Objective:To compare and analyze the clinical diagnostic value of multi-slice spiral CT and enhanced MRI for primary liver cancer(PLC),and to summarize the imaging findings.Methods:The research subjects in this articl...Objective:To compare and analyze the clinical diagnostic value of multi-slice spiral CT and enhanced MRI for primary liver cancer(PLC),and to summarize the imaging findings.Methods:The research subjects in this article were 50 patients with PLC who were admitted to our hospital from 2017 April to 2018 September.After the patients were admitted,they were examined by multi-slice spiral CT and enhanced MRI scanning,and the pathological diagnosis results were followed up.Relevant information was reviewed and analyzed.Results:The detection rate of multi-slice spiral CT was higher than that of MRI in the portal venous phase lesion detection.The difference was statistically significant(P<0.05).The detection rate of lesions in the arterial phase and delayed phase was not statistically significant(P>0.05);the diagnostic accuracy of multi-slice spiral CT was 85.96%,and the diagnostic accuracy of enhanced MRI scanning was 91.11%,which was not statistically significant(P>0.05).MRI scans showed the capsules of primary liver cancer better than CT,but the difference was not statistically significant(P>0.05).Conclusion:In conclusion,both multi-slice spiral CT and enhanced MRI can be used for the effective diagnosis of primary liver cancer intrahepatic lesions.The diagnostic value of the two is equivalent,but enhanced MRI has a slightly higher diagnostic accuracy and can be used as the preferred method.展开更多
BACKGROUND: Surgeons are always concerned about the localization of pancreatic functioning islet cell tumor. If the tumor is accurately localized before operation, resection of the pancreatic body and tail without int...BACKGROUND: Surgeons are always concerned about the localization of pancreatic functioning islet cell tumor. If the tumor is accurately localized before operation, resection of the pancreatic body and tail without intention can be avoided. The purpose of this study was to evaluate spiral CT localization of pancreatic functioning islet cell tumors and CT techniques. METHODS: CT manifestations in 6 patients with clinically and pathologically proved pancreatic functioning islet cell tumors ware analyzed retrospectively. RESULTS: In 4 patients with insulinomas and 2 patients with glucagonomas, 5 were localized accurately by CT be- fore surgery and 1 was detected retrospectively. The en- hancement of tumors was greater than that of normal pan- creas in arterial phase and pancreatic parenchymal phase. Four patients showed mild high-density and 2, iso-density in the portal venous phase. CONCLUSION: Spiral CT multi-phase enhanced scan with 1.5 ml/kg contrast agent and 2-5 mm slice width can loca- lize functioning islet cell tumors accurately.展开更多
The purpose of this study was to compare and analyze the diagnostic applications of multisliecs spiral computed tomography(MSCT)and diffusively-weighted magnetic resonance imaging(MRI)in soft tissue tumors of extremit...The purpose of this study was to compare and analyze the diagnostic applications of multisliecs spiral computed tomography(MSCT)and diffusively-weighted magnetic resonance imaging(MRI)in soft tissue tumors of extremities.A total of 104 patients with primary soft tissue tumors of limbs were selected for MSCT and MRI examination.MSCT values of various tumor types were compared during CT examination.In MRI detection,the diffusion sensitivity factor(b)of diffuse-weighted MRI was 0.500 s/mm2 to avoid as much as possible the bleeding,necrosis,scar and calcification heterogeneity components during operation.The maximum interest point was selected to observe the apparent diffusion coefficient(ADC)between benign and malignant tumors and muscle tissue.Results showed that among 104 patients,36 of patients were malignant and 68 of patients were benign.MSCT examination was consistent with pathology in 45 cases and MRI in 87 cases.In addition,the 59 of patients in MSCT examination and the 17 of patients in MRI were qualitative error and uncertainty.Soft tissue tumors on MSCT showed a low-density mass,and lipoma and cyst were specific.In MRI examination,T1WI and T2WI were significantly different in different types of tumors,while ADC values of malignant tumors were significantly lower than those of benign tumors and muscle tissues(P<0.01).However,there was no significant difference in ADC between benign tumor and muscle tissue(P>0.05).Therefore,MSCT can clearly show the soft tissue tumor lesions of the limbs and identify the relationship between them and the surrounding tissues.However,MSCT cannot make accurate characterization.MRI diffusivity weighted imaging can better differentiate benign from malignant and infer the histological origin of lesions.The detection level of MRI was significantly higher than that of CT,which was more consistent with pathology.Therefore,in the preoperative diagnosis of soft tissue tumors in limbs,MRI diffused-weighted imaging should be the first choice.展开更多
