新医学
新醫學
신의학
NEW CHINESE MEDICINE
2013年
11期
787-789
,共3页
钆喷酸葡胺%LAVA%肝脏疾病
釓噴痠葡胺%LAVA%肝髒疾病
구분산포알%LAVA%간장질병
Gadopentetate dimeglumine%Liver acquisition with volume acceleration%Liver disease
目的：探讨国产钆喷酸葡胺（ Gd-DTPA ）联合 MRI 三维肝脏容积加速采集技术（ LAVA）动态增强扫描在肝脏疾病中的应用价值。方法529例肝脏占位性病变患者采用国产Gd-DTPA联合LAVA检测病灶，分析此方法的准确性及强化效果。结果529例经病理学检查确诊肝癌317例、转移瘤107例、血管瘤50例、胆管细胞癌38例、肝脏局灶性结节增生17例。国产Gd-DTPA联合MRI LAVA动态增强扫描检测结果与病理学检查结果的符合率达98.7％（522/529）。正常组织及病变组织出现强化效果者占100％、99.4％。肝癌以显著强化（74.2％）、不均匀强化（73.2％）为主；转移瘤以轻度强化（81.8％）、边缘强化（41.8％）为主；血管瘤以显著强化（76.0％）、边缘强化（46.0％）为主；胆管细胞癌以轻度强化（62.5％）、边缘强化（52.5％）为主；肝局灶性结节增生以显著强化（89.5％）、均匀强化（73.7％）为主。结论国产Gd-DTPA联合MRI LAVA动态增强扫描对腹部各器官增强效果理想，有助于诊断肝脏病变性质。
目的：探討國產釓噴痠葡胺（ Gd-DTPA ）聯閤 MRI 三維肝髒容積加速採集技術（ LAVA）動態增彊掃描在肝髒疾病中的應用價值。方法529例肝髒佔位性病變患者採用國產Gd-DTPA聯閤LAVA檢測病竈，分析此方法的準確性及彊化效果。結果529例經病理學檢查確診肝癌317例、轉移瘤107例、血管瘤50例、膽管細胞癌38例、肝髒跼竈性結節增生17例。國產Gd-DTPA聯閤MRI LAVA動態增彊掃描檢測結果與病理學檢查結果的符閤率達98.7％（522/529）。正常組織及病變組織齣現彊化效果者佔100％、99.4％。肝癌以顯著彊化（74.2％）、不均勻彊化（73.2％）為主；轉移瘤以輕度彊化（81.8％）、邊緣彊化（41.8％）為主；血管瘤以顯著彊化（76.0％）、邊緣彊化（46.0％）為主；膽管細胞癌以輕度彊化（62.5％）、邊緣彊化（52.5％）為主；肝跼竈性結節增生以顯著彊化（89.5％）、均勻彊化（73.7％）為主。結論國產Gd-DTPA聯閤MRI LAVA動態增彊掃描對腹部各器官增彊效果理想，有助于診斷肝髒病變性質。
목적：탐토국산구분산포알（ Gd-DTPA ）연합 MRI 삼유간장용적가속채집기술（ LAVA）동태증강소묘재간장질병중적응용개치。방법529례간장점위성병변환자채용국산Gd-DTPA연합LAVA검측병조，분석차방법적준학성급강화효과。결과529례경병이학검사학진간암317례、전이류107례、혈관류50례、담관세포암38례、간장국조성결절증생17례。국산Gd-DTPA연합MRI LAVA동태증강소묘검측결과여병이학검사결과적부합솔체98.7％（522/529）。정상조직급병변조직출현강화효과자점100％、99.4％。간암이현저강화（74.2％）、불균균강화（73.2％）위주；전이류이경도강화（81.8％）、변연강화（41.8％）위주；혈관류이현저강화（76.0％）、변연강화（46.0％）위주；담관세포암이경도강화（62.5％）、변연강화（52.5％）위주；간국조성결절증생이현저강화（89.5％）、균균강화（73.7％）위주。결론국산Gd-DTPA연합MRI LAVA동태증강소묘대복부각기관증강효과이상，유조우진단간장병변성질。
Objective To explore the application value of domestic gadopentetate dimeglumine (Gd-DTPA) combined with liver acquisition with volume acceleration ( LAVA) dynamic contrast-enhanced MRI scanning in liver disease.Methods Five hundred and twenty-nine patients of liver space-occupying le-sion received domestic Gd-DTPA combined with LAVA dynamic contrast-enhanced MRI scanning , analyzed the accuracy of this method and strengthening effect.Results Confirmed by pathological examination , 317 cases of liver cancer , 107 cases of metastatic tumor , 50 cases of hemangioma , 38 cases of cholangiocellular carcino-ma and 17 cases of hepatic focal nodular hyperplasia were diagnosed.Diagnose accordance rate of domestic Gd-DTPA combined with LAVA dynamic contrast-enhanced MRI scanning was 98.7%.Normanl tissue and dis-eased tissue appear strengthening effect accounted for 100%and 99.4%, respectively.Liver cancer was given priority to be significantly strengthened (74.2%) and uneven enhancement (73.2%);metastatic tumor was given priority to be slightly strengthened (81.8%) and edge enhancement (41.8%);hemangioma was given priority to significantly strengthened (76.0%) and edge enhancement (46.0%); cholangiocellular carcino-ma was given priority to be slightly strengthened ( 62.5%) and edge enhancement ( 52.5%); hepatic focal nodular hyperplasia was given priority to be slightly strengthened (89.5%) and even enhancement (73.7%).Conclusion Domestic Gd-DTPA combined with LAVA dynamic contrast-enhanced MRI scanning has a good strengthening effect to help diagnose liver diseases.
