{"id":14256,"date":"2021-06-23T16:53:58","date_gmt":"2021-06-23T21:53:58","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=14256"},"modified":"2021-06-23T16:53:58","modified_gmt":"2021-06-23T21:53:58","slug":"whats-new-in-liver-imaging-chinese-march-2021","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/whats-new-in-liver-imaging-chinese-march-2021\/","title":{"rendered":"What’s new in Liver Imaging (Chinese) – March 2021"},"content":{"rendered":"

 <\/p>\n

T2<\/b>\u52a0\u6743\u6210\u50cf\u4e0a\u7684\u201c\u9776\u5f81\u201d\u548c\u80bf\u7624\u8840\u7ba1\u6d78\u6da6\u7684\u5f81\u8c61\uff1a\u9274\u522b<\/b>HCC<\/b>\u548c\u5176\u4ed6\u809d\u810f\u539f\u53d1\u6027\u80bf\u7624\u7684\u8bca\u65ad\u4ef7\u503c<\/b>\u00a0<\/span><\/h5>\n

Cannella, R., Fraum, T.J., Ludwig, D.R. <\/span>et al.<\/span> Eur Radiol<\/span> (2021).\u00a0<\/span>\u00a0<\/span><\/p>\n

\u6765\u81ea\u4e8e<\/span>: <\/span>https:\/\/link.springer.com\/article\/10.1007\/s00330-021-07743-x<\/span><\/a>\u00a0<\/span><\/p>\n

\u5173\u952e\u8bcd\uff1a<\/span><\/b>\u809d\u7ec6\u80de\u809d\u764c\uff0c\u809d\u5185\u80c6\u7ba1\u7ec6\u80de\u764c\uff0c\u78c1\u5171\u632f\u6210\u50cf<\/span>\u00a0<\/span><\/p>\n

\u4e34\u5e8a\u95ee\u9898\uff1a<\/span><\/b>T2<\/span>\u52a0\u6743\u6210\u50cf\u4e0a\u7684\u201c\u9776\u5f81\u201d\u548c\u80bf\u7624\u8840\u7ba1\u6d78\u6da6\u7684\u5f81\u8c61\u662f\u5426\u53ef\u4ee5\u4f5c\u4e3a\u6f5c\u5728\u7684<\/span>LI-RADS<\/span>\u5f81\u8c61\u7528\u4e8e\u9274\u522b<\/span>HCC<\/span>\u548c\u5176\u4ed6\u809d\u810f\u6076\u6027\u80bf\u7624\u3002<\/span>\u00a0<\/span><\/p>\n

\u7814\u7a76\u76ee\u7684<\/span><\/b>\uff1a<\/span><\/b>\u6bd4\u8f83\u809d\u5185\u80c6\u7ba1\u7ec6\u80de\u764c\u548c\u6df7\u5408\u578b\u809d\u764c\u7684<\/span>\u201c<\/span>\u9776\u5f81\u201d\u548c\u80bf\u7624\u8840\u7ba1\u6d78\u6da6\u5f81\u8c61<\/span>\u3002<\/span>\u00a0<\/span><\/p>\n

