中国医科大学学报2024，Vol.53Issue(1)：75-79,5.DOI:10.12007/j.issn.0258-4646.2024.01.012
肝细胞癌影像特征结合实验室指标在微血管侵犯中的预测价值
Value of imaging features and laboratory indicators in predicting microvascular invasion of hepatocellular carcinoma
戴聪 1刘文源 1刘宣彤 2邹明宇1
作者信息
- 1. 北部战区总医院放射诊断科,沈阳 110016
- 2. 北部战区总医院病理科,沈阳 110016
- 折叠
摘要
Abstract
Objective To evaluate the prediction of microvascular invasion(MVI)and its grading in patients with hepatocellular carcinoma(HCC)by computed tomography(CT)and magnetic resonance imaging(MRI)features combined with laboratory indices.Methods Using plain and enhanced CT and MRI scan to examine the participants preoperatively,the features of tumor length diam-eter,shape,number,margin and tumor capsule,whether multiple nodules are fused,whether external convex nodules are visible locally,whether blood supply vessels are visible inside or degeneration or necrosis exists,and whether low density or signal exists around the tumor that are extracted from the examination results,combined with clinical indicators,such as age,preoperative alpha-fetoprotein(AFP)level,and presence of hepatitis B surface and e antigens to analyze the occurrence of MVI in patients with HCC.Results Patients with HCC and MVI were more likely to have elevated AFP;the larger the tumor length and diameter,the higher the incidence of MVI.CT and MRI showed that the features of blurred tumor edges and incomplete local capsule were independent risk factors for MVI of HCC.All the extracted image features and clinical indicators had no predictive value for MVI grading.Conclusion A few imaging features and clin-ical indicators of HCC have definite predictive value for the occurrence of MVI.关键词
肝细胞癌/微血管侵犯/CT/磁共振成像/甲胎蛋白Key words
hepatocellular carcinoma/microvascular invasion/CT/magnetic resonance imaging/alpha-fetoprotein分类
医药卫生引用本文复制引用
戴聪,刘文源,刘宣彤,邹明宇..肝细胞癌影像特征结合实验室指标在微血管侵犯中的预测价值[J].中国医科大学学报,2024,53(1):75-79,5.
