摘要
目的比较CT和MRI对原发性肝癌TACE术后情况的诊断效果。方法对TACE治疗术后1~3个月的原发性肝癌患者51例,行CT、MRI检查,以CT检查结果作为金标准分析MRI检查结果。结果 MRI对肿瘤包膜检出率明显高于CT（P〈0.05）。CT检出病灶37处,MRI检出病灶45处（100%）,诊断准确率82.4%,灵敏度97.4%,特异度38.5%,阳性预测值=82.2%;阴性预测值=83.3%。MRI的ROC曲线下面积明显大于CT的ROC曲线下面积（P〈0.05）。MRI的最小短径明显小于CT（P〈0.05）。结论 MRI在诊断原发性肝癌TACE术后肿瘤残存、复发方面优于CT。
Objective To compare the diagnostic value of CT and MRI for primary hepatic carcinoma after TACE.Methods 51 primary hepatic carcinoma after TACE in 1 ~ 3 months received CT and MRI detection.CT result was used as the gold standard to analyze the MRI result.Results The detection rate of tumor capsule by MRI was higher than that of CT（P〈0.05）.37 lesions were detected on CT examination in 48 patients.45 lesions were detected on MRI examination in 48 patients,diagnostic accuracy was 82.4%,sensitivity was 97.4% and specificity was 38.5%.The positive and negative predictive values were 82.2% and 83.3%,respectively.The area under the ROC curve of MRI was bigger than that of CT（P〈0.05）.The minimum short diameter of MRI was lower than that of CT（P〈0.05）.Conclusion MRI is superior to CT in the diagnosis of residual tumor and recurrence of primary hepatic carcinoma after TACE.
出处
《实用癌症杂志》
2015年第11期1701-1703,共3页
The Practical Journal of Cancer