\u65b9\u6cd5<\/span><\/b>\uff1a<\/span><\/b>\u56de\u987e\u6027\u8bc4\u4f30\u4e86<\/span>165<\/span>\u4f8b\u809d\u5185\u80c6\u7ba1\u7ec6\u80de\u764c\uff0c<\/span>74<\/span>\u4f8b\u6df7\u5408\u578b\u809d\u764c\u548c<\/span>136<\/span>\u4f8b<\/span>HCC<\/span>\uff08\u5bf9\u7167\u7ec4\uff09\u3002\u8bb0\u5f55\u201c\u9776\u5f81\u201d\u548c\u80bf\u7624\u8840\u7ba1\u4fb5\u72af\u7684\u4e94\u4e2a\u5f81\u8c61<\/span>\uff08<\/span>\u5305\u88f9\uff0c\u53d8\u7a84\uff0c\u6813\u585e\uff0c\u95ed\u585e\u548c\u6d88\u5931<\/span>\uff09<\/span>\uff0c\u5e76\u8ba1\u7b97\u5176\u654f\u611f\u6027\u548c\u7279\u5f02\u6027\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u679c\uff1a<\/span><\/b>T2WI<\/span>\u4e0a\u9776\u5f81\u5bf9\u975e<\/span>HCC<\/span>\u6076\u6027\u80bf\u7624\u5177\u6709\u9ad8\u5ea6\u7279\u5f02\u6027\uff08<\/span>97.3\uff05-98.2<\/span>\uff05\uff09\u3002\u5bf9\u4e8e\u975e<\/span>HCC<\/span>\u6076\u6027\u80bf\u7624\uff0c\u5728\u80bf\u7624\u8840\u7ba1\u4fb5\u72af\u5f81\u8c61\u4e2d\uff0c\u6813\u585e\u548c\u95ed\u585e\u7684\u7279\u5f02\u6027\u6700\u9ad8\uff08\u5206\u522b\u4e3a<\/span>97.1\uff05-100<\/span>\uff05\u548c<\/span>99.3<\/span>\uff05\uff09\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0c\u8840\u7ba1\u5305\u57cb\u548c\u6d88\u5931\u7684\u654f\u611f\u6027\u6700\u9ad8\uff08\u5206\u522b\u4e3a<\/span>34.3\uff05-37.2<\/span>\uff05\u548c<\/span>25.5\uff05-29.7\uff05\uff09\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u8bba\uff1a<\/span><\/b>T2WI<\/span>\u4e0a\u7684\u201c\u9776\u5f81\u201d\u4ee5\u53ca\u8840\u7ba1\u6813\u585e\u548c\u95ed\u585e\u5f81\u8c61\u5bf9\u4e8e\u9274\u522b\u975e<\/span>HCC<\/span>\u6076\u6027\u80bf\u7624\u4e0e<\/span>HCC<\/span>\u6709\u9ad8\u5ea6\u7279\u5f02\u6027\u3002<\/span>\u00a0<\/span><\/p>\n

\u610f\u4e49<\/span><\/b>\uff1a<\/span><\/b>T2WI<\/span>\u4e0a\u7684\u201c\u9776\u5f81\u201d\u4f5c\u4e3a<\/span>LR-M<\/span>\u5206\u7c7b\u7684\u6f5c\u5728<\/span>LI-RADS<\/span>\u5f81\u8c61\u662f\u6709\u4ef7\u503c\u7684<\/span>\u3002<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

MRI<\/b>\u809d\u810f\u5f71\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edf\uff08<\/b>LI-RADS\uff092018<\/b>\u7248\uff1a\u8f85\u52a9\u5f81\u8c61\u4f5c\u7528\u53ca\u51cf\u5c11\u5b83\u7684\u5f71\u54cd<\/b>\u00a0<\/span><\/h5>\n

van der Pol CB, Dhindsa K, Shergill R, Zha N, Ferri M, Kagoma YK, Lee SY, Satkunasingham J, Wat J, Tsai S. <\/span>Am J Roentgenol. <\/span>(2021).\u00a0<\/span>\u00a0<\/span><\/p>\n

\u6765\u81ea\u4e8e<\/span>: <\/span>https:\/\/www.ajronline.org\/doi\/10.2214\/AJR.20.23031<\/span><\/a>\u00a0<\/span><\/p>\n

\u5173\u952e\u8bcd\uff1a<\/span><\/b>\u809d\u7ec6\u80de\u764c\uff0c\u78c1\u5171\u632f\u6210\u50cf\uff0c\u7cfb\u7edf\u5206\u6790<\/span>\u00a0<\/span><\/p>\n

\u4e34\u5e8a\u95ee\u9898\uff1a<\/span><\/b>LI-RADS v2018 MRI<\/span>\u8f85\u52a9\u5f81\u8c61\u7684\u4f5c\u7528\u5982\u4f55\uff1f\u5e76\u4e14\u662f\u5426\u53ef\u4ee5\u5728\u4e0d\u5f71\u54cd<\/span>LI-RADS<\/span>\u51c6\u786e\u6027\u7684\u60c5\u51b5\u4e0b\u51cf\u5c11\u8f85\u52a9\u5f81\u8c61<\/span>\uff1f<\/span>\u00a0<\/span><\/p>\n

