肝细胞癌的放射学特征。
Radiological features of hepatocellular carcinoma.
作者信息
Shah Samir, Shukla Akash, Paunipagar Bhawan
机构信息
Institute of Liver Diseases, HPB Surgery and Liver Transplant, Global Hospitals, Mumbai, Maharashtra, India.
出版信息
J Clin Exp Hepatol. 2014 Aug;4(Suppl 3):S63-6. doi: 10.1016/j.jceh.2014.06.009. Epub 2014 Jul 19.
Abstract
Present article is a review of radiological features of hepatocellular carcinoma on various imaging modalities. With the advancement in imaging techniques, biopsy is rarely needed for diagnosis of hepatocellular carcinoma (HCC), unlike other malignancies. Imaging is useful not only for diagnosis but also for surveillance, therapy and assessing response to treatment. The classical and the atypical radiological features of HCC have been described.
摘要
本文是关于肝细胞癌在各种成像模态下的放射学特征的综述。随着成像技术的进步，与其他恶性肿瘤不同，肝细胞癌（HCC）的诊断很少需要活检。成像不仅对诊断有用，而且对监测、治疗及评估治疗反应也很有用。文中描述了HCC的典型和非典型放射学特征。
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本文引用的文献
1
MR imaging of hypervascular lesions in the cirrhotic liver: a diagnostic dilemma.肝硬化肝脏富血管性病变的磁共振成像：诊断难题。
Radiographics. 2012 May-Jun;32(3):767-87. doi: 10.1148/rg.323115131.
2
APASL and AASLD Consensus Guidelines on Imaging Diagnosis of Hepatocellular Carcinoma: A Review.亚太肝脏研究学会（APASL）和美国肝病研究学会（AASLD）肝细胞癌影像诊断共识指南：综述
Int J Hepatol. 2011;2011:519783. doi: 10.4061/2011/519783. Epub 2011 Apr 19.
3
Hepatocellular carcinoma in cirrhotic patients at multidetector CT: hepatic venous phase versus delayed phase for the detection of tumour washout.多排螺旋 CT 检测肝硬化患者肝细胞癌：肝静脉期与延迟期对肿瘤洗脱的检测
Br J Radiol. 2011 May;84(1001):403-12. doi: 10.1259/bjr/18329080. Epub 2010 Nov 16.
4
CT and MRI improve detection of hepatocellular carcinoma, compared with ultrasound alone, in patients with cirrhosis.CT 和 MRI 比单独的超声检查能更有效地检测出肝硬化患者的肝癌。
Clin Gastroenterol Hepatol. 2011 Feb;9(2):161-7. doi: 10.1016/j.cgh.2010.09.017. Epub 2010 Oct 1.
5
Comparison of portal venous and delayed phases of gadolinium-enhanced magnetic resonance imaging study of cirrhotic liver for the detection of contrast washout of hypervascular hepatocellular carcinoma.钆增强磁共振成像研究肝硬化肝脏的门静脉期和延迟期对检测高血供肝细胞癌对比剂廓清的比较。
J Comput Assist Tomogr. 2010 Sep-Oct;34(5):706-11. doi: 10.1097/RCT.0b013e3181e1a88e.
6
Histopathological classification of hepatocellular carcinoma.肝细胞癌的组织病理学分类。
Dig Liver Dis. 2010 Jul;42 Suppl 3:S228-34. doi: 10.1016/S1590-8658(10)60510-5.
7
Multidetector-row computed tomography (MDCT) for the diagnosis of hepatocellular carcinoma in cirrhotic candidates for liver transplantation: prevalence of radiological vascular patterns and histological correlation with liver explants.多排螺旋计算机断层扫描（MDCT）在肝硬化患者肝移植候选者中诊断肝细胞癌：影像学血管模式的发生率和与肝移植标本的组织学相关性。
Eur Radiol. 2010 Apr;20(4):898-907. doi: 10.1007/s00330-009-1622-0. Epub 2009 Oct 3.
8
Sonazoid-enhanced ultrasonography for evaluation of the enhancement patterns of focal liver tumors in the late phase by intermittent imaging with a high mechanical index.使用高机械指数进行间歇性成像的声诺维增强超声检查，以评估肝脏局灶性肿瘤晚期的增强模式。
J Ultrasound Med. 2009 Apr;28(4):439-48. doi: 10.7863/jum.2009.28.4.439.
9
Improving the prediction of hepatocellular carcinoma in cirrhotic patients with an arterially-enhancing liver mass.提高对肝硬化患者肝脏动脉期强化肿块的肝细胞癌预测能力。
Liver Transpl. 2005 Mar;11(3):281-9. doi: 10.1002/lt.20357.
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