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[磁共振成像在肝泡型棘球蚴病患者铁沉积评估中的价值:初步评价]

[Value of magnetic resonance imaging in assessment of iron deposition among patients with hepatic alveolar echinococcosis: a preliminary evaluation].

作者信息

Wang L Y, Bao H H, Kang Y L

机构信息

Medical Imaging Center, The Affiliated Hospital of Qinghai University, Xining 810000, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2019 Nov 22;32(1):94-96. doi: 10.16250/j.32.1374.2019108.

Abstract

OBJECTIVE

To assess the value of MRI combined with serum ferritin analysis in measurement of hepatic iron deposition among patients with hepatic alveolar echinococcosis.

METHODS

A total of 96 patients with definitive diagnosis of hepatic alveolar echinococcosis and 30 healthy volunteers were enrolled and underwent routine 1.5T MR scanning, and all laboratory examination data were captured. The liver-to-muscle signal intensity ratio, serum ferritin level and liver functions were analyzed.

RESULTS

The liver-to-muscle signal intensity ratio was (1.95 ± 0.57) in patients with hepatic alveolar echinococcosis and (2.22 ± 0.28) in healthy volunteers ( = 2.022, < 0.05), and the liver-to-muscle signal intensity ratio was negatively associated the serum ferritin level in patients with hepatic alveolar echinococcosis ( = -0.446, < 0.01).

CONCLUSIONS

Abnormal iron deposition is detected in the liver of patients with hepatic alveolar echinococcosis, and serum ferritin level may be helpful for the identification of abnormal iron deposition in the liver of patients with hepatic alveolar echinococcosis. The liver-to-muscle signal intensity ratio measured by MRI may be a non-invasive approached used to assess the hepatic iron deposition in patients with hepatic alveolar echinococcosis.

摘要

目的

评估磁共振成像(MRI)联合血清铁蛋白分析在肝泡型包虫病患者肝脏铁沉积测量中的价值。

方法

纳入96例确诊为肝泡型包虫病的患者和30名健康志愿者,进行常规1.5T MR扫描,并收集所有实验室检查数据。分析肝肌信号强度比、血清铁蛋白水平和肝功能。

结果

肝泡型包虫病患者的肝肌信号强度比为(1.95±0.57),健康志愿者为(2.22±0.28)(t=2.022,P<0.05),肝泡型包虫病患者的肝肌信号强度比与血清铁蛋白水平呈负相关(r=-0.446,P<0.01)。

结论

肝泡型包虫病患者肝脏存在铁沉积异常,血清铁蛋白水平可能有助于识别肝泡型包虫病患者肝脏的铁沉积异常。MRI测量的肝肌信号强度比可能是一种用于评估肝泡型包虫病患者肝脏铁沉积的无创方法。

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