\u7814\u7a76\u76ee\u7684<\/span><\/b>\uff1a<\/span><\/b>\u8ba1\u7b97\u6709\u6216\u8005\u65e0\u8f85\u52a9\u5f81\u8c61\u7684\u60c5\u51b5\u4e0b<\/span>LI-RADS<\/span>\u5206\u7c7b\u7684\u8bca\u65ad\u51c6\u786e\u6027\u3002\u5e94\u7528\u673a\u5668\u5b66\u4e60\u7b97\u6cd5\u6765\u8bc6\u522b\u65e0\u8d21\u732e\u7684\u8f85\u52a9\u5f81\u8c61<\/span>\u3002<\/span>\u00a0<\/span><\/p>\n

\u65b9\u6cd5\uff1a<\/span><\/b> \u4f9d\u636e<\/span>LI-RADS v2018\uff0c<\/span>\u56de\u987e\u6027\u8bc4\u4f30<\/span>222<\/span>\u4e2a\u809d\u810f\u89c2\u5bdf\u7ed3\u679c\u662f\u5426\u5b58\u5728<\/span>MRI<\/span>\u4e3b\u8981\u5f81\u8c61\u548c\u8f85\u52a9\u5f81\u8c61\u3002\u786e\u5b9a<\/span>LI-RADS<\/span>\u5206\u7c7b\u53ca\u5176\u5728\u6709\u65e0\u8f85\u52a9\u5f81\u8c61\u60c5\u51b5\u4e0b\u7684\u8bca\u65ad\u51c6\u786e\u6027\u3002\u5e94\u7528\u673a\u5668\u5b66\u4e60\u7b97\u6cd5\u6765\u8bc6\u522b\u65e0\u8d21\u732e\u7684\u8f85\u52a9\u5f81\u8c61\uff0c\u7136\u540e\u57fa\u4e8e\u8f85\u52a9\u5f81\u8c61\u7684\u4e0d\u540c\u7ec4\u5408\u6765\u8ba1\u7b97<\/span>LI-RADS<\/span>\u5206\u7c7b\u7684\u8bca\u65ad\u6548\u80fd\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u679c<\/span><\/b>\uff1a<\/span><\/b>\u4ec5\u4f7f\u7528\u4e3b\u8981\u5f81\u8c61\u548c\u5e94\u7528\u8f85\u52a9\u5f81\u8c61\u65f6\uff0c\u809d\u764c\u7684\u767e\u5206\u6bd4\u6ca1\u6709\u663e\u8457\u6027\u5dee\u5f02\u3002\u4e94\u4e2a\u8f85\u52a9\u5f81\u8c61\u88ab\u786e\u5b9a\u4e3a\u65e0\u8d21\u732e\uff1a\u6655\u72b6\u5f3a\u5316\uff0c\u7ed3\u4e2d\u7ed3<\/span>\uff0c<\/span>\u9a6c\u8d5b\u514b\u5f81<\/span>\uff0c<\/span>\u51fa\u8840\u548c\u8102\u53d8<\/span>\u3002<\/span>\u00a0<\/span><\/p>\n

\u610f\u4e49\uff1a<\/span><\/b>\u4e00\u4e9b\u8f85\u52a9\u5f81\u8c61\u53ef\u4ee5\u4ece<\/span>LI-RADS v2018 MRI<\/span>\u4e2d\u5220\u9664\uff0c\u800c\u4e14\u4e0d\u4f1a\u5f71\u54cd\u5176\u8bca\u65ad\u51c6\u786e\u6027\u3002<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

3D<\/b>\u5377\u79ef\u795e\u7ecf\u7f51\u7edc\u7684\u6df1\u5ea6\u5b66\u4e60\u7528\u4e8e\u65e0\u521b\u9884\u6d4b\u809d\u7ec6\u80de\u764c\u5fae\u8840\u7ba1\u6d78\u6da6<\/b>\u00a0<\/span><\/h5>\n

Zhang Y, Lv X, Qiu J, Zhang B, Zhang L, Fang J, Li M, Chen L, Wang F, Liu S, Zhang S. J Magn Reson Imaging<\/span> (2021).\u00a0<\/span>\u00a0<\/span><\/p>\n

