目的 綜合評述當(dāng)前各種磁共振成像(magnetic resonance imaging,MRI)技術(shù)在診斷肝臟纖維化中的應(yīng)用現(xiàn)狀。
方法 收集國內(nèi)、外最新相關(guān)文獻(xiàn),總結(jié)各種MRI技術(shù)在肝臟纖維化中的應(yīng)用及研究進(jìn)展。
結(jié)果 用于評價(jià)肝臟纖維化的MRI技術(shù)包括常規(guī)增強(qiáng)掃描、雙對比增強(qiáng)掃描和各種功能性MR技術(shù)。常規(guī)增強(qiáng)掃描可以觀察纖維化引起的肝臟形態(tài)學(xué)改變,對分級價(jià)值不大; 雙對比增強(qiáng)掃描能顯著提高肝臟纖維化的對比-噪聲比(contrast to noise ratio,CNR); 各種功能性MR技術(shù)除了能診斷肝臟纖維化外,還能對其嚴(yán)重程度進(jìn)行分級。
結(jié)論 MRI尤其是功能性MRI技術(shù)發(fā)展迅速,在肝臟纖維化診斷和嚴(yán)重程度評價(jià)中具有廣闊應(yīng)用前景。
引用本文: 劉曦嬌,宋彬. MRI技術(shù)評價(jià)肝臟纖維化的應(yīng)用進(jìn)展. 中國普外基礎(chǔ)與臨床雜志, 2010, 17(3): 298-301. doi: 復(fù)制
版權(quán)信息: ?四川大學(xué)華西醫(yī)院華西期刊社《中國普外基礎(chǔ)與臨床雜志》版權(quán)所有,未經(jīng)授權(quán)不得轉(zhuǎn)載、改編
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31. | 吳苾, 宋彬, 周翔平, 等. 慢性病毒性肝炎患者磁共振31P波譜與病理表現(xiàn)的關(guān)系 [J]. 中華肝臟病雜志, 2007; 15(5): 338341. |
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33. | Noren B, Dahlqvist O, Lundberg P, et al. Separation of advanced from mild fibrosis in diffuse liver disease using 31P magnetic resonance spectroscopy [J]. Eur J Radiol, 2008; 66(2): 313320. |
- 1. Iredale JP. Models of liver fibrosis: exploring the dynamic nature of inflammation and repair in a solid organ [J]. J Clin Invest, 2007; 117(3): 539548.
- 2. 王瑾, 馬韻. 肝臟纖維化形式和逆轉(zhuǎn)的研究進(jìn)展 [J]. 醫(yī)學(xué)研究雜志, 2009; 38(3): 8889.
- 3. Wallace K, Burt AD, Wright MC. Liver fibrosis [J]. Biochem J, 2008; 411(1): 118.
- 4. Afdhal NH, Nunes D. Evaluation of liver fibrosis: a concise review [J]. Am J Gastroenterol, 2004; 99(6): 11601174.
- 5. Sebastiani G, Alberti A. Non invasive fibrosis biomarkers reduce but not substitute the need for liver biopsy [J]. World J Gastroenterol, 2006; 12(23): 36823694.
- 6. Martin DR. Magnetic resonance imaging of diffuse liver diseases [J]. Top Magn Reson Imaging, 2002; 13(3): 151163.
- 7. Ito K, Mitchell DG, Siegelman ES. Cirrhosis: MR imaging features [J]. Magn Reson Imaging Clin N Am, 2002; 10(1): 7592.
- 8. Balci NC, Semelka RC. Contrast agents for MR imaging of the liver [J]. Radiol Clin North Am, 2005; 43(5): 887898.
- 9. Helmberger T, Semelka RC. New contrast agents for imaging the liver [J]. Magn Reson Imaging Clin N Am, 2001; 9(4): 745766.
- 10. Aguirre DA, Behling CA, Alpert E, et al. Liver fibrosis: noninvasive diagnosis with double contrast materialenhanced MR imaging [J]. Radiology, 2006; 239(2): 425437.
- 11. HughesCassidy F, Chavez AD, Schlang A, et al. Superparamagnetic iron oxides and low molecular weight gadolinium chelates are synergistic for direct visualization of advanced liver fibrosis [J]. J Magn Reson Imaging, 2007; 26(3): 728737.
- 12. 湯翔寧, 朱文珍, 王承緣. 磁共振彈性成像原理及其應(yīng)用研究 [J]. 臨床放射學(xué)雜志, 2009; 28(2): 282285.
- 13. 陽寧靜, 趙黎明, 宋彬. 肝纖維化的影像學(xué)評價(jià)及進(jìn)展 [J]. 中國普外基礎(chǔ)與臨床雜志, 2008; 15(3): 218222.
