唐亮

    [摘要] 目的 探讨在肝细胞肝癌临床诊断中CT与MR影像学检查的比较价值。 方法 选取2019年1月至2020年1月来辽宁中医药大学附属医院就诊的肝细胞肝癌患者74例，均行CT与MR影像学检查，对不同检测方法下诊断结果进行对比。结果 CT阳性检出率为89.19%，MR为97.30%，两种检查方法检出率比较，差异有统计学意义(P<0.05)。针对<1 cm病灶，MR检查的检出率高于CT(P<0.05)。在1～3 cm病灶与超过3 cm病灶检查中的检出率比较，差异无统计学意义(P>0.05)。CT检查平扫结果密度较低，增强扫描病灶动脉期强化。MR动态平扫病灶显示低信号与稍低信号，动脉期显著强化。 结论 肝细胞肝癌检查中，MR检出率较CT检查高，尤其针对小病灶检测精准度更高，更有助于实现疾病早期诊断。

    [关键词] 肝细胞肝癌;CT;MR;诊断

    [中图分类号] R735.7? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2022)01-0125-04

    Comparison of the clinical diagnostic value of CT and MR imaging in hepatocellular carcinoma

    TANG Liang

    Medical Imaging Center， Affiliated Hospital of Liaoning University of Traditional Chinese Medicine， Shenyang? ?110032， China

    [Abstract] Objective To explore the application value of CT and MR imaging in the clinical diagnosis of hepatocellular carcinoma. Methods A total of 74 patients with hepatocellular carcinoma in Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2019 to January 2020 were selected and underwent CT and MR imaging examinations. The diagnosis results under different detection methods were compared. Results The positive detection rate of CT was 89.19% ......