CAJ | 학술논문

目的：分析多层螺旋CT与MRI在肝脏肿瘤临床诊断中的应用价值。方法收集我院自2013年4月-2015年4月收治的60例经病理证实为肝脏肿瘤患者的临床资料，分别作多层螺旋CT及MRI检查，总结肝脏肿瘤的影像学特点，分析多层螺旋CT及MRI在肝脏肿瘤鉴别诊断中的应用价值。结果60例肝脏肿瘤患者增强CT动脉期检出病灶68个，其中高密度病灶28个，低密度病灶8个，等密度10个；门静脉期共检出病灶40个，其中低密度病灶22个，4例患者CT平扫未见异常表现，MRI检查T2WI序列提示存在异常信号，增强扫描后病灶显示清晰。结论多层螺旋CT与MRI扫描，可充分反映肝脏肿瘤的血供特点，提高肝脏肿瘤的检出率，同时两者联合可为肝脏肿瘤的鉴别诊断提供可靠依据，值得推广。
목적：분석다층라선CT여MRI재간장종류림상진단중적응용개치。방법수집아원자2013년4월-2015년4월수치적60례경병리증실위간장종류환자적림상자료，분별작다층라선CT급MRI검사，총결간장종류적영상학특점，분석다층라선CT급MRI재간장종류감별진단중적응용개치。결과60례간장종류환자증강CT동맥기검출병조68개，기중고밀도병조28개，저밀도병조8개，등밀도10개；문정맥기공검출병조40개，기중저밀도병조22개，4례환자CT평소미견이상표현，MRI검사T2WI서렬제시존재이상신호，증강소묘후병조현시청석。결론다층라선CT여MRI소묘，가충분반영간장종류적혈공특점，제고간장종류적검출솔，동시량자연합가위간장종류적감별진단제공가고의거，치득추엄。
Objective To analyze the application value of multi-slice spiral CT and MRI in the clinical diagnosis of liver tumor.Methods The clinical data of 60 patients pathologically confirmed with liver tumor and admitted into the hospital from April 2013 to April 2015 were collected. They respectively received multi-slice spiral CT and MRI scan. The imaging features of liver tumors were summarized and the application value of multi-slice spiral CT and MRI in the differential diagnosis of liver tumors were analyzed. Results Among the 60 cases of patients with liver tumors, there were 68 lesions detected in arterial phase, of which there were 28 high-density lesions, 8 low-density lesions and 10 equidensity lesions. There were 40 lesions detected in portal venous phase which included 22 low density lesions. There were 4 cases of patients with CT plain scan showed no abnormal findings. MRI test showed that T2WI sequence suggested the presence of abnormal signals. After enhanced scanning, lesions were displayed clearly.Conclusion Multi-slice spiral CT and MRI scan can fully reflect the blood supply of hepatic tumor, and improve the detection rate. The combination of both methods can provide reliable basis for the differential diagnosis of liver tumors, which is worthy to be popularized.