Comparison in Diagnosing the Postoperative Recurrence of Hepatocarcinoma between MSCT and DSA

Abstract

Objective: To evaluate the value of MSCT and DSA in diagnosing the postoperative recurrence of hepatocellular carcinoma by analyzing the results of these two image examinations. Methods: Seventytwo patients with postoperative recurrence of hepatocellular carcinoma were subjected to MSCT and DSA of their livers. The interval of two examinations was 2 to 14 days. Results: In 51 cases (70.83%), the recurrent lesions were multiple small nodules (type I), 9 cases (12.36%) were single nodule (type II), and the remaining 12 cases (16.81%) were unequal nodules (type III). The results of two examinations were discrepancy in 10 patients. In 7 cases having positive results in DSA, the number of small nodules in 5 cases displayed by DSA was more than that by MSCT, and 2 cases had negative results in MSCT. In 3 patients having positive results in MSCT, number of small nodules in 2 cases displayed by MSCT was more than that by DSA and 1 case had negative results in DSA. Conclusion: MSCT and DSA had difference in displaying the postoperative recurrent lesions of hepatocellular carcinoma. The combined application of MSCT and DSA would be beneficial to improve the diagnosis of recurrent lesions.