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MRI对肝不典型增生结节癌变的诊断价值

方金洲 郑建军 方彦成 余小忠 李岳兴 王晓玲 杨正汉

中国中西医结合外科杂志2012,Vol.18Issue(2):124-127,4.
中国中西医结合外科杂志2012,Vol.18Issue(2):124-127,4.DOI:10.3969/j.issn.1007-6948.2012.02.007

MRI对肝不典型增生结节癌变的诊断价值

The Value of MR Imaging in the Diagnosis of Hepatocarcinogenesis within Dysplastic Nodules

方金洲 1郑建军 2方彦成 3余小忠 1李岳兴 1王晓玲 1杨正汉4

作者信息

  • 1. 浙江省衢化医院放射科,衢州324004
  • 2. 浙江省宁波市第二医院放射科
  • 3. 长春中医药大学附属医院MRI室
  • 4. 卫生部北京医院放射科
  • 折叠

摘要

Abstract

Objective To investigate the early MRI findings of hepatoeeiiular carcinoma (HCC) within dys-plastie nodule (DN) (HCC within DN), and to evaluate the diagnostic value of MRI, Methods Routine and dynamic MRI was performed in 29 patients with 32 lesions ol "HCC within DN proved pathologically, and all MR images were reviewed. Results 25 of 32 lesions (78%) were detected by MRI. 13 lesions were mild hyperin-lense, 7 were isoinlense, and 5 were mild hypoin-tensc on T1WL On T2WL, 6 lesions showed mildlyhy-perinlense, 8 were iso intense, and ihe other 11 showed 'nodule-in-nodule . 21 lesions showed obvious enhancement in arterial phase of dynamic enhanced MRI. Fat degeneration was found in 7 lesions. Conclusion There are sonie characteristic MRI findings in "IICC witliin DJ\", and MRI can help the diagnosis of "HCC within DN".

关键词

不典型增生结节/癌变//磁共振成像

Key words

Dysplaslic nodule/Carcinogenesis/Liver/Magnetic resonance imaging

分类

医药卫生

引用本文复制引用

方金洲,郑建军,方彦成,余小忠,李岳兴,王晓玲,杨正汉..MRI对肝不典型增生结节癌变的诊断价值[J].中国中西医结合外科杂志,2012,18(2):124-127,4.

基金项目

北京市自然科学基金(7063091) (7063091)

北京市科委"首都特色临床医学应用研究"项目(D101100050010056) (D101100050010056)

中国中西医结合外科杂志

OACSTPCD

1007-6948

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