\u6765\u81ea\u4e8e<\/span>: <\/span>https:\/\/doi.org\/10.1002\/jmri.27538<\/span><\/a>\u00a0<\/span><\/p>\n

\u5173\u952e\u8bcd\uff1a<\/span><\/b>\u809d\u7ec6\u80de\u764c\uff0c\u78c1\u5171\u632f\u6210\u50cf\uff0c\u6df1\u5ea6\u5b66\u4e60\uff0c\u5fae\u8840\u7ba1\u6d78\u6da6<\/span>\u00a0<\/span><\/p>\n

\u4e34\u5e8a\u95ee\u9898\uff1a<\/span><\/b>\u672f\u524d\u9884\u6d4b\u809d\u764c\u7684\u5fae\u8840\u7ba1\u6d78\u6da6\u3002<\/span>\u00a0<\/span><\/p>\n

\u7814\u7a76\u65b9\u6cd5<\/span><\/b>\uff1a<\/span><\/b>\u5c06<\/span>237<\/span>\u4f8b\u624b\u672f\u5207\u9664\u5e76\u7ecf\u75c5\u7406\u8bc1\u5b9e\u7684<\/span>HCC<\/span>\u60a3\u8005\u7684\u589e\u5f3a<\/span>MR<\/span>\u56fe\u50cf\u8f93\u5165\u56db\u4e2a\u6df1\u5ea6\u5b66\u4e60\u6a21\u578b\u3002\u4e09\u79cd\u6a21\u578b\u57fa\u4e8e\u5355\u4e2a<\/span>MR<\/span>\u5e8f\u5217\uff0c\u800c\u7b2c\u56db\u79cd<\/span>\u201c<\/span>\u878d\u5408<\/span>\u201d<\/span>\u6a21\u578b\u5219\u57fa\u4e8e\u4e09\u4e2a<\/span>MR<\/span>\u5e8f\u5217\u3002\u8fd9\u4e9b\u6a21\u578b\u7528\u4e8e\u9884\u6d4b\u662f\u5426\u5b58\u5728\u5fae\u8840\u7ba1\u6d78\u6da6\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u679c\uff1a<\/span><\/b> \u878d\u5408\u6a21\u578b\u5177\u6709\u6700\u9ad8\u7684\u9884\u6d4b\u51c6\u786e\u6027<\/span>\uff0871\uff05\uff09\uff1b <\/span>\u9a8c\u8bc1\u6570\u636e\u96c6\u7075\u654f\u6027\u4e3a<\/span>55<\/span>\uff05\uff0c\u7279\u5f02\u6027\u4e3a<\/span>81\uff05\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u8bba<\/span><\/b>\/<\/span><\/b>\u610f\u4e49\uff1a<\/span><\/b>\u6df1\u5ea6\u5b66\u4e60\u53ef\u7528\u4e8e\u809d\u764c\u60a3\u8005\u672f\u524d\u5fae\u8840\u7ba1\u4fb5\u72af\u7684\u9884\u6d4b\u3002<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u81ea\u52a8\u5206\u6790\u591a\u53c2\u6570\u78c1\u5171\u632f\u6210\u50cf<\/b>\/<\/b>\u78c1\u5171\u632f\u5f39\u6027\u6210\u50cf\u6765\u9884\u6d4b\u975e\u9152\u7cbe\u6027\u8102\u80aa\u6027\u809d\u708e<\/b>\u00a0<\/span><\/h5>\n

Dzyubak B, Li J, Chen J, Mara KC, Therneau TM, Venkatesh SK, Ehman RL, Allen AM, Yin M. J Magn Reson Imaging<\/span> (2021).\u00a0<\/span>\u00a0<\/span><\/p>\n

\u6765\u81ea\u4e8e<\/span>: <\/span>https:\/\/doi.org\/10.1002\/jmri.27549<\/span><\/a>\u00a0<\/span><\/p>\n

\u5173\u952e\u5b57\uff1a<\/span><\/b>MRE\uff0cNASH\uff0cPDFF<\/span>\uff0c\u809d\u786c\u5ea6<\/span>\u00a0<\/span><\/p>\n

