摘要
目的:对比螺旋CT(SCT)和核磁共振成像(MRI)对肝癌患者经导管肝动脉化疗栓塞(TACE)术后病灶疗效的判断。方法:选取2014年7月至2016年2月我院收治的肝癌患者54例,均采用TACE术治疗,术后进行数字减影血管造影(DSA)、SCT和MRI检查,记录肿瘤残留或复发情况、肿瘤包膜情况,以DSA检查结果为标准,比较SCT和MRI检查对患者肿瘤残余或复发病灶及肿瘤包膜病灶检出的准确性、敏感性及特异性。结果:以DSA检查结果为标准,72个病灶中有51个肿瘤残余或复发病灶,21个无肿瘤残余或复发病灶。MRI对肿瘤残余或复发病灶检出率、准确性、敏感性显著高于SCT(P<0.01);MRI对术后明显肿瘤包膜病灶检出率及敏感性显著高于SCT(P<0.01)。结论:MRI对TACE术后病灶的诊断率显著高于SCT。
Objective： To Compared the spiral CT（ SCT） and MRI for lesions effect of liver cancer after TACE.Methods： Select 54 liver cancer patients in our hospital from July 2014 to February 2016 were treated with TACE,made digital subtraction angiography（ DSA）,SCT and MRI examination postoperative. Recorded the tumor residual or recurrent and tumor capsule situation. Compared the accuracy,sensitivity and specificity of SCT and MRI on tumor residual or recurrent and tumor capsule situation based on DSA. Results： There were 51 tumor residual or recurrent lesions,21 tumor-free residual or recurrent lesions in 72 lesions on the basis of the results of DSA. The detection rate,accuracy and sensitivity of MRI on tumor residual or recurrent were significantly higher than those of SCT（ P 〈 0. 01）. The detection rate and sensitivity of MRI on tumor capsule were significantly higher than that of SCT（ P 〈 0. 01）. Conclusion： MRI diagnosis of TACE lesions was significantly higher than SCT.
出处
《现代医用影像学》
2017年第3期552-554,共3页
Modern Medical Imageology
