肝脏局灶性结节样增生的影像表现比较

Comparison of imaging finding of liver with focal nodular hyperplasia

目的探讨肝脏局灶性结节样增生(FNH)的彩色多普勒超声(CDI)检查和MRI的表现及其诊断价值。方法 2009-2013年经病理证实的FNH患者19例,均行彩色多普勒超声检查及MRI检查,9例患者得到随访。结果 19例患者中CDI及MRI对病灶检出率均为100%,MRI诊断74%(14/19)与病理相符;超声诊断仅5%(1/19)与病理相符;9例患者随访过程中CDI与MRI得出的结果一致。结论 CDI与MRI对病灶的检出率一致,MRI诊断FNH符合率较CDI高,对于复查的患者CDI性价比较MRI高。

Objective To evaluate the imaging finding of the color Doppler imaging （CDI） and MRI in the di-agnosis of liver with focal nodular hyperplasia （FNH）. Methods Nineteen patients with FNH underwent CDI and MRI were enrolled, of which 9 were followed up. Results The detection rate of lesions in 19 patients detected by CDI and MRI all was 100%. The diagnostic coincidence rate of MRI conformed to pathology was 74%（14/19） for MRI and 5%（1/19） for CDI. The results of CDI and MRI were consistent in the 9 patients followed up. Conclusion The diagnostic coincidence rate of FNH in MRI is higher than CDI. The detection rate is the same, but for review patients CDI is better.