grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2016-175-3-68-72grekov-226Research ArticleОПЫТ РАБОТЫEXPERIENCE OF WORKМАГНИТНО-РЕЗОНАНСНАЯ ТОМОГРАФИЯ В ДИАГНОСТИКЕ ОЧАГОВЫХ ПОРАЖЕНИЙ ПЕЧЕНИMR-IMAGING IN DIAGNOSTICS OF FOCAL LIVER LESIONSБагненкоС. С.BagnenkoS. S.bagnenko_ss@mail.ruТруфановГ. Е.TrufanovG. E.trufanovge@mail.ruЖелезнякИ. С.ZheleznyakI. S.igzh@bk.ruВоенно-медицинская академия им. С. М. КироваРоссияS. M. Kirov Military Medical AcademyRussian Federation20162806201617536872Copyright © Багненко С.С., Труфанов Г.Е., Железняк И.С., 20162016Багненко С.С., Труфанов Г.Е., Железняк И.С.Bagnenko S.S., Trufanov G.E., Zheleznyak I.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/226

The authors determined the efficacy of main methods of MR-imaging and their part in differentiated diagnostics of focal liver lesions. There were examined 256 patients and 414 liver lesions were analyzed. It was shown that the efficacy of conventional research without application of contrast medium was very limited (efficacy of mathematical model 58%). The data obtained during dynamic contrast enchancement (efficacy of the model 67%) were the basis for differentiated diagnostics for majority of nosological forms. The investigation using hepatotropic contrast medium had the greatest possibilities (efficacy of the model 80%). MR-diffusion is the effective procedure for visualization of focal liver lesions, but its possibilities in differentiated diagnostics is limited.

печеньмагнитно-резонансная томографияракгемангиомыкистыметастазыгепатотропный контрастный препаратliverMR-imagingcancerhematomascystsmetastaseshepatotropic contrast mediumReferencesГранов А. М., Тютин Л. А., Поздняков А. В. Современные возможности лучевой диагностики рака печени // Вопр. онкол. 2008. № 4. С. 410-416.Гранов А. М., Тютин Л. А., Поздняков А. В. Современные возможности лучевой диагностики рака печени // Вопр. онкол. 2008. № 4. С. 410-416.Лукьянченко А. Б., Долгушин Б. И., Шолохов В. Н. Радиологические методы диагностики опухолевых и опухолевидных поражений печени // Вместе против рака. 2005. [Электронный ресурс]. Режим доступа: http://netoncology.ru/expert/diagnostics/ diagnostic_methods/1398/.Лукьянченко А. Б., Долгушин Б. И., Шолохов В. Н. Радиологические методы диагностики опухолевых и опухолевидных поражений печени // Вместе против рака. 2005. [Электронный ресурс]. Режим доступа: http://netoncology.ru/expert/diagnostics/ diagnostic_methods/1398/.Liver imaging: always MR, or still a role for CT? / ECR 2012 Postergraduate Educational course MC 724 // Insights into Imaging. 2012. Vol. 3, suppl. 1. P. 37. URL: http://link.springer.com/content/ pdf/10.1007%2Fs13244-012-0153-4.pdf.Liver imaging: always MR, or still a role for CT? / ECR 2012 Postergraduate Educational course MC 724 // Insights into Imaging. 2012. Vol. 3, suppl. 1. P. 37. URL: http://link.springer.com/content/ pdf/10.1007%2Fs13244-012-0153-4.pdf.Parikh T., Drew S. J., Lee V. S. et al. Focal liver lesion detection and characterization with diffusion-weighted MR imaging: comparison with standard breath-hold T2 weighted imaging // Radiology. 2008. Vol. 246. P. 812-822.Parikh T., Drew S. J., Lee V. S. et al. Focal liver lesion detection and characterization with diffusion-weighted MR imaging: comparison with standard breath-hold T2 weighted imaging // Radiology. 2008. Vol. 246. P. 812-822.

The authors declare that there are no conflicts of interest present.