The application value of Gd-EOB-DTPA enhanced MRI coupled with residual liver volume measurement in evaluating liver reserve function

Abstract

Abstract: Objective To study on the value of Gd-EOB-DTPA enhanced Magnetic Resonance Imaging(MRI)combined with residual liver volume measurement in evaluating liver reserve function before surgery.Methods A total of 415 liver cancer patients treated in our hospital from July 2016 to December 2019 were included in this study. All patients underwent Gd-EOB-DTPA enhanced MRI and residual liver volume measurement before operation. Liver function was observed after the surgery. Results 56 patients (13.5%) developed postoperative hepatic insufficiency. By univariate analysis it was revealed that preoperative platelet levels (P=0.036) and residual liver volume rate (RLVR)×Gd-EOB-DTPA actual liver uptake signal intensity (TSI) (P=0.012) of the patients in postoperative hepatic insufficiency group was significantly lower than those in the recovery group. Hepatic hilar occlusion time (P=0.049) and intraoperative blood loss (P=0.032) in patients with postoperative hepatic insufficiency group were significantly higher than those in postoperative recovery group. By logistic multivariate regression analysis it was found that RLVR×TIS was the only risk factor for postoperative hepatic insufficiency.Conclusion Gd-EOB-DTPA enhanced MRI combined with residual liver volume measurement can accurately predict the occurrence of postoperative hepatic insufficiency, and it is a reliable method for evaluating liver reserve function.

Key words: Magnetic Resonance Imaging, Laparoscopic, Gd-EOB-DTPA, Liver reserve function, Postoperative hepatic insufficiency

YUN Gui-xia, LU Song, MENG Chun. The application value of Gd-EOB-DTPA enhanced MRI coupled with residual liver volume measurement in evaluating liver reserve function[J]. Chinese Hepatolgy, 2021, 26(4): 388-391.

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