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肝癌影像学研究进展

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Author:: No author available

Journal Title:: Journal of BingTuan Medicine

Issue:: 1

DOI:: 10.3969/j.issn.1672-4356.2024.01.028

Key Word:: 原发性肝癌;肝细胞癌;磁共振成像;计算机断层成像;细胞外容积;影像组学;人工智能;深度学习

Abstract：原发性肝癌是全球最普遍且恶性程度最高的癌症之一,而我国原发性肝癌的患病率早已高于欧美等发达国家.目前,临床上对于原发性肝癌的影像学检查手段主要有B超(US)、CT及MR.原发性肝癌早期诊断依赖于US和甲胎蛋白(AFP)的血清学评估.然而,US/AFP并不足以检测早发性肝细胞癌.相较于US/AFP,CT和MRI具有较高的特异性和敏感性,在原发性肝癌的整个诊疗过程中也起着至关重要的作用.随着现代科技的迅猛发展,人工智能(artificial intelligence,AI)与影像组学的结合,以及基于CT/MRI量化的细胞外容积(Extracellular volume fraction,fECV),为原发性肝癌患者的早期筛查、疗效评估和预后评价等提供了更加可靠的技术保障.本文通过目前CT、MRI、fECV、AI技术及影像组学,在原发性肝癌中的应用及进展展开综述.

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