医学
磁共振成像
肝细胞癌
射频消融术
曼惠特尼U检验
精确检验
相关性
核医学
放射科
胃肠病学
烧蚀
内科学
几何学
数学
作者
Ruofan Sheng,Zheng‐gang Ren,Lan Zhang,Hao Chen,Mengsu Zeng
出处
期刊:PubMed
日期:2014-09-01
卷期号:22 (9): 680-5
被引量:1
标识
DOI:10.3760/cma.j.issn.1007-3418.2014.09.010
摘要
To investigate the correlation between magnetic resonance imaging (MRI) characteristics and intrahepatic recurrence of small hepatocellular carcinoma (HCC) after radiofrequency ablation (RFA).A total of 34 patients with 39 small HCC who underwent RFA were included in our study.MRI characteristics were compared between the recurrence group and the non-recurrence group; and a subgroup comparison was also made between the solitary recurrence group and the multiple recurrence group.Kaplan-Meier test,t-test/Mann-Whitney U test,Fisher's exact test and F-test were used for statistical analyses.The median follow-up period was 25 (4-45) months and recurrence was observed in 19 (55.9%) of the patients.The 12-and 24-month cumulative recurrence-free survival rates were 71.3% and 51.8%,respectively.The recurrence group had a higher prevalence of lack of tumour capsule before RFA (P =0.017),no or disrupted periablational enhancement within 24 hours after RFA (P =0.012),and a smaller ablative margin (P=0.037).Meanwhile,the average apparent diffusion coefficient value within 24 hours after RFA was higher in the multiple recurrence group (1.57 * 10-3mm2/s) than in the solitary recurrence group (1.34 * 10(-3) mm2/s) (P =0.04).MRI can provide early noninvasive findings useful for advanced warning ofintrahepatic recurrence after RFA.
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