徐运军, 程慧敏, 翟羽佳, 陆杨. 三维全肝MRI动态增强扫描定量分析在肝脏肿瘤诊断中的应用[J]. 蚌埠医科大学学报, 2016, 41(9): 1230-1234. DOI: 10.13898/j.cnki.issn.1000-2200.2016.09.036
    引用本文: 徐运军, 程慧敏, 翟羽佳, 陆杨. 三维全肝MRI动态增强扫描定量分析在肝脏肿瘤诊断中的应用[J]. 蚌埠医科大学学报, 2016, 41(9): 1230-1234. DOI: 10.13898/j.cnki.issn.1000-2200.2016.09.036
    XU Yun-jun, CHENG Hui-min, ZHAI Yu-jia, LU Yang. The application of the quantitative analysis of three-dimensional whole-liver DCE-MRI in the diagnosis of hepatic tumors[J]. Journal of Bengbu Medical University, 2016, 41(9): 1230-1234. DOI: 10.13898/j.cnki.issn.1000-2200.2016.09.036
    Citation: XU Yun-jun, CHENG Hui-min, ZHAI Yu-jia, LU Yang. The application of the quantitative analysis of three-dimensional whole-liver DCE-MRI in the diagnosis of hepatic tumors[J]. Journal of Bengbu Medical University, 2016, 41(9): 1230-1234. DOI: 10.13898/j.cnki.issn.1000-2200.2016.09.036

    三维全肝MRI动态增强扫描定量分析在肝脏肿瘤诊断中的应用

    The application of the quantitative analysis of three-dimensional whole-liver DCE-MRI in the diagnosis of hepatic tumors

    • 摘要: 目的:研究肝细胞肝癌(HCC)、肝转移瘤(HM)和肝血管瘤(HH)患者的肝动脉灌注指数(HPI)以及血管渗透性参数,探讨三维全肝MRI动态增强扫描定量分析在鉴别诊断肝脏肿瘤中的价值。方法:选取58例受检者(HCC组30例,HM组16例,HH组12例),采用三维容积内插体部检查(VIBE)序列进行全肝磁共振动态增强扫描(DCE-MRI),并用Omni-Kinetics软件分析图像,结合肝脏双输入血流动力学模型获得肝脏灌注和血管渗透性参数HPI、容积转运常数(Ktrans)、回流速率常数(kep)、血管外细胞外间隙体积比(ve)值和血浆空间容积率(vp)。结果:3组HPI值、Ktranskep值差异均有统计学意义(P < 0.05~P < 0.01);HPI值HCC组 > HH组 > HM组(P<0.05);Ktrans值HCC组 > HH组 > HM组(P < 0.05~P < 0.01);kep值HCC组>HH组和HM组(P<0.01),但HH组和HM组的kep值差异无统计学意义(P>0.05);3组vevp值差异均无统计学意义(P>0.05)。结论:三维全肝DCE-MRI扫描可获得定量血流灌注及血管渗透性参数,有助于肝脏肿瘤的鉴别诊断。

       

      Abstract: Objective: To investigate the hepatic perfusion index(HPI) and vascular permeability parameters in patients with different hepatic tumors,which included hepatocellular carcinoma(HCC),hepatic metastasis(HM) and hepatic haemangiomas(HH),and discuss the clinical diagnosis value of DCE-MRI.Methods: Fifty-eight patients with hepatic tumors(30 cases of HCC,16 cases of HM and 12 cases HH) were detected by the 3D whole-liver dynamic contrast enhance MRI(DCE-MRI) using volumetric interpolated body examination(VIBE) sequence.The perfusion and vascular permeability parameters(including HPI,Ktrans,kep,ve and vp) were measured by the Omni-Kinetics software combined with liver model of dual input hemodynamics.Results: There was statistical difference in the values of HPI,Ktrans and kep between three groups(P<0.05 to P<0.01).The HPI value in HCC group was significantly higher than that in HH group,and the HPI value was the lowest in HM group(P<0.05).The Ktrans value in HH group was significantly lower than that in HCC group,and the value was the lowest in HM group(P<0.05 to P<0.01).The kep value in HCC group was higher than that in HH and HM groups(P<0.01),but there was no statistical difference between HH and HM groups(P>0.05).The differences of the vp and ve values between three groups were not statistically significant(P>0.05).Conclusions: Three-dimensional whole-liver DCE-MRI with the bolus injection of gadodiamide can be used to quantify the perfusion and permeability parameters of hepatic tumors,which is benefit to the differentiation diagnosis of hepatic tumors.

       

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