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Gd-EOB-DTPA增强MRI对肝硬化背景下小肝细胞癌的诊断价值

熊廷伟 龚明福 廖翠薇 张冬 张启川

检验医学与临床2017,Vol.14Issue(23):3441-3443,3.
检验医学与临床2017,Vol.14Issue(23):3441-3443,3.DOI:10.3969/j.issn.1672-9455.2017.23.007

Gd-EOB-DTPA增强MRI对肝硬化背景下小肝细胞癌的诊断价值

The value of Gd-EOB-DTPA-enhanced MRI in diagnosis of small hepatocellular carcinoma in liver cirrhosis

熊廷伟 1龚明福 1廖翠薇 1张冬 1张启川1

作者信息

  • 1. 陆军军医大学第二附属医院放射科,重庆400037
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摘要

Abstract

Objective To investigate the diagnotic value of Gd-EOB-DTPA-enhanced MRI in diagnosis of small hepatocellular carcinoma in liver cirrhosis.Methods The MRI findings of 23 cases small hepatocellular carcinoma confirmed by pathology were retrospectively analyzed,and the imaging diagnosis and pathologic findings were compared.Results A total of 23 nodules were detected in twenty patients with cirrhosis,19 nodules were diagnosed as small hepatocellular carcinoma through the plain and dynamic enhance scan,and 4 nodules diagnosed as hyperplastic nodules.While through Gd-EOB-DTPA hepatobiliary phase enhanced scan,23 nodules were diagnosed as small hepatocellular carcinoma.The diagnostic accuracy of the plain and dynamic enhance scan was 83.0%,while Gd-EOB-DTPA hepatobiliary phase enhanced scan was 100.0%,the difference was statistically significant (P<0.05).Conclusion As a liver-specific contrast agent for magnetic resonance imaging,Gd-EOB-DTPA could improve the diagnostic accuracy of small hepatocellular carcinoma in patient with liver cirrhosis.

关键词

钆塞酸二钠/核磁共振成像/肝细胞癌/肝硬化

Key words

Gd-EOB-DTPA/magnetic resonance imaging/hepatocellular carcinoma/liver cirrhosis

引用本文复制引用

熊廷伟,龚明福,廖翠薇,张冬,张启川..Gd-EOB-DTPA增强MRI对肝硬化背景下小肝细胞癌的诊断价值[J].检验医学与临床,2017,14(23):3441-3443,3.

基金项目

国家自然科学基金资助项目(81501521). (81501521)

检验医学与临床

1672-9455

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