- 14. Rouvière O, Yin M, Dresner MA, et al. MR elastography of the liver: preliminary results [J]. Radiology, 2006; 240(2): 440448.
- 15. Yin M, Talwalkar JA, Glaser KJ, et al. Assessment of hepatic fibrosis with magnetic resonance elastography [J]. Clin Gastroenterol Hepatol, 2007; 5(10): 12071213.
- 16. Huwart L, Peeters F, Sinkus R, et al. Liver fibrosis: noninvasive assessment with MR elastography [J]. NMR Biomed, 2006; 19(2): 173179.
- 17. Faria SC, Ganesan K, Mwangi I, et al. MR imaging of liver fibrosis: current state of the art [J]. Radiographics, 2009; 29(6): 16151635.
- 18. Huwart L, Sempoux C, Vicaut E, et al. Magnetic resonance elastography for the noninvasive staging of liver fibrosis [J]. Gastroenterology, 2008; 135(1): 3240.
- 19. 譚延斌, 張敏鳴. 肝纖維化的MRI研究進(jìn)展 [J]. 國際醫(yī)學(xué)放射學(xué)雜志, 2009; 32(2): 139142.
- 20. 王秋實(shí), 鄒艷, 劉輝, 等. 肝纖維化MR彌散加權(quán)成像與病理的對照研究 [J]. 南方醫(yī)科大學(xué)學(xué)報(bào), 2009; 29(10): 19651968.
- 21. Koinuma M, Ohashi I, Hanafusa K, et al. Apparent diffusion coefficient measurements with diffusionweighted magnetic resonance imaging for evaluation of hepatic fibrosis [J]. J Magn Reson Imaging, 2005; 22(1): 8085.
- 22. Taouli B, Tolia AJ, Losada M, et al. Diffusionweighted MRI for quantification of liver fibrosis: preliminary experience [J]. AJR Am J Roentgenol, 2007; 189(4): 799806.
- 23. Lewin M, PoujolRobert A, Bolle PY, et al. Diffusionweighted magnetic resonance imaging for the assessment of fibrosis in chronic hepatitis C [J]. Hepatology, 2007; 46(3): 658665.
- 24. Boulanger Y, Amara M, Lepanto L, et al. Diffusionweighted MR imaging of the liver of hepatitis C patients [J]. NMR Biomed, 2003; 16(3): 132136.
- 25. Hollingsworth KG, Lomas DJ. Influence of perfusion on hepatic MR diffusion measurement [J]. NMR Biomed, 2006; 19(2): 231235.
- 26. Girometti R, Furlan A, Esposito G, et al. Relevance of bvalues in evaluating liver fibrosis: a study in healthy and cirrhotic subjects using two singleshot spinecho echoplanar diffusionweighted sequences [J]. J Magn Reson Imaging, 2008; 28(2): 411419.
- 27. Hagiwara M, Rusinek H, Lee VS, et al. Advanced liver fibrosis: diagnosis with 3D wholeliver perfusion MR imaging-initial experience [J]. Radiology, 2008; 246(3): 926934.
- 28. Kubo H, Harada M, Ishikawa M, et al. Hemodynamic changes with liver fibrosis measured by dynamic contrastenhanced MRI in the rat [J]. Magn Reson Med Sci, 2006; 5(2): 6571.
- 29. Miyazaki S, Yamazaki Y, Murase K. Error analysis of the quantification of hepatic perfusion using a dualinput singlecompartment model [J]. Phys Med Biol, 2008; 53(21): 59275946.
- 30. Orlacchio A, Bolacchi F, Angelico M, et al. In vivo, highfield, 3Tesla 1H MR spectroscopic assessment of liver fibrosis in HCVcorrelated chronic liver disease [J]. Radiol Med, 2008; 113(2): 289299.
- 31. 吳苾, 宋彬, 周翔平, 等. 慢性病毒性肝炎患者磁共振31P波譜與病理表現(xiàn)的關(guān)系 [J]. 中華肝臟病雜志, 2007; 15(5): 338341.
- 32. Noren B, Dahlqvist O, Lundberg P, et al. Separation of advanced from mild fibrosis in diffuse liver disease using 31P magnetic resonance spectroscopy [J]. Eur J Radiol, 2008; 66(2): 313320.
- 33. Noren B, Dahlqvist O, Lundberg P, et al. Separation of advanced from mild fibrosis in diffuse liver disease using 31P magnetic resonance spectroscopy [J]. Eur J Radiol, 2008; 66(2): 313320.