住院患者与门诊患者的肝脏磁共振成像（MRI）检查？新发肝脏肿物住院患者的检查结果
Inpatient Versus Outpatient MRI? Outcomes for Hospitalized Patients With New Liver Masses.
作者信息
Yeung Ho-Man
机构信息
Department of Medicine, Lewis Katz School of Medicine, Temple University, Section in Hospital Medicine, 1316 W Ontario St, Jones Hall Rm 411, Philadelphia, PA 19140, USA.
出版信息
J Community Hosp Intern Med Perspect. 2025 Jan 6;15(1):5-7. doi: 10.55729/2000-9666.1435. eCollection 2025.
No guidelines exist to guide hospitalists on whether inpatient MRI should be pursued for incidental liver masses. Here, we compare outcomes between patients who receive an inpatient MRI and those who did not, following detection of suspicious liver masses during hospitalization. A retrospective study of hospitalized patients with new HCC from Jan 1st, 2020 through Dec 31st, 2021 was conducted. Patients for hospice or with known HCC were excluded. Out of 34 unique subjects, 22 received MRI inpatient (IP) and 12 did not (non-IP). Time to inpatient MRI averaged 2.2 days. Inpatient LOS between the two groups were similar (6 v 7 days). IP group had lower lost-to-follow-up rates (4% v 42%). Median time to cancer treatment was similar (31 v 34 days), however IP group had higher treatment rate (68% v 42%). Obtaining inpatient MRI may benefit select high-risk patients, with increased follow-up rate and treatment rate for HCC.
目前尚无指导方针来指导住院医师对于偶然发现的肝脏肿块是否应进行住院期间的磁共振成像（MRI）检查。在此，我们比较了住院期间发现可疑肝脏肿块后接受住院MRI检查的患者与未接受该检查的患者的结局。我们对2020年1月1日至2021年12月31日期间住院的新发肝细胞癌（HCC）患者进行了一项回顾性研究。排除了接受临终关怀或已知患有HCC的患者。在34名不同的受试者中，22名接受了住院MRI检查（IP组），12名未接受（非IP组）。住院MRI检查的平均时间为2.2天。两组之间的住院时间相似（分别为6天和7天）。IP组的失访率较低（4%对42%）。癌症治疗的中位时间相似（分别为31天和34天），然而IP组的治疗率较高（68%对42%）。进行住院MRI检查可能会使部分高危患者受益，提高HCC的随访率和治疗率。
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