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Clinical Study of Ultrasound Combined with MSCT in the Diagnosis of Early Liver Cancer

Author：ZHENG Fang, KONG Li-ru, FAN Hui-jun, et al.

affiliation：Department of Ultrasound, First Affiliated Hospital, Xinxiang Medical College, Xinxiang 453000, Henan Province, China

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Abstract

Objective To explore the clinical value of ultrasound combined with multislice spiral CT (MSCT) in the diagnosis of early liver cancer. Methods The clinical data of 80 patients with early liver cancer were retrospectively analyzed. The results of fine needle aspiration biopsy or digital subtraction angiography (DSA) were used as gold standard to analyze the diagnostic effects of ultrasound, MSCT and combined examination on the lesion features [pseudocapsule, arterio-venous fistula (AVF), portal vein tumor thrombus (PVTT)]. Results The accuracies of combined diagnosis in the diagnosis of pseudocapsule and PVTT were significantly higher than those of simple ultrasound and MSCT, and the accuracy in the diagnosis of AVF was significantly higher than that of simple ultrasound (P<0.05). The consistency of combined diagnosis in the diagnosis of lesion features was good with corresponding gold standard (κ>0.70). Conclusion Ultrasound combined with MSCT can obtain more lesion features in the diagnosis of early liver cancer, and it has high clinical application value.

【Keyword】Ultrasound; Multi-slice Spiral CT; Early Liver Cancer

【Chart number】R735.7;R445.1;R445.3

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2019.05.030

Chinese journal of CT and MRI

th17Volume， th 5 Issue 2019Year05Month

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