MR弥散加权成像在肝炎所致肝硬化相关小肝癌的诊断价值

Healthmust-Readmagazine（2022）

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Abstract

目的:探讨MR弥散加权成像对肝炎所致肝硬化小肝癌的诊断价值.方法:对经临床和病理证实的肝炎所致肝硬化相关小肝癌39例患者行MR平扫+增强扫描和DWI,比较MR平扫+增强扫描和DWI的敏感性及特异性.结果:MR平扫+增强扫描和DWI共发现46个小肝癌,其中弥散加权成像发现42个小肝癌,有12个在MR平扫未能发现,有4个在增强扫描时未能发现.结论:MR弥散加权成像能够有效的发现肝炎所致肝硬化小肝癌,较MR平扫+增强扫描更为敏感,同时联合MR平扫+增强扫描可以大大提高检出率及定性诊断准确率.

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