摘要
目的探讨老年混合型肝癌(cHCC-CC)患者肝脏增强CT及MRI影像学特征及诊断价值。方法2018年10月至2020年9月江苏省如皋市人民医院收治的98例拟诊为c HCC-CC的老年患者为研究对象,患者均行CT和MRI检查。分析老年c HCC-CC患者CT及MRI影像特征。以病理结果为金标准,分析CT、MRI影像学检查及两者联合检查对老年c HCC-CC患者的诊断价值。结果98例拟诊为c HCC-CC的老年患者中c HCC-CC患者89例。CT平扫示肝脏轮廓欠规整,呈波浪状,体积增大,密度不均匀,肿瘤呈混合密度或低密度;MRI平扫呈镶嵌征象。肝脏增强CT、MRI影像及两者联合诊断老年c HCC-CC的灵敏度分别为77.53%、92.13%、97.75%;特异度分别为66.67%、77.78%、88.89%;准确度分别为76.53%、90.81%、96.94%。结论肝脏增强CT、MRI联合检测对老年c HCC-CC的诊断效能较高。
Objective To explore the imaging features and diagnostic value of liver enhanced CT and MRI in elderly patients with combined hepatocellular and cholangio carcinoma(cHCC-CC).Methods From October 2018 to September 2020,98 elderly patients suspected to be cHCC-CC admitted to Rugao People’s Hospital,Jiangsu Province were selected as the research subjects,all patients underwent CT and MRI examinations.CT and MRI imaging features of elderly patients with cHCC-CC were analyzed.Pathological results as the gold standard,the diagnostic value of CT,MRI,and their combination in elderly patients with cHCC-CC was analyzed.Results Among the 98 elderly patients suspected to be cHCC-CC,89 cases were cHCC-CC patients.CT plain scan showed that the liver contour was unstructured,wavy,with increased volume and uneven density,and the tumor presented mixed density or low density;plain MRI showed mosaic signs.The sensitivity of liver enhanced CT,MRI,and their combination in the diagnosis of elderly cHCC-CC was 77.53%,92.13%,and 97.75%,respectively;the specificity was 66.67%,77.78%,and 88.89%,respectively;the accuracy was 76.53%,90.81%,and 96.94%,respectively.Conclusion The combination of enhanced CT and MRI in the diagnosis of cHCC-CC in the elderly is effective.
作者
肖志锋
杨志勇
钱小建
孙蓉
姜艳丽
肖翼春
XIAO Zhifeng;YANG Zhiyong;QIAN Xiaojian;SUN Rong;JIANG Yanli;XIAO Yichun(Department of Radiology,Rugao Hospital Affiliated to Nantong UniversityRugao People’s Hospital,Jiangsu Province,Rugao226500,China;Department of Nuclear Medicine,Wuxi People’s Hospital,Jiangsu Province,Wuxi214000,China)
出处
《中国医药导报》
CAS
2023年第19期170-173,共4页
China Medical Herald
基金
江苏省自然科学基金资助项目(BK20191153)。
关键词
老年
混合型肝癌
CT
MRI
Elderly
Combined hepatocellular and cholangio carcinoma
CT
MRI
