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The study of biochemical profile of cyst fluid and diffusion‐weighted magnetic resonance imaging in differentiating hepatic hydatid cysts from liver simple cysts

机译:囊肿液的生化特征及弥散加权磁共振成像在区分肝单纯性囊肿与肝单纯性囊肿中的研究

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PurposeThe aim of this study was to investigate the value of biochemical profile of cyst fluid and diffusion-weighted imaging (DWI) in differentiating hepatic hydatid cysts (HCs) from liver simple cysts. Materials and methodsForty-six patients underwent MR imaging. Twenty-nine patients had 29 hydatid cysts and 17 patients had liver simple cysts. Thirteen patients with hydatid cysts and seven patients with liver simple cysts were evaluated with cyst fluid biochemical analysis. The concentration of glucose, protein, calcium ion (Casup2+/sup) electrolyte, macroscopic appearance, and parasitological sediment were evaluated in this study. ResultsIn the respect of biochemical analysis cyst fluid, the concentration of glucose and calcium ion of HCs was significantly higher than that of the liver simple cysts. In the respect of DWI, in the b 1000?s/mmsup2/sup value in respect of mean application data center (ADC) values, there was a statistically significant difference between HCs group (the mean value was (2.50±0.79)×10sup?3/sup?mm/ssup2/sup) and liver simple cysts group (the mean value was (2.92±0.66)×10sup?3/sup?mm/ssup2/sup). However, no statistically significant results were obtained in the ADC measurements of b 500?s/mmsup2/sup between two groups. ConclusionThe analysis of cyst fluid combined with the measurement of ADC values in the b 1000?s/mmsup2/sup value could be considered a promising parameter as an alternative to the differential diagnosis of hepatic hydatid cysts from liver simple cysts.
机译:目的本研究的目的是研究囊肿液和弥散加权成像(DWI)在区分肝单纯性囊肿(HCs)中的价值。材料和方法46例患者接受了MR成像。 29例患者有29个包虫囊肿,17例有肝单纯性囊肿。通过囊肿液生化分析评估了13例包虫囊肿和7例肝单纯性囊肿。本研究评估了葡萄糖,蛋白质,钙离子(Ca 2 + )电解质的浓度,宏观外观和寄生虫沉积物。结果在生化分析囊肿液方面,HCs的葡萄糖和钙离子浓度明显高于肝单纯性囊肿。在DWI方面,相对于平均应用数据中心(ADC)值,在b 1000?s / mm 2 值中,HCs组之间存在统计学上的显着差异(平均值为( 2.50±0.79)×10 ?3 ?mm / s 2 )和肝单纯性囊肿组(平均值为(2.92±0.66)×10 ?3 ?mm / s 2 )。但是,两组之间的ADC值b 500?s / mm 2 均未获得统计学上显着的结果。结论结合胆囊液分析和ADC值b 1000?s / mm 2 值的测定,可作为鉴别肝单纯性囊肿肝包虫囊肿的替代方法。 。

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