[1]徐 民,程 雪,赵中伟,等.超声、CT、MRI及DSA在肝癌介入综合治疗术后肿瘤活性评估中的对比价值研究[J].介入放射学杂志,2018,27(04):363-366.
 XU Min,CHENG Xue,ZHAO Zhongwei,et al.The clinical value of ultrasound, CT, MRI and DSA in evaluating the activity of residual HCC lesions after interventional comprehensive therapy: a comparative study[J].journal interventional radiology,2018,27(04):363-366.
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超声、CT、MRI及DSA在肝癌介入综合治疗术后肿瘤活性评估中的对比价值研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年04期
页码:
363-366
栏目:
临床研究
出版日期:
2018-04-25

文章信息/Info

Title:
The clinical value of ultrasound, CT, MRI and DSA in evaluating the activity of residual HCC lesions after interventional comprehensive therapy: a comparative study
作者:
徐 民 程 雪 赵中伟 宋晶晶 杨伟斌 吴徐璐 陈敏江 程星遥 范晓希 刘丽霞 纪建松
Author(s):
XU Min CHENG Xue ZHAO Zhongwei SONG Jingjing YANG Weibin WU Xulu CHEN Minjiang CHENG Xingyao FAN Xiaoxi LIU Lixia JI Jiansong
Imaging Diagnosis and Interventional Minimally- Invasive Center, Lishui Hospital of Zhejiang University, Affiliated Fifth Hospital of Wenzhou Medical University, Lishui, Zhejiang Province 323000, China
关键词:
【关键词】 超声检查 体层摄影术 磁共振 肝癌 介入治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨超声(US)、CT、MRI及DSA在评估肝癌介入综合治疗术后肿瘤活性的价值。方法 回顾性收集本院2011年2月—2014年10月63例75个病灶经病理或临床治疗确诊的肝癌患者的临床资料,所有患者经介入综合治疗后3~5周后均行US、CT、MRI检查,并再次行DSA进行诊疗,以DSA造影检查阳性结果为金标准,再对各检查结果进行对照、分析。结果 63例75个病灶经介入综合治疗后3~5周后均行US、CT、MRI及DSA检查,其中有25个病灶经DSA证实活性病灶;US病灶检出74个(98.7%),25例活性病灶检出12个(48.0%);CT增强病灶检出75个(100%),活性病灶检出18个(72.0%);MRI病灶检出率75个(100.0%),活性病灶检出率22(88.0%);US、CT、MRI三者联合,病灶检出75个,活性病灶检出24(96.0%)。结论 MRI在肝癌介入综合治疗术后肿瘤活性评估中的价值明显优于US、CT。三者联合可以互补,可以帮助更多地了解关于病灶的信息,有助于后续治疗方案的制定及疗效的评估。

参考文献/References:

[1] Yu SJ. A concise review of updated guidelines regarding the management of hepatocellular carcinoma around the world: 2010- 2016[J]. Clin Mol Hepatol, 2016, 22: 7- 17.
[2] Murata S, Mine T, Sugihara F, et al. Interventional treatment for unresectable hepatocellular carcinoma[J]. World J Gastroenterol, 2014, 20: 13453- 13465.
[3] Bednarsch J, Forster M, Schoning W, et al. Multimodal treatment modalities are associated with improved long- term outcome in patients with recurrent hepatocellular carcinoma[J]. Z Gastroenterol, 2017, 55: e57- e299.
[4] 陈世晞. 中国原发性肝癌介入治疗的现状与展望[J]. 中华肿瘤杂志, 2015, 37: 653- 656.
[5] 敖 劲, 曾令雯, 刘 衡, 等. 原发性肝癌 DSA 表现与 TACE 疗效的关系分析[J]. 中国普通外科杂志, 2016, 25: 51- 56.
[6] 纪建松, 杨宏远, 王祖飞, 等. 超声、 CT及MRI 随访在肝硬化结节恶变筛查及诊断中的价值[J]. 中华医学杂志, 2014,94: 368- 371.
[7] 高 杨, 纪建松, 杨宏远, 等. 影像学检查在肝癌外科术后甲胎蛋白阴性患者随访中的价值[J]. 介入放射学杂志, 2016, 25: 355- 359.
[8] 吕婷婷, 刘爱连, 汪禾青. 磁共振功能成像对肝癌介入术后评估的进展[J]. 介入放射学杂志, 2016, 25: 1021- 1025.

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备注/Memo

备注/Memo:
(收稿日期:2017-06-22)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-04-16