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纤维板层型肝癌CT/MRI征象分析
引用本文:包丽丽, 赵磊, 徐晓燕, 张明昱, 任向宇, 福泉. 纤维板层型肝癌CT/MRI征象分析[J]. CT理论与应用研究, 2016, 25(1): 57-63. DOI: 10.15953/j.1004-4140.2016.25.01.07
作者姓名:包丽丽  赵磊  徐晓燕  张明昱  任向宇  福泉
作者单位:1. 内蒙古医科大学基础医学院, 呼和浩特 010050;
基金项目:内蒙古自然科学基金(2015MS0888),内蒙古自治区高等学校科学研究项目(NJZY13425).
摘    要:目的:通过分析纤维板层型肝癌的CT/MRI影像学表现,旨在提高对本病的认识,减少误诊率。方法:通过RIS/PACS系统获取病理诊断为纤维板层型肝癌的患者7例,对CT/MRI影像学表现进行描述,并探讨其特异性征象。结果:纤维板层型肝癌影像学表现具有特异性,可以作为诊断与鉴别诊断的依据。CT/MRI表现:一般直径>10cm的单体肿瘤,边界清晰。无肝硬化背景。肿瘤实质成分动脉期混杂强化为主、门静脉期及延迟期强化趋于均匀。肿瘤内部见星状低密度影,增强可能延迟强化。结论:CT/MRI表现具有一定特异性,可以进行诊断与鉴别诊断。

关 键 词:X线计算机  体层摄影术  磁共振成像  纤维板层型肝癌
收稿时间:2015-11-11

CT/MRI Sign Analysis of Fibrolamellar Hepatocellular Carcinoma
BAO Li-li, ZHAO Lei, XU Xiao-yan, ZHANG Ming-yu, REN Xiang-yu, FU Quan. CT/MRI Sign Analysis of Fibrolamellar Hepatocellular Carcinoma[J]. CT Theory and Applications, 2016, 25(1): 57-63. DOI: 10.15953/j.1004-4140.2016.25.01.07
Authors:BAO Li-li  ZHAO Lei  XU Xiao-yan  ZHANG Ming-yu  REN Xiang-yu  FU Quan
Affiliation:1. Department of Preclinical medicine, Inner Mongolia Medical University, Hohhot, 010050, China;2. College of Life Sciences, Inner Mongolia University, Hohhot 010021, China;3. Department of Radiology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China;4. Department of Clinical Laboratory, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
Abstract:Objective: To analysis the CT and MRI findings of fibrolamellar hepatocellular carcinoma in order to improve differential diagnosis. Methods: This study obtaind to 7 cases of fibrolamellar hepatocellular carcinoma from RIS/PACS system and database for analysis and evaluation. The specificity signs was to describe. Results: Fibrolamellar hepatocellular carcinoma has more specific imaging findings, can be used as the basis for diagnosis and differential diagnosis. CT/MRI imaging findings: the lesion show single mass about diameter>10cm,with sharpness of border and complicating no hepatic cirrhosis. The mass was ennoblement promiscuity in arterial phase, ennoblement uniformity in venous phase and delay phase. Central stellate scar maybe delayed reinforcement. Conclusion: CT/MRI imaging show some specificity signs lead to be diagnosis and differential diagnosis for fibrolamellar hepatocellular carcinoma. 
Keywords:X-ray computed  tomography  magnetic resonance imaging  fibrolamellar hepatocellular carcinoma
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