[成像检查（超声、磁共振成像、计算机断层扫描、血管造影计算机断层扫描、核医学）在肝脏肿瘤特征性诊断中的准确性]
[The accuracy of the imaging procedures (sonography, MRT, CT, angio-CT,nuclear medicine) in characterizing liver tumors].
作者信息
Lüning M, Koch M, Abet L, Wolff H, Wenig B, Buchali K, Schöpke W, Schneider T, Mühler A, Rudolph B
机构信息
Institut für Röntgendiagnostik, Humboldt-Universität zu Berlin.
出版信息
Rofo. 1991 Apr;154(4):398-406. doi: 10.1055/s-2008-1033157.
In a prospective study, an attempt was made to determine the specificity of various imaging methods for defining tumours of the liver rather than their ability to demonstrate them. It was based on 130 patients with histologically confirmed lesions (33 haemangiomas, 17 FNH, 4 hepatocellular adenomas, 28 HCC, 36 adenocarcinoma metastases). The methods were MRT (130 cases), sonography (119), CT (122), dynamic arterial angio-CT (15), 99TC-EHIDA or blood pool scintigraphy (4 FNH, haemangiomas, HCC, 44 cases). MRT showed somewhat better results (accuracy 80%) than CT (73%) and angio-CT (73%) in demonstrating the type of lesion. The results of scintigraphy (53%) and sonography (69%) were rather worse. The range of accuracy for MRT, CT and sonography varied from 94% (haemangiomas with MRT) to 47% (FNH with sonography).
在一项前瞻性研究中，研究人员试图确定各种成像方法用于界定肝脏肿瘤的特异性，而非其显示肿瘤的能力。该研究基于130例经组织学确诊病变的患者（33例血管瘤、17例局灶性结节性增生、4例肝细胞腺瘤、28例肝细胞癌、36例腺癌转移瘤）。所采用的方法有磁共振成像（MRT，130例）、超声检查（119例）、计算机断层扫描（CT，122例）、动态动脉血管造影CT（15例）、99锝-乙二胺二乙酸（99TC-EHIDA）或血池闪烁扫描（4例局灶性结节性增生、血管瘤、肝细胞癌，共44例）。在显示病变类型方面，磁共振成像的结果（准确率80%）略优于计算机断层扫描（73%）和血管造影CT（73%）。闪烁扫描（53%）和超声检查（69%）的结果则相对较差。磁共振成像、计算机断层扫描和超声检查的准确率范围从94%（磁共振成像诊断血管瘤）到47%（超声检查诊断局灶性结节性增生）不等。
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