小肝癌的CT及MRI诊断价值.doc

小肝癌的CT及MRI诊断价值 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：小肝癌的CT及MRI诊断价值 1 文2：小肝癌的MRI临床应用 5 1 资料和方法 5 2 结果 6 3 讨论 6 参考文摘引言： 7 原创性声明（模板） 9 文章致谢（模板） 9 正文 小肝癌的CT及MRI诊断价值 文1：小肝癌的CT及MRI诊断价值 [Abstract] Objective To evaluate the image presentation of CT and MRI in small hepatocelluar carcinoma(SHCC)， and to enhance the diagnostic level. Methods 26patients with small hepatocelluar carcinoma (SHCC) performed CT normal and enhanced scan， MR signal intee were analyzed using different sequences and MR dynamic enhanced scanning， and both proven by surgery and pathology. Results 26 patients with SHCC，21 cases were typodeity， 4 cases were isodeity， 1 case were hypodeity in CT. In triphasic spiral CT enhanced scan， 23cases in HAP were hyperdeity，21 cases were hypodeity in PVP， 2 cases of them were isodeity; 2 cases were lighter enhanced in HAP， hypodeity in PVP; 1 lesio no enhanced both in HAP and delay phase 26 patients with SHCC were hypodeity， the pseudo capsule of 7 lesion were enhancement. 23 of them hyperintee on T2WI and hypointee on T1WI， enhancement in HAP in MR dynamic enhanced. In PVP appeared as isodeity or hypointee in MR dynamic enhanced. In DP appeared as hypointee. Conclusion CT can enhance the seitivity of SHCC. MRI has the varies sequences， which can reflect the organization ingredients of liver nodula through different signal intee . Combine with MR dynamic enhanced scanning， we can enhance the diagnostic level。 [Key words]cirrhosis; nodular; tomography; X-ray computed; MRI。 原发性肝细胞癌是我国常见的恶性肿瘤之一，病理学上分三型：巨块型，结节型，弥漫型。其中小于3cm的单发结节，或2个结节直径之和不超过3cm的肝细胞癌定义为小肝癌。能够早期发现及早期治疗，对提高患者生存率具有重要意义。随着螺旋CT的应用日益广泛，使病灶的检出率不断提高。而MRI具有多序列成像特点，可以通过不同的信号特征来反映结节性病变的组织成分，从而判断结节的性质，对诊断结节良恶性具有重要的诊断价值。本文回顾性分析29例41个小肝癌的CT及MRI影像特点，旨在提高诊断水平。 材料与方法 搜集29例41个小肝癌病灶，其中26例经手术病理证实，3例经临床、AFP检查及介入治疗证实。男性25例，女性4例，年龄33～63岁，平均51岁。采用西门子16排螺旋CT，扫描条件120KV、250MA，矩阵512×512，层厚9mm。对比剂碘海醇，用量为/kg体重，高压注射器流率。磁共振检查采用双梯度超导型磁共振机。自旋回波(SE)序列：横轴位T1加权像(TTE640ms/16ms)T2加权像(TTE2000ms/30ms)快速多层面破坏性稳态梯度回波回聚