| MRI与SCT在原发性肝癌经TACE治疗后随访的对比研究 |
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| 引用本文： | 何明颖,黄莹,梁礼平,陈渊辉,宦怡.MRI与SCT在原发性肝癌经TACE治疗后随访的对比研究[J].临床放射学杂志,2008,27(12):1684-1687. |
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| 作者姓名： | 何明颖 黄莹 梁礼平 陈渊辉 宦怡 |
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| 作者单位： | 1. 解放军第180医院放射科,泉州,362000
2. 第四军医大学西京医院影像科,西安,710032 |
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| 摘 要： | 目的 对比分析MRI与螺旋CT(SCT)在原发性肝癌经肝动脉栓塞化疗(TACE)后随访中的应用价值. 资料与方法 经TACE治疗的原发性肝癌患者31例,分别于治疗前1周及治疗后3个月行MRI及SCT检查,MRI包括平扫和动态增强扫描;SCT检查包括平扫和增强后三期扫描.并于MRI与SCT检查后1周内行DSA.以DSA结果 为金标准,比较MRI和SCT对于TACE后肿瘤的残留与复发显示情况. 结果 DSA检查发现30例39个瘤灶残留,7例新发病灶,其中2例单发,5例多发,共13个新发病灶.残留灶与新发灶均表现为局部异常肿瘤血管和肿瘤染色.MRI共显示29例36个残留灶,6例共12个新发病灶;敏感性为92%,特异性为100%.SCT显示共有23例28个残留病灶,显示6例共12个新发病灶;敏感性为72%,特异性为100%.MRI对于肿瘤残留灶的检出率、敏感性高于SCT(P＜0.05),对于新发病灶两者差异无统计学意义(P＞0.05). 结论 与SCT比较,MRI能排除碘油沉积的影响,更加敏感地检测出肿瘤的残留、复发及新发病灶,而且更能反映肿瘤TACE治疗后的病理改变.
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| 关 键 词： | 磁共振成像 体层摄影术 X线计算机 肝细胞肝癌 经肝动脉栓塞化疗 随访 |
A Comparison Study of MRI and SCT Examination in the Follow-up of HCC Treated with TACE |
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| HE Mingying,HUANG Ying,LIANG Liping,et al..A Comparison Study of MRI and SCT Examination in the Follow-up of HCC Treated with TACE[J].Journal of Clinical Radiology,2008,27(12):1684-1687. |
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| Authors: | HE Mingying HUANG Ying LIANG Liping |
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| Institution: | HE Mingying,HUANG Ying,LIANG Liping,et al.Department of Radiology,the No.180 Hospital of PLA,Quanzhou,Fujian Province 362000,P.R.China |
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| Abstract: | Objective To study the value of MRI and SCT examinations Compared with DSA in the follow up of HCC treated with transcatheter hepatic arterial chemoembolization (THAC). Materials and Methods 31patients with HCC were treated with TACE. All the patients performed MRI and SCT examinations 1 week before and 3 months after TACE therophy. and of DSA examination 1week after MRI and SCT scan. DSA results was regarded as the golden standard. MRI results were compared with SCT to display the HCC. Results DSA found 39... |
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| Keywords: | Magnetic resonance imaging Tomography X-ray computed Hepatocellular cancinoma Transcatheter hepatic arterial chemoembolization Follow up |
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