswith52HCCsunderwentenhancedCTandGd-EOB-DTPA-enhancedMRIrespectively.The imagingmanifestationswereanalyzed,andthelesionsweregrouped.Theimagingdiagnositicresultswerecomparedwiththepathologicalresults, andtheefficacyofthetwomodalitieswasevaluatedusingtheaccuracyindex.Results Ofthetotal52HCCs,42lesionswereidentifiedexactlyby enhancedCT,and51byGd-EOB-DTPA-enhancedMRI.Foralllesions,includingsmalllesions(≤2cm),theaccuracyratioofGd-EOB-DTPA-enhancedMRIwashigherthanthatofenhancedCT withastatisticallysignificantdifference(P<0.05),however,therewasnosignificant differenceforthelesionsbiggerthan2cm (P>0.05).Conclusion EnhancedCTislimitedindiagnosisoftheHCCssmallerthanor equalto2cm.ThediagnosticefficacyofGd-EOB-DTPA-enhanced MRIishigherthanthatofenhancedCT,anditcansignificantly improvethediagnosisofsmallHCC.
