孟庆杨,马淑梅,樊海宁,乔志忠,李晓君.实时剪切波弹性成像鉴别诊断肝泡型包虫病与肝细胞癌[J].中国医学影像技术,2020,36(1):102~105
实时剪切波弹性成像鉴别诊断肝泡型包虫病与肝细胞癌
Real-time shear wave elastography in differential diagnosis of hepatic alveolar echinococcosis and hepatocellular carcinoma
投稿时间:2019-04-26  修订日期:2019-10-25
DOI:10.13929/j.issn.1003-3289.2020.01.029
中文关键词:  癌,肝细胞  棘球蚴病,肝  超声检查
英文关键词:carcinoma, hepatocellular  echinococcosis, hepatic  ultrasonography
基金项目:青海省科技厅重大科技专项(2016-SF-A5)、青海省卫计委课题(2016-wjzd-04)。
作者单位E-mail
孟庆杨 青海大学附属医院超声医学科, 青海 西宁 810000  
马淑梅 青海大学附属医院超声医学科, 青海 西宁 810000 764273542@qq.com 
樊海宁 青海大学附属医院肝胆胰外科, 青海 西宁 810000
青海省包虫病研究重点实验室, 青海 西宁 810000 
 
乔志忠 青海大学附属医院超声医学科, 青海 西宁 810000  
李晓君 青海大学附属医院超声医学科, 青海 西宁 810000  
摘要点击次数: 110
全文下载次数: 92
中文摘要:
      目的 探讨实时剪切波弹性成像(SWE)鉴别诊断肝泡型包虫病(HAE)与肝细胞癌(HCC)的价值。方法 收集20例HAE(HAE组)及30例HCC(HCC组)患者,术前对病灶进行SWE检查,获取所有病灶的平均杨氏模量值;以病理结果为金标准,评价SWE鉴别诊断HAE与HCC的效能。结果 HAE组平均杨氏模量值为(34.57±10.76)kPa,高于HCC组的(21.82±3.51)kPa(P<0.001)。ROC曲线显示,HAE及HCC平均杨氏模量值的诊断界值为27.43 kPa,其敏感度为80.00%、特异度为97.00%,AUC为0.869。结论 SWE对于鉴别诊断HAE和HCC具有重要临床应用价值。
英文摘要:
      Objective To explore the value of real-time shear wave elastography (SWE) in differential diagnosis of hepatic alveolar echinococcosis (HAE) and hepatocellular carcinoma (HCC). Methods Twenty patients of HAE (HAE group) and 30 patients of HCC (HCC group) were enrolled. All SWE was performed before surgical operation, and the mean elasticity of Young's modulus was obtained. Taken pathological outcomes as the gold standards, the accuracy and efficacy of SWE in differential diagnosis of HAE and HCC were evaluated. Results The mean elasticity of Young's modulus of the lesions was (34.57±10.76)kPa in HAE group, higher than in HCC group ([21.82±3.51] kPa, P<0.001). ROC curve showed that the critical point of the mean elasticity of Young's modulus of HAE and HCC was 27.43 kPa, the sensitivity was 80.00%, specificity was 97.00%, and AUC was 0.869. Conclusion SWE has an important value in differential diagnosis of HAE and HCC.
查看全文  查看/发表评论  下载PDF阅读器