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超声检查和磁共振成像在肝脏病变术前和术后管理中的应用:一项前瞻性研究。

USG and magnetic resonance imaging in the preoperative and postoperative management of hepatic lesions: A prospective study.

作者信息

Ramanathan Hariprasad, Dawale Sachin, Rajavel Kaushik, Gnanasekaran Pritika, Ramesh Priyadarshini, B Holebasu

机构信息

Department of Radiodiagnosis, JIPMER, Pondicherry, India.

Department of Radiodiagnosis, MGIMS, Sevagram, Maharashtra, India.

出版信息

Bioinformation. 2024 Dec 31;20(12):1913-1916. doi: 10.6026/9732063002001913. eCollection 2024.

Abstract

Hepatic lesions are common and require accurate diagnosis for effective management and treatment outcomes. This study compared the diagnostic efficacy and sensitivity of USG and MRI in preoperative and postoperative evaluations of hepatic lesions in 100 patients over 12 months. MRI demonstrated superior sensitivity, particularly for lesions smaller than 2 cm (p < 0.0001) and influenced surgical decision-making in 40% of cases by providing more accurate lesion characterization. Postoperative assessments with MRI were more effective in detecting residual or recurrent disease than USG (p = 0.002). These findings highlight MRI's critical role in surgical planning and comprehensive management of hepatic lesions.

摘要

肝脏病变很常见,需要准确诊断以实现有效的管理和治疗效果。本研究在12个月内比较了超声(USG)和磁共振成像(MRI)对100例患者肝脏病变术前和术后评估的诊断效能和敏感性。MRI显示出更高的敏感性,尤其是对于小于2厘米的病变(p < 0.0001),并且通过提供更准确的病变特征描述,在40%的病例中影响了手术决策。与USG相比,MRI术后评估在检测残留或复发性疾病方面更有效(p = 0.002)。这些发现突出了MRI在肝脏病变手术规划和综合管理中的关键作用。

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