Head and Neck Imaging

Application of Multislice Spiral CT in Follow-up of Patients with Primary Liver Cancer after TACE

Author:MAI Shen-zhong, PENG Ying-hua, ZHENG Hua-ying

affiliation:Department of Imaging, German City People's Hospital, Qingyuan 513000, Guangdong Province, China

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Abstract

Objective To analyze the application of multislice spiral CT (MSCT) in the follow-up of patients with primary liver cancer after transhepatic arterial chemoembolization (TACE). Methods 84 cases of patients diagnosed as primary liver cancer and treated with TACE from January 2013 and December 2017 in our hospital were selected, and they were given the MSCT scan regularly after operation. The tumor residual rate, recurrence rate of intrahepatic tumor and the detection rate of new lesions were recorded. Results The sensitivity, specificity and accuracy of MSCT in diagnosis of tumor residual were 85.29%, 91.46% and 89.66%. And the sensitivity, specificity and accuracy of MSCT in detecting intrahepatic tumor recurrence were 93.10%, 94.25% and 93.97%. The detection rate of new lesions by MSCT was 74.07%, and the missed diagnosis rate was 14.81%, and the misdiagnosis rate was 11.11%. Conclusion MSCT is of high diagnostic value for the detection of tumor residual and intrahepatic tumor recurrence after TACE operation in patients with primary liver cancer.

【Keyword】Multislice Spiral CT; Primary Liver Cancer; Transhepatic Arterial Chemoembolization

【Chart number】R735.7

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2019.06.025