Multi-slice spiral computed tomography versus gadolinium diethylenetriamine pentaacetic acid enhanced magnetic resonance imaging in follow-up of primary hepatic cancer after transcatheter hepatic arterial chemoembolization

ZHANG Zhixiang; CUI Bo; LI Tianyun; XIE Fei

doi:10.7619/jcmp.20222213

Journal of Clinical Medicine in Practice > 2022 > 26(23): 9-13. > DOI: 10.7619/jcmp.20222213

ZHANG Zhixiang, CUI Bo, LI Tianyun, XIE Fei. Multi-slice spiral computed tomography versus gadolinium diethylenetriamine pentaacetic acid enhanced magnetic resonance imaging in follow-up of primary hepatic cancer after transcatheter hepatic arterial chemoembolization[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 9-13. DOI: 10.7619/jcmp.20222213

Citation:

PDF (2243 KB)

Multi-slice spiral computed tomography versus gadolinium diethylenetriamine pentaacetic acid enhanced magnetic resonance imaging in follow-up of primary hepatic cancer after transcatheter hepatic arterial chemoembolization

Department of Diagnostic Radiology, the First Affiliated Hospital of the Air Force Medical University of the Chinese People's Liberation Army, Xijing Hospital, Xi'an, Shaanxi, 710032

More Information

Received Date: July 19, 2022
Available Online: December 22, 2022

Graphical Abstract

Abstract

Abstract

Objective
To compare the value between multi-slice spiral computed tomography (MSCT) and gadolinium diethylenetriamine pentaacetic acid (Gd-DTPA) enhanced magnetic resonance imaging (MRI) in the follow-up of primary hepatic cancer (PHC) after transcatheter hepatic arterial chemoembolization (TACE).
Methods
A total of 106 patients with PHC were selected. The accuracy, sensitivity and specificity of MSCT and Gd-DTPA enhanced MRI in the diagnosis of tumor residue and recurrence were compared based on the results of digital subtraction angiography (DSA).
Results
There were 146 lesions in 106 patients before operation, 43 of which had residual tumors, and the accuracy, sensitivity and specificity of MSCT in diagnosing residual tumor were 86.30%, 81.40% and 88.35% respectively, which were significantly lower than 95.89%, 95.35% and 96.12% of Gd-DTPA enhanced MRI (P < 0.05); a total of 37 lesions had recurrence, and the accuracy, sensitivity and specificity of MSCT in diagnosing tumor recurrence were 88.36%, 80.56% and 90.91% respectively, which were significantly lower than 97.26%, 97.22% and 97.27% of Gd-DTPA enhanced MRI (P < 0.05).
Conclusion
Gd-DTPA enhanced MRI is superior to MSCT in the diagnosis of tumor residue and recurrence after TACE in patients with PHC.

FullText(HTML)

References (16)

