60例不典型肝血管瘤患者声速匹配技术及剪切波弹性成像表现及其与肝细胞癌的鉴别

肝脏 ›› 2024, Vol. 29 ›› Issue (7): 798-801.

60例不典型肝血管瘤患者声速匹配技术及剪切波弹性成像表现及其与肝细胞癌的鉴别

于健, 董文健, 夏建新, 彭仁聪

063100 河北唐山市第三医院影像科(于健),神经内科(董文健);063001 唐山开滦总医院消化内科(夏建新);530199 南宁广西医科大学附属武鸣医院心血管内科(彭仁聪)

收稿日期:2024-04-30 出版日期:2024-07-31 发布日期:2024-08-27
基金资助:
河北省自然科学基金青年基金资助项目(H2021206248)

Performance of sound velocity matching technique and shear wave elastography in differentiating atypical hepatic hemangioma from primary hepatocellular carcinoma in 60 patients

YU Jian¹, DONG Wen-jian², XIA Jian-xin³, PENG Ren-cong⁴

1. Department of Image, Tangshan Third Hospital, Hebei 063100, China;
2. Department of Neurology, Tangshan Third Hospital, Hebei 063100, China;
3. Department of Gastroenterology, Kailuan General Hospital, Tangshan 063001, China;
4. Department of Cardiovascular, Wuming Hospital Affiliated to Guangxi Medical University, Nanning 530199,China

Received:2024-04-30 Online:2024-07-31 Published:2024-08-27

摘要/Abstract

摘要： 目的分析肝血管瘤患者声速匹配技术及剪切波弹性成像表现及其与肝细胞癌的鉴别。方法 2019年7月—2020年7月唐山市第三医院收治的经CT确诊的60例肝血管瘤患者,另外选择经病理穿刺确诊的肝细胞癌患者40例,将其作为肝血管瘤组(n=60)和肝癌组(n=40)。比较两组声速匹配技术及剪切波弹性成像表现,采用受试者工作特征曲线(ROC)分析声速匹配技术及剪切波弹性成像鉴别肝血管瘤与肝细胞癌的价值。结果肝血管瘤组声速匹配值、弹性模量值、剪切波速度最大值、剪切波速度平均值分别为(22.4±3.5)m/s、(16.1±2.5)kPa、(2.7±0.3)m/s、(2.3±0.2)m/s,均低于肝癌组[(40.6±4.5)m/s、(33.5±2.5)kPa、(3.8±0.6)m/s、(3.4±0.4)m/s,P<0.05];ROC曲线分析结果显示,声速匹配值、弹性模量值、剪切波速度最大值、剪切波速度平均值在鉴别肝血管瘤与肝细胞癌中具有极高的价值。结论声速匹配值、弹性模量值、剪切波速度最大值、剪切波速度平均值在鉴别肝血管瘤与肝细胞癌中具有极高的价值,声速匹配技术及剪切波弹性成像可用于鉴别肝血管瘤与肝细胞癌。

关键词: 肝血管瘤, 声速匹配技术, 剪切波弹性成像, 肝细胞癌

Abstract: Objective To analyze the sound velocity matching technique and shear wave elastography performance in patients with hepatic hemangioma and their performance in differentiating from primary hepatocellular carcinoma. Methods Sixty patients with hepatic hemangioma confirmed by CT and 40 patients with primary hepatocellular carcinoma confirmed by pathological puncture were selected from July 2019 to July 2020. To compare the performance of sound velocity matching technique and shear wave elastography between the two groups, the value of sound velocity matching technique and shear wave elastography to identify hepatic hemangioma and primary hepatocellular carcinoma were analyzed by the receiver operating characteristic curve (ROC). Results In hepatic hemangioma group, the sound velocity matching value, elastic modulus value, shear wave velocity maximum and mean values were (22.4±3.5) m/s, (16.1±2.5) kPa, (2.7±0.3) m/s, and (2.3±0.2) m/s, respectively, which were significantly lower than those in the hepatocellular carcinoma group [40.6±4.5) m/s, (33.5±2.5) kPa, ( 3.8±0.6) m/s, (3.4±0.4) m/s, P<0.05]. The ROC curve analysis showed that sound velocity matching values, elastic modulus values, shear wave velocity maxima, and mean values were highly valuable in differentiating between hepatic hemangioma and primary hepatocellular carcinoma. Conclusion Sound velocity matching values, elastic modulus values, shear wave velocity maxima, and mean values are of great value in differentiating bewteen hepatic hemangioma and primary hepatocellular carcinoma. The sound velocity matching technique and shear wave elastography can be used to identify hepatic hemangioma from primary hepatocellular carcinoma.

Key words: Hepatic hemangioma, Sound velocity matching technique, Shear wave elastography, Primary hepatocellular carcinoma

于健, 董文健, 夏建新, 彭仁聪. 60例不典型肝血管瘤患者声速匹配技术及剪切波弹性成像表现及其与肝细胞癌的鉴别[J]. 肝脏, 2024, 29(7): 798-801.

YU Jian, DONG Wen-jian, XIA Jian-xin, PENG Ren-cong. Performance of sound velocity matching technique and shear wave elastography in differentiating atypical hepatic hemangioma from primary hepatocellular carcinoma in 60 patients[J]. Chinese Hepatolgy, 2024, 29(7): 798-801.

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