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肝脏良性局灶性病变:磁共振成像的作用

Benign focal liver lesions: The role of magnetic resonance imaging.

作者信息

Gatti Marco, Maino Cesare, Tore Davide, Carisio Andrea, Darvizeh Fatemeh, Tricarico Eleonora, Inchingolo Riccardo, Ippolito Davide, Faletti Riccardo

机构信息

Department of Surgical Sciences, University of Turin, Turin 10126, Italy.

Department of Diagnostic Radiology, Ospedale San Gerardo, Monza 20900, Italy.

出版信息

World J Hepatol. 2022 May 27;14(5):923-943. doi: 10.4254/wjh.v14.i5.923.

Abstract

Liver lesions are common findings in radiologists' daily routine. They are a complex category of pathology that range from solitary benign lesions to primary liver cancer and liver metastases. Benign focal liver lesions can arise from different liver cell types: Epithelial (hepatocytes and biliary cells) and nonepithelial (mesenchymal cells). Liver magnetic resonance imaging (MRI) is a fundamental radiological method in these patients as it allows with its multiparametric approach optimal non-invasive tissue characterization. Furthermore, advanced liver MRI techniques such as diffusion-weighted imaging and hepatobiliary contrast agents have improved the detection of focal liver lesions and can be highly effective in differentiating pseudotumor from tumors, as well as benign from malignant lesions, and can also be used for differential diagnosis. Although histological examination can be useful in making a definitive diagnosis, MRI is an important modality in the diagnosis of liver lesions with a significant impact on patient care. This aim of this review is to provide a comprehensive overview of benign liver lesions on MRI.

摘要

肝脏病变是放射科医生日常工作中常见的检查结果。它们是一类复杂的病理情况,范围从孤立性良性病变到原发性肝癌及肝转移瘤。良性局灶性肝脏病变可源自不同的肝细胞类型:上皮细胞(肝细胞和胆管细胞)和非上皮细胞(间充质细胞)。肝脏磁共振成像(MRI)是这些患者的一项基本影像学检查方法,因为其多参数成像方法能够实现最佳的非侵入性组织特征描述。此外,诸如扩散加权成像和肝胆对比剂等先进的肝脏MRI技术提高了局灶性肝脏病变的检出率,在鉴别假瘤与肿瘤以及良性与恶性病变方面非常有效,还可用于鉴别诊断。尽管组织学检查有助于做出明确诊断,但MRI是肝脏病变诊断中的一项重要检查手段,对患者的治疗有着重大影响。本综述的目的是全面概述MRI上的良性肝脏病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0bf/9157713/2071b0256ab3/WJH-14-923-g001.jpg

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