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| Correlation Analysis of MR Imaging Features and Clinical Stages in Patients with Hepatic Alveolar Echinococcosis |
| JIANG Xue-lian |
| Department of Radiology ,Dazhu County People’s Hospital 635100 |
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Abstract 【Objective】To investigate the relationship between magnetic resonance imaging and clinical stage in patients with hepatic alveolar hydatidosis (hepatic echinococcosis), in order to provide a theoretical basis for early diagnosis, treatment and improvement of prognosis of hepatic alveolar echinococcosis.【Methods】The imaging data of 74 patients with hepatic alveolar echinococcosis treated in the Department of Gastroenterology of our hospital from January 2010 to January 2018 were analyzed retrospectively. All patients received MRI scanning, and the MRI characteristics of the patients were analyzed and compared. According to Kodama classification principle, the lesions of hepatic alveolar echinococcus were divided into Kodama Ⅰ~Ⅴ types. The correlation between Kodama classification and the largest diameter of hepatic alveolar echinococcus was observed by Spearman correlation analysis model, and the correlation between different stages of PNM and the largest diameter of hepatic alveolar echinococcus was observed. 【Results】A total of 98 lesions with a diameter of 1.25~26.52 cm were found in 74 patients. 34 lesions in P1, 7 in P2, 53 in P3, 4 in P4, 82 in M0, 16 in M1, 53 in N0 and 45 in N1; Kodama Ⅲ and Ⅳ are the most common types in the lesions of echinococcosis, while Kodama Ⅰ, Ⅱ and Ⅴ were relatively few. Spearman's correlation analysis showed that there was a significant positive correlation between the maximum diameter of hepatic alveolar echinococcus and P stage (r=0.518, P<0.05); there was a significant positive correlation between the maximum diameter of hepatic alveolar hydatid focus and N stage (r=0.755, P<0.05); there was no correlation between the maximum diameter of hepatic alveolar hydatid focus and M stage (r=0.216,P>0.05); there was no correlation between the Kodama classification and the maximum diameter of hepatic alveolar hydatid focus (r=0.214,P>0.05).【Conclusion】Kodama Ⅲ and Ⅳ were the most common types in Kodama, P1, P3, M0 and N0 are the most common types in PNM, and there was a significant positive correlation between the maximum diameter of hepatic Echinococcus and P and N stages.
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Received: 26 September 2018
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2020, Vol. 37 
