JOURNAL OF PRACTICAL HEPATOLOGY ›› 2018, Vol. 21 ›› Issue (6): 895-898.doi: 10.3969/j.issn.1672-5069.2018.06.017

• Liver cirrhosis • Previous Articles     Next Articles

Quantitative diagnosis of liver functions in patients with liver cirrhosis by multi - slice spiral CT-calculated liver volume

Gong Yi, Fu Qian, Zhang Bei.   

  1. Department of Radiology,Shanghai Hospital of Civil Aviation,Shanghai 200336
  • Received:2018-03-01 Online:2018-11-10 Published:2018-12-25

Abstract: Objective To investigate the quantitative diagnosis of liver functions in patients with liver cirrhosis by multi-slice spiral CT-calculated liver volume. Methods 70 patients with liver cirrhosis were recruited in this study between April 2015 and April 2017,and all the patients received multi-slice spiral CT examination. The theoretical and practical liver volumes were calculated according to the reported methods. Results The CT-determined practical liver volumes in 28 patients with Child-Pugh class C,25 with class B and 17 with class A were(712.07±65.89) cm3,(832.17±80.46) cm3 and(992.51±299.02) cm3,much lower than the theoretical liver volumes [(1415.74±126.81) cm3,(1458.29±164.17) cm3 and (1498.93±114.39) cm3,respectively,P<0.05];the CT liver volumes in 22 patients with MELD score≥20,in 30 with 20>MELD score ≥10 and 18 with MELD score<10 were(757.83±39.04) cm3,(813.84±80.97) cm3 and(982.09±281.75) cm3,significantly lower than the theoretical liver volumes[(1461.57±65.23) cm3,(1481.19±155.85) cm3 and(1482.12±87.26) cm3,respectively,P<0.05]. Conclusions Multi-slice spiral CT-calculated liver volume might be used as a quantitative diagnosis of liver functions in patients with hepatitis B cirrhosis.

Key words: Liver cirrhosis, Multi-slice spiral CT, Liver volume, Quantitative diagnosis