文摘Objective:To compare and analyze the clinical diagnostic value of multi-slice spiral CT and enhanced MRI for primary liver cancer(PLC),and to summarize the imaging findings.Methods:The research subjects in this article were 50 patients with PLC who were admitted to our hospital from 2017 April to 2018 September.After the patients were admitted,they were examined by multi-slice spiral CT and enhanced MRI scanning,and the pathological diagnosis results were followed up.Relevant information was reviewed and analyzed.Results:The detection rate of multi-slice spiral CT was higher than that of MRI in the portal venous phase lesion detection.The difference was statistically significant(P<0.05).The detection rate of lesions in the arterial phase and delayed phase was not statistically significant(P>0.05);the diagnostic accuracy of multi-slice spiral CT was 85.96%,and the diagnostic accuracy of enhanced MRI scanning was 91.11%,which was not statistically significant(P>0.05).MRI scans showed the capsules of primary liver cancer better than CT,but the difference was not statistically significant(P>0.05).Conclusion:In conclusion,both multi-slice spiral CT and enhanced MRI can be used for the effective diagnosis of primary liver cancer intrahepatic lesions.The diagnostic value of the two is equivalent,but enhanced MRI has a slightly higher diagnostic accuracy and can be used as the preferred method.
文摘BACKGROUND: Surgeons are always concerned about the localization of pancreatic functioning islet cell tumor. If the tumor is accurately localized before operation, resection of the pancreatic body and tail without intention can be avoided. The purpose of this study was to evaluate spiral CT localization of pancreatic functioning islet cell tumors and CT techniques. METHODS: CT manifestations in 6 patients with clinically and pathologically proved pancreatic functioning islet cell tumors ware analyzed retrospectively. RESULTS: In 4 patients with insulinomas and 2 patients with glucagonomas, 5 were localized accurately by CT be- fore surgery and 1 was detected retrospectively. The en- hancement of tumors was greater than that of normal pan- creas in arterial phase and pancreatic parenchymal phase. Four patients showed mild high-density and 2, iso-density in the portal venous phase. CONCLUSION: Spiral CT multi-phase enhanced scan with 1.5 ml/kg contrast agent and 2-5 mm slice width can loca- lize functioning islet cell tumors accurately.
文摘The purpose of this study was to compare and analyze the diagnostic applications of multisliecs spiral computed tomography(MSCT)and diffusively-weighted magnetic resonance imaging(MRI)in soft tissue tumors of extremities.A total of 104 patients with primary soft tissue tumors of limbs were selected for MSCT and MRI examination.MSCT values of various tumor types were compared during CT examination.In MRI detection,the diffusion sensitivity factor(b)of diffuse-weighted MRI was 0.500 s/mm2 to avoid as much as possible the bleeding,necrosis,scar and calcification heterogeneity components during operation.The maximum interest point was selected to observe the apparent diffusion coefficient(ADC)between benign and malignant tumors and muscle tissue.Results showed that among 104 patients,36 of patients were malignant and 68 of patients were benign.MSCT examination was consistent with pathology in 45 cases and MRI in 87 cases.In addition,the 59 of patients in MSCT examination and the 17 of patients in MRI were qualitative error and uncertainty.Soft tissue tumors on MSCT showed a low-density mass,and lipoma and cyst were specific.In MRI examination,T1WI and T2WI were significantly different in different types of tumors,while ADC values of malignant tumors were significantly lower than those of benign tumors and muscle tissues(P<0.01).However,there was no significant difference in ADC between benign tumor and muscle tissue(P>0.05).Therefore,MSCT can clearly show the soft tissue tumor lesions of the limbs and identify the relationship between them and the surrounding tissues.However,MSCT cannot make accurate characterization.MRI diffusivity weighted imaging can better differentiate benign from malignant and infer the histological origin of lesions.The detection level of MRI was significantly higher than that of CT,which was more consistent with pathology.Therefore,in the preoperative diagnosis of soft tissue tumors in limbs,MRI diffused-weighted imaging should be the first choice.
