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《Contemporary Medicine》 2017-10
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Value of Multislice Spiral CT(MSCT) in the Evaluation of Hepatocellular Carcinoma by Transcatheter Arterial Chemoembolization(TACE)

Hou Jiang-ping;Huang Xiao-bing;Department of Radiology of Jingshan People's Hospital;  
Objective To study the value of multi-slice spiral CT(MSCT) in the curative effect classification and assessment of transcatheter arterial chemoembolization(TACE) for hepatocellular carcinoma. Methods The clinical data of 80 HCC patients who had received TACE were analyzed. MSCT plain scan and multi-phase enhanced scan were given to these patients before and one month after the surgery. The MSCT images before and after surgery, and the lipiodol deposition after surgery were comparatively analyzed, and value of TACE for the curative effect classfication and assessment was analyzed based on the MSCT image results. Results One month after the surgery, Grade I lipiodol deposition of nodular hepatocellular carcinoma shown by the MSCT scan accounted for more than 76.67%, higher than that of the mass type, which was 28.00%; Grade II lipiodol deposition accounted for 20.00%, lower than that of the mass type, which was 54.00%(P0.01); Relapsing-Remitting nodular hepatocellular carcinoma acconted for 80.00% after surgery, higher than the 28.00% in terms of mass type(P0.01); no significant difference was shown in the effective rate for these two types of hepatocellular carcinoma. Conclusion MSCT is with high application value for the analysis of curative effect classification and assessment of TACE for hepatocellular carcinoma. It can provide an objective evaluation for the surgical effect and prognosis, and guide the patients to take the necessary treatment steps and improve the prognosis of the patients; therefore, it is with certain value to be popularized in clinical application.
【CateGory Index】: R735.7;R730.44
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