15T磁共振DWI和ADC在血管瘤与结节性肝癌鉴别诊断中的应用价值.pdfVIP

1.5T磁共振DWI和ADC在血管瘤与结节性 肝癌鉴别诊断中的应用价值 [摘要] 目的 探讨 1.5T 磁共振扩散加权成像（diffusion weighted imaging，DWI）与表观弥散系数（apparent diffusion coefficient，ADC）应用于肝脏血管瘤与结节性肝 癌鉴别诊断中的可行性。方法 选取 20__年 3 月～20__年 12 我院收治的肝脏实性结节性病变患者 54 例为研究对象，均经 病理证实。其中单发结节性肝癌 31 例，肝血管瘤 23 例。所有 患者均接受 1.5T 磁共振 DWI 扫描，经相关软件处理，获得 DWI 与ADC 图，并测量ADC 值，对两组患者 DWI 信号强度与 ADC 值进行比较。结果 结节性肝癌组患者病灶在 DWI 上表现 以明显高信号为主，占90.32%，血管瘤组患者病灶在DWI 上 表现以稍高信号为主，占 70.83%，两组DWI 信号强度分布比 较，差异有统计学意义（P0.05）；血管瘤组患者ADC 值同结 节性肝癌组比较，显著较高，差异有统计学意义（P0.05）。 结论 两组患者病灶DWI 图像信号特征与ADC 值均有明显区 别，1.5T 磁共振 DWI 与ADC 可为两者鉴别诊断提供重要参考 依据，值得推广。 第 1 页 共 8 页 [关键词]结节性肝癌；血管瘤；磁共振；表观弥散系数； 扩散加权成像 [中图分类号] R445.2 [文献标识码] A [文章编号] 1674-4721 （20__）08 （c）-0060-03 [Abstract]Objective To explore the feasibility of 1.5T magnetic resonance diffusion weighted imaging （DWI） and apparent diffusion coefficient （ADC） differential diagnosis of hepatichemangioma and nodular hepatic carcinoma.Methods From March 20__ to December 20__，54 patients with solid nodular lesions treated in our hospital were selected as research objects.All participants were tested by pathologic examinations.Among them，31 patients were with singl nodular hepatocellular carcinoma，and the rest wer diagnosed as hepatic hemangioma.All patients wer performed with 1.5T magnetic resonance DWI scanning.The DWI and ADC images were obtained by th related software.ADC values were measured and signal intensity of the DWI in the two groups was compared as well as the ADC values.Results The lesions in th nodular hepatocellular carcinoma patients ，th 第 2 页 共 8 页 significant high-signals were predominant in DWI accounting for 90.32%.The lesions showed a slight signal intensity in DWI in patients with hepatic hemangioma accounting for 70.83%.There was statistical difference in the distribution of DWI signal intensity in the two groups （P0.05）.After comparing with nodular hepatic