摘要
目的:探讨核磁共振成像对肝硬化肝内结节诊断及癌变的早期应用价值。方法:此次研究选取50例肝硬化患者视为研究组,同期选取50例体检健康者视为参照组,选取时间为2018年1月-2018年12月。使用1.5T磁共振检查,测定两组ADC值。结果:研究组均低于参照组,P<0.05。研究组50例患者共检出73例结节,其中肝硬化再生结节41例(82.00%)。癌变者患者中分别有门脉癌栓、sHCC、巨块型、多发结节型,其中多发结节型具有不规则状或圆形肿块;sHCC的T2W1信号与T1W1信号差,表示结节周围存在假包膜。结论:核磁共振成像可用于肝硬化肝内结节与癌变早期诊断,具有较高的准确性,对疾病类型区分具有重要意义,可在临床广泛应用于推广。
Objective:To investigate the early application of magnetic resonance imaging in the diagnosis and carcinogenesis of intrahepatic nodules of cirrhosis.Methods:In this study, 50 patients with cirrhosis were enrolled as study group, and 50 healthy subjects were selected as reference group. The selection time was from January 20 to December 2018. Two sets of ADC values were determined using a 1.5 T magnetic resonance examination.Results:The study group was lower than the reference group, P<0.05. A total of 73 nodules were detected in 50 patients in the study group, including 41 regenerative nodules in cirrhosis(82.00%). Among the cancer patients, there are portal vein tumor thrombus, sHCC, massive type, multiple nodular type, of which multiple nodular types have irregular or round masses;sHCC T2 W1 signal is poor with T1 W1 signal, indicating the presence of nodules False envelope.Conclusion:Magnetic resonance imaging can be used for the early diagnosis of intrahepatic nodules and carcinogenesis of cirrhosis. It has high accuracy and is of great significance for the classification of disease types. It can be widely used in clinical promotion.
作者
黄红刚
祁红艳
刘艳红
冯永刚
陈新梅
Huang Honggang;Qi Hongyan;Liu Yanhong;Feng Yonggang;Chen Xinmei(Department of Radiology,Dingxi People's Hspital of Gansu ProvinceDingxi,Gansu 743000;Department of Infection,Dingxi People's Hspital of Gansu ProvinceDingxi,Gansu 743000)
出处
《现代医用影像学》
2020年第4期599-601,609,共4页
Modern Medical Imageology
基金
课题基金编号:6203262015274,课题项目名称:磁共振扩散加权成像结合胆囊窝扩大的MRI征象对早期肝硬化的诊断研究
关键词
核磁共振成像
肝硬化
肝内结节
癌变
Magnetic resonance imaging
Liver cirrhosis
Intrahepatic nodules
Canceration