查詢結果分析
相關文獻
頁籤選單縮合
題 名 | Efficacy of Gadoxetic Acid-enhanced Magnetic Resonance Cholangiography Compared with T2-weighted Magnetic Resonance Cholangiography in Patients with Liver Cirrhosis |
---|---|
作 者 | Wu, Wen-pei; Chen, Ran-chou; Lee, Chih-wei; Chen, Yao-li; Lee, Kwo-whei; Wu, Hwa-koon; Chou, Chen-te; Chen, Ran-chou; Chen, Yao-li; Lee, Chih-wei; Wu, Wen-pei; Lee, Kwo-whei; Wu, Hwa-koon; Chou, Chen-te; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 78:12 2015.12[民104.12] |
頁 次 | 頁726-731 |
分類號 | 415.534 |
關鍵詞 | Gadoxetic acid; Liver cirrhosis; Magnetic resonance cholangiography; |
語 文 | 英文(English) |
英文摘要 | Background: Gadoxetic acid is one of the hepatobiliary-specific agents and so can be used for contrast-enhanced magnetic resonance cholangiography (CE-MRC). The aim of our study was to compare the performance of CE-MRC with that of T2-weighted magnetic resonance cholangiography (T2W-MRC), and also to ascertain the effectiveness of both modalities combined for visualizing anatomic structures of the biliary tree in patients with liver cirrhosis. Methods: Fifty-six patients underwent CE-MRC and T2W-MRC imaging. In the CE-MRC studies, hepatobiliary phase images were acquired 20 minutes after contrast injection. Two radiologists first evaluated the T2W-MRC and CE-MRC images separately in random order, and then they reviewed both images together 8 weeks later. The readers graded the quality of visualization of each biliary duct and the entire biliary tree (overall rating) using a five-point scale. Images with a grade of 3 or 4 were considered to provide sufficient visualization for clinical application, and those with a grade of 2 or less were considered to provide insufficient visualization. Laboratory data, ChildePugh classification, and model for end-stage liver disease score were also recorded. Results: The overall rating of T2W-MRC was significantly higher than that of CE-MRC ( p < 0.001), although combined T2W/CE-MRC provided better visualization of biliary segments than T2W-MRC alone ( p ¼ 0.025). There were no significant differences between liver function and the overall rating of CE-MRC. Conclusion: CE-MRC is not superior to conventional T2W-MRC with respect to biliary visualization in patients with liver cirrhosis. However, a combination of T2W-MRC and CE-MRC provides significantly better visualization of biliary structures than T2W-MRC alone. |
本系統中英文摘要資訊取自各篇刊載內容。