References

[1]	汪玲, 陆英慧, 王天佑. 原发性肝癌患者超声造影定量灌注参数与分化程度及微血管密度的关系[J]. 郑州大学学报: 医学版, 2020, 55(5): 681-685. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK202005021.htm
[2]	AUER T A, JONCZYK M, COLLETTINI F, et al. Trans-arterial chemoembolization with degradable starch microspheres (DSM-TACE) versus selective internal radiation therapy (SIRT) in multifocal hepatocellular carcinoma[J]. Acta Radiol, 2021, 62(3): 313-321. doi: 10.1177/0284185120926474
[3]	ROMEIH S, KAOUD A, SHAABAN M, et al. Coronary artery anomalies in tetralogy of Fallot patients evaluated by multi slice computed tomography; myocardial bridge is not a rare finding[J]. Medicine, 2021, 100(7): e24325. doi: 10.1097/MD.0000000000024325
[4]	李冰, 刘俊启, 张媛媛, 等. 不同组织学分级的原发性肝癌患者磁共振动态增强参数特点比较[J]. 郑州大学学报: 医学版, 2021, 56(6): 805-808. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK202106014.htm
[5]	张洁, 张晴荣. 磁共振动态增强与常规扫描用于肝癌肝动脉化疗栓塞治疗效果评估价值的比较[J]. 中国基层医药, 2019, 26(22): 2708-2711. doi: 10.3760/cma.j.issn.1008-6706.2019.22.005
[6]	李峻, 顾春林. 益气健脾中药并热灌注化疗联合TACE治疗胃癌肝转移的临床应用价值[J]. 西部中医药, 2022, 35(2): 115-118. https://www.cnki.com.cn/Article/CJFDTOTAL-GSZY202202026.htm
[7]	何荣兴, 覃浩玲, 林尔坚, 等. 肩峰下撞击综合征的整合影像学诊断研究[J]. 实用临床医药杂志, 2020, 24(23): 92-95. doi: 10.7619/jcmp.202023028
[8]	李代欣, 付志浩, 许传军, 等. 能谱CT虚拟平扫在肝癌TACE术后病灶碘油沉积评价中价值[J]. 生物医学工程与临床, 2020, 24(5): 581-585, 591. https://www.cnki.com.cn/Article/CJFDTOTAL-SGLC202005019.htm
[9]	王砚亮, 宋威, 卞益同, 等. CT量化碘油摄取预测原发性肝癌TACE术后肿瘤复发的临床价值[J]. 临床放射学杂志, 2020, 39(3): 573-578. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFS202003034.htm
[10]	冯元春, 张蔚, 李卿瑞, 等. MR-DWI与MSCT对原发性腹膜后肿瘤的诊断价值研究[J]. 河北医科大学学报, 2020, 41(11): 1326-1330. doi: 10.3969/j.issn.1007-3205.2020.11.018
[11]	张丽萍, 吴秀丽, 黄宝生, 等. 钆塞酸二钠动态增强磁共振定量评估兔肝纤维化的研究[J]. 河北医学, 2020, 26(8): 1333-1338. doi: 10.3969/j.issn.1006-6233.2020.08.024
[12]	BREMBILLA G, TAKWOINGI Y, KASIVISVANATHAN V. Tackling interobserver variability in multiparametric magnetic resonance imaging (MRI): is MRI even better than we think for prostate cancer diagnosis[J]. Eur Urol, 2021, 79(1): 8-10. doi: 10.1016/j.eururo.2020.10.023
[13]	麦神忠, 彭樱花, 郑华英. 多层螺旋CT在原发性肝癌患者TACE术后随访中的应用[J]. 中国CT和MRI杂志, 2019, 17(6): 82-84. https://www.cnki.com.cn/Article/CJFDTOTAL-CTMR201906025.htm
[14]	聂玉霞, 黄文荣, 苏兰芳, 等. 脊髓型颈椎病患者行双开门椎管成形术后脊髓肿胀与髓内Gd-DTPA增强MRI的关系[J]. 颈腰痛杂志, 2021, 42(5): 606-609. https://www.cnki.com.cn/Article/CJFDTOTAL-JYTZ202105004.htm
[15]	李莹, 晏玉玲, 申宝忠, 等. DCE-MRI在肺癌早期诊断及抗血管药物疗效评估中的应用[J]. 放射学实践, 2019, 34(1): 101-104. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS201901032.htm
[16]	郭素引, 康立清, 刘凤海. DWI、DCE-MRI对局部进展期直肠癌新辅助放化疗疗效的预测价值[J]. 山东医药, 2019, 59(34): 10-13. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201934003.htm

Cited By

Cited by

Periodical cited type(3)

1.	肖宗清，董翠婷，张杰，刘园园，吴汉利. 维持性血液透析患者衰弱风险预测模型的建立与验证. 临床肾脏病杂志. 2024(04): 265-270 .
2.	吴云亭，戴艳，彭晓杰. 基于饮食营养干预在儿童慢性肾脏病生长发育中的应用研究. 中国当代医药. 2024(30): 149-152+157 .
3.	刘鹏程. 罗沙司他与重组人促红细胞生成素治疗维持性血液透析肾性贫血的临床效果比较. 实用临床医药杂志. 2024(24): 121-123+128 . 本站查看

Other cited types(0)

Get Citation

PDF

XML

Article views (174) PDF downloads (9) Cited by(3)

Turn off MathJax

Article Contents

Abstract

References

Multi-slice spiral computed tomography versus gadolinium diethylenetriamine pentaacetic acid enhanced magnetic resonance imaging in follow-up of primary hepatic cancer after transcatheter hepatic arterial chemoembolization

Abstract

References

Cited by

Periodical cited type(3)

Other cited types(0)

Catalog

Export File

Citation

Format

Content