3.0t lava与msct多期动态增强 多b值弥散加权成像对肝细胞性肝癌诊断的价值研究 word格式.docxVIP

3.0T LAVA 与 MSCT 多期动态增强、多 b 值弥散加权成像对肝细胞性肝癌诊断的价值研究中文摘要值，但稳定性较差。②较单指数模型，双指数模型对于区分术前肝细胞性肝癌的分化程度提供了新的、独特的信息。关键词: 肝细胞癌；多层螺旋 CT 成像；磁共振成像；动态增强成像；弥散加权成像作者：田霞指导教师：谢道海英文摘要3.0T LAVA 与 MSCT 多期动态增强、多 b 值弥散加权成像对肝细胞性肝癌诊断的价值研究Application study on Dynamic contrast-enhanced value of 3.0T MRI and muti-slice CT, diffusion-weighted imaging in the Diagnosis of Hepatocellular CarcinomaAbstractPartⅠ The Application Study on Dynamic Contrast-enhanced value of3.0 T MRI and Muti-slice CT in the Diagnosis of Hepatocellular CarcinomaObjective: To evaluate the dynamic contrast-enhanced value of 3.0T MRI and muti-slice CT in the diagnosis of hepatocellular carcinoma.Materials and Methods: 21 patients with the hepatocellular carcinoma were collected from the First Affiliated Hospital of Soochow University during the period of February 2012 to February 2013. All the lesions were proved by operation or puncture pathology. They were performed with muti-slice CT and 3.0T MRI, including conventional MRI imaging and LAVA (1iver acquisition with volume acceleration) dynamic contrast enhanced scan. Observed the diagnostic sensitivity, specificity, accuracy in CT and MRI. The rates of demonstrating characteristic enhancement, artery and vein of the lesions in CT and MRI were also analyzed.Results: ① 30 lesions in 21 patients were proved the hepatocellular carcinoma byoperation or puncture pathology. ② The diagnostic sensitivity, specificity, accuracy in CT and MRI were as follows, respectively, 86.7%, 86.7%, 85.8% and 96.7%, 90.9%, 90.4%.③ The rate of demonstrating characteristic enhancement in CT was 36.7%(11/30), whereas50.0%(15/30)in LAVA dynamic contrast enhanced scan. The peak time in CT were all in late arterial phase. While the peak time in LAVA were different from CT, with zero in early arterial phase, 2 in medium arterial phase and 13 in late arterial phase. ④ The rates ofdemonstrating artery of the lesions in CT and MRI were 53.3%(16/30) and 73.3%(22/30)3.0T LAVA 与 MSCT 多期动态增强、多 b 值弥散加权成像对肝细胞性肝癌