\u4e34\u5e8a\u95ee\u9898\uff1a<\/span><\/b>\u81ea\u52a8\u5206\u6790\u8102\u80aa\u53d8\u6027\u548c\u809d\u810f\u786c\u5ea6\uff0c\u5e76\u9884\u6d4b<\/span>MRI<\/span>\u4e0a\u7684<\/span>NASH\u3002<\/span>\u00a0<\/span><\/p>\n

\u7814\u7a76\u76ee\u7684<\/span><\/b>\uff1a<\/span><\/b>\u6bd4\u8f83\u624b\u52a8\u5206\u6790\u4e0e\u5168\u81ea\u52a8\u673a\u5668\u5b66\u4e60\u5206\u6790\u7684<\/span>MRI<\/span>\u8d28\u5b50\u5bc6\u5ea6\u8102\u80aa\u5206\u6570\uff08<\/span>PDFF<\/span>\uff09\u548c\u809d\u786c\u5ea6\u3002\u5e76\u7814\u53d1\u4e86\u53e6\u5916\u4e00\u4e2a\u6a21\u578b\u6765\u9884\u6d4b<\/span>NASH\u3002<\/span>\u00a0<\/span><\/p>\n

\u65b9\u6cd5<\/span><\/b>\uff1a<\/span><\/b>\u524d\u77bb\u6027\u5206\u6790<\/span>83<\/span>\u4f8b\u6210\u4eba\u80a5\u80d6\u60a3\u8005\u7684<\/span>MR<\/span>\u5f39\u6027\u6210\u50cf\uff08<\/span>MRE<\/span>\uff09\u548c\u5316\u5b66\u4f4d\u79fb<\/span>MR\uff08CS-MRI<\/span>\uff09\u3002\u6240\u6709\u60a3\u8005\u5747\u8fdb\u884c\u809d\u6d3b\u68c0\u6765\u8bc4\u4f30<\/span>NASH\u3002 PDFF<\/span>\u548c\u809d\u810f\u50f5\u786c\u662f\u7531\u4e24\u4f4d\u653e\u5c04\u79d1\u533b\u751f\u624b\u52a8\u8ba1\u7b97\u7684\u3002\u5f00\u53d1\u4e00\u79cd\u81ea\u52a8\u7b97\u6cd5\uff0c\u7528\u4e8e\u81ea\u52a8\u9009\u62e9\u611f\u5174\u8da3\u533a\u57df\u5e76\u8ba1\u7b97<\/span>PDFF<\/span>\u548c\u809d\u786c\u5ea6<\/span>\u3002<\/span>\u57fa\u4e8e\u809d\u786c\u5ea6\u503c\u548c<\/span>PDFF<\/span>\u521b\u5efa\u4e86\u4e00\u4e2a\u65b0\u7684\u6a21\u578b\uff0c\u9884\u6d4b\u75c5\u7406\u8bca\u65ad\u7684<\/span>NASH\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u679c\uff1a<\/span><\/b>\u81ea\u52a8\u6d4b\u91cf\u4e0e\u5ba1\u9605\u8005\u4e4b\u95f4\u7684\u4e00\u81f4\u6027\u5f88\u9ad8\uff08\u786c\u5ea6\u503c<\/span>R<\/span>2<\/span>= 0.87\uff0cPDFF R<\/span>2<\/span>= 0.99\uff09\u3002NASH<\/span>\u9884\u6d4b\u6a21\u578b\u7684<\/span>ROC<\/span>\u66f2\u7ebf\u4e0b\u7684\u9762\u79ef\u4e3a<\/span>0.87\u3002<\/span>\u00a0<\/span><\/p>\n

\u7ed3\u8bba<\/span><\/b>\/<\/span><\/b>\u610f\u4e49\uff1a<\/span><\/b>\u53ef\u4ee5\u4f7f\u7528\u57fa\u4e8e<\/span>MRE<\/span>\u7684\u809d\u786c\u5ea6\u548c<\/span>CS-MRI<\/span>\u7684<\/span>PDFF<\/span>\u7684\u81ea\u52a8\u673a\u5668\u5b66\u4e60\u7b97\u6cd5\u9884\u6d4b<\/span>NASH\u3002<\/span>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"  T2\u52a0\u6743\u6210\u50cf\u4e0a\u7684 […]","protected":false},"author":3,"featured_media":2949,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-14256","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"\nWhat's new in Liver Imaging (Chinese) - 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