Patients with liver FNH and HCC patients with negative AFP: plain and dynamic enhanced MRI and CT findings
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摘要: 目的探讨肝脏局灶性结节性增生(FNH)和甲胎蛋白(AFP)阴性肝细胞癌(HCC)患者的MRI和CT平扫及动态增强表现。方法回顾性分析2012年4月-2014年4月北京市密云县医院收治的124例肝脏肿瘤患者的临床资料。结果 74例FNH患者中,54例患者接受CT检查,其中38例患者接受三期动态增强扫描,16例患者仅接受平扫;62例患者接受MRI检查,均接受平扫及增强扫描,其中应用钆贝葡胺(Gd-BOPTA)造影剂42例。50例AFP阴性HCC患者中,40例患者接受CT检查,其中10例患者只接受平扫;46例患者接受MRI平扫及增强扫描,其中采用Gd-BOPTA造影剂30例,30例30个病灶中延迟12 h扫描均呈低信号。结论 FNH和AFP阴性HCC患者的MRI和CT平扫及动态增强表现各具特点,多种检查方法联合应用能够促进二者诊断率的显著提升。
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关键词:
- 肝肿瘤 /
- 局灶性结节性增生 /
- 甲胎蛋白类 /
- 磁共振成像 /
- 体层摄影术,X线计算机
Abstract: Objective To investigate plain and dynamic enhanced magnetic resonance imaging(MRI) and computed tomography(CT)findings in patients with focal nodular hyperplasia(FNH) of the liver and hepatocellular carcinoma(HCC) patients with negative alpha-fetoprotein(AFP).Methods A statistical analysis was performed on the clinical data of 124 cases of liver tumor admitted to Beijing Miyun County Hospital from April 2012 to April 2014.Results Fifty-five of the 74 patients with FNH underwent CT examination,among whom38 patients received three-phase dynamic enhanced scan and 16 received only plain scan; 62 cases had plain and enhanced MRI with the application of contrast agent Gd-BOPTA in 42 patients.Among the 50 HCC patients with negative AFP,CT examination was performed in40 and 10 only had plain scan; 46 patients received plain and enhanced MRI with the use of contrast agent Gd-BOPTA in 30.Delayed scan after 1-2 h demonstrated low signal in 30 lesions of the 30 cases.Conclusion For patients with liver FNH and AFP-negative HCC patients,their plain and dynamic enhanced MRI and CT scan have respective characteristics.A combination of multiple examination methods can significantly improve diagnostic yield of the two diseases.
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