Volume 21 Issue 1
Jan.  2023
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YU Hui-juan, XING Li-li, YANG Fan, LI Guang-ming. Low-dose contrast-enhanced ultrasound combined with serum microRNA-1469 level in the diagnosis of benign and malignant liver tumours[J]. Chinese Journal of General Practice, 2023, 21(1): 104-107. doi: 10.16766/j.cnki.issn.1674-4152.002823
Citation: YU Hui-juan, XING Li-li, YANG Fan, LI Guang-ming. Low-dose contrast-enhanced ultrasound combined with serum microRNA-1469 level in the diagnosis of benign and malignant liver tumours[J]. Chinese Journal of General Practice, 2023, 21(1): 104-107. doi: 10.16766/j.cnki.issn.1674-4152.002823

Low-dose contrast-enhanced ultrasound combined with serum microRNA-1469 level in the diagnosis of benign and malignant liver tumours

doi: 10.16766/j.cnki.issn.1674-4152.002823
Funds:

 2018020849

  • Received Date: 2022-03-11
    Available Online: 2023-04-07
  •   Objective  To analyze the value of low dose contrast-enhanced ultrasound combined with serum microRNA-1469 in the diagnosis of benign and malignant neoplasms in liver.  Methods  A retrospective analysis of the clinical data of 103 patients with liver tumours who were admitted from January 2017 to January 2020 in Seventh People' s Hospital of Zhengzhou was conducted. According to benign and malignant tumors, they were divided into benign tumor group (50 cases) and malignant tumor group (53 cases). Low-dose contrast-enhanced ultrasonography was performed at admission, and the level of serum miR-1469 was detected. The value of low-dose contrast-enhanced ultrasound combined with serum miR-1469 in the diagnosis of benign and malignant liver tumours was evaluated.  Results  The peak intensity of contrast-enhanced ultrasound in the benign tumour group [(127.84±14.59) dB] was lower than that in the malignant tumour group [(186.36±18.14) dB, P < 0.05]. In the benign tumour group, the peak time of contrast-enhanced ultrasound [(60.28±6.52) s] was higher than that in the malignant tumour group [(40.75±4.87) s, P < 0.05], and the expression level of miR-1469 (5.74±0.62) was higher than that of the malignant tumour group (0.82±0.08, P < 0.05). ROC analysis showed that the peak intensity and peak time of contrast-enhanced ultrasound were 155.32 dB and 42.34 s, respectively. The area under the curve (AUC) of liver malignant tumours was 0.791 and 0.801, respectively, and the AUC of peak time was high. The best cut-off point of miR-1469 in the diagnosis of liver malignant tumours was 0.88. The sensitivity, AUC and Youden index of combined diagnosis of contrast-enhanced ultrasound combined with mir-1469 were 74.46%, 0.912 and 0.640, respectively.  Conclusion  Low-dose contrast-enhanced ultrasound combined with serum miR-1469 can be used to diagnose benign and malignant liver tumours. The diagnostic efficiency is better than that of single diagnosis, and the clinical application value is higher.

     

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