medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.medvis-311Research ArticleБРЮШНАЯ ПОЛОСТЬABDOMENСистема LI-RADS при компьютернотомографической диагностике гепатоцеллюлярного ракаLI-RADS System for Computer-Tomographic Diagnosis of Hepatocellular CarcinomaТумановаУльяна НиколаевнаTumanovaUlyana Nikolaevnau.n.tumanova@gmail.comКармазановскийГригорий ГригорьевичKarmazanovskyGrigoriy Grogoriyevichnoemail@neicon.ruЩёголевАлександр ИвановичShchegolevAleksandr Ivanovichnoemail@neicon.ruФГБУ “Институт хирургии им. А.В. Вишневского” Министерства здравоохранения РоссииРоссияA.V. Vishnevsky Institute of SurgeryRussian FederationФГБУ “Научный центр акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова” Министерства здравоохранения РФРоссияAcademician V.I. Kulakov Research Center of Obstetrics, Gynecology, and PerinatologyRussian Federation201428122014064450Copyright © Туманова У.Н., Кармазановский Г.Г., Щёголев А.И., 20142014Туманова У.Н., Кармазановский Г.Г., Щёголев А.И.Tumanova U.N., Karmazanovsky G.G., Shchegolev A.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.vidar.ru/jour/article/view/311

Представлены данные литературы по компьютернотомографическим характеристикам гепатоцеллюлярного рака. Проведен критический анализ критериев дифференциальной диагностики системы LI-RADS и показателей эффективности локорегионального лечения системы mRECIST Показано, что эффективность выявления и верификации гепатоцеллюлярного рака зависит прежде всего от размеров образования и состояния окружающей ткани печени. В основе изменений компьютерно-томографической семиотики гепатоцеллюлярного рака на разных фазах сканирования лежат особенности его кровоснабжения.

We have presented data from the literature on computed-tomographic characteristics of hepatocellular cancer Was carried out a critical analysis of the criteria for the differential diagnosis of the system LI-RADS and performance of locoregional treatment system mRECIST It is shown that the efficiency of detection and verification of hepatocellular cancer depends primarily on the dimensions of formation and the state of the liver tissue. In the basis of changes in computer-tomographic semiotics of hepatocellular cancer at different phases of the scan are features of its blood supply.

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