普美显磁共振增强成像用于鉴别肝硬化结节与结节型肝癌价值探析

The Value of Pomegrani Magnetic Resonance Imaging in the Identification of Hepatic Cirrhosis and Nodular Hepatocellular Carcinoma

目的:对普美显磁共振增强成像在肝胆特异期用来鉴别肝硬化结节和结节型肝癌的价值进行评估和分析。方法:对26例存在肝硬化结节的患者进行磁共振平扫和普美显磁共振增强扫描,于扫描后1月内进行手术或穿刺活检,将影像诊断和病理结果行对照分析。结果:26例患者经磁共振平扫加常规三期增强共发现肝内结节75个,初步判断为癌灶者21个;普美显增强特异期扫描共发现癌灶25个。最终病理结果共检出癌灶25个,磁共振平扫加三期增强与之符合18例(72%),普美显增强特异期扫描与之符合22例(88%),数据差异有统计学意义(P<0.05)。结论:普美显磁共振增强扫描对提高肝硬化患者肝内结节性质的诊断发现率及准确率有明显提升。

Objective To evaluate and analyze the value of Pummelian magnetic resonance imaging in the identification of liver cirrhosis nodules and nodular hepatocellular carcinoma(HCC). Methods Twenty-six patients with cirrhosis nodules were examined by magnetic resonance imaging and Pummelian magnetic resonance imaging.Surgery or biopsy were performed within 1 month after scanning.The imaging diagnosis and pathological findings were analyzed. Results Twenty-six patients with intracranial nodules were diagnosed by magnetic resonance imaging and conventional three-phase enhancement.Twenty-one patients were diagnosed as cancerous lesions.The results of the final pathology were detected in 25 lesions, magnetic resonance scan plus three enhanced with 18 cases(72%), Pu Mei significant enhanced specific scan with 22 cases(88%), the data were statistically significant(P<0.05).Conclusion Pummelian magnetic resonance enhanced scan has a significant improvement in the diagnosis and accuracy of the diagnosis of liver nodules in patients with liver cirrhosis.