Head and Neck Imaging

Diagnostic Value of Vascular System Damage in Hepatic Alveolar Echinococcosis with Multi-slice Spiral CT

Author:LIU Li, DING Shi-rong, PU Peng, et al.

affiliation:Department of Radiology,Sichuan Aba Tibetan and Qiang Autonomous Prefecture People's Hospital, 624000, Sichuan Province,China

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Abstract

Objective Assess Vascular system damage in Hepatic alveolar echinococcosis with Spiral CT scan and enhanced scan. Methods All patients with HAE were performed by MSCT, Vascular system damage were assessed by analyzing the raw data and reconstruction, Correlated studies were made between the Hepatic vascular involvement in CT features and Surgical findings. Results MSCT depicted that the lesion cause damage in Hepatic artery, hepatic vein or portal vein in 59 of all 117 cases. The sensitivity, specificity and positive prediction value for evaluating the vascular system were 96%, 93% and 93%. There are 31 cases who have Intrahepatic bile duct dilatation. Conclusion MSCT can be used to analyze vascular system involvement in HAE, providing a basis for the correct diagnosis and appropriate treatment.

【Keyword】Echinococcosis, Hepatic; Tomography, X-ray Computed; Comparative Study

【Chart number】R445.3;R575

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.10.024