從MER結果看你應進一步做一下MRI.除了肝你還需要評估肝,脾,膽大小形態以及肝門靜脈血流情況

MRI簡單講就是測體內水分子變化.人體含水,血液裏含水.肝癌的早期檢測MRI優於CT.這些年你的醫生開CT卻不做MRI蠻奇怪.你應該找教學醫院的醫生看,他們一邊做研究一邊看病可能會對你的情況感興趣.

你回貼說血鐵含量正常.但Ferritin 偏高413,當地的檢測的Normal range是18-464 ng/ml.那也在正常範圍.

2個都在正常範圍血液醫生也不回啟動放血療法的,需要自己想辦法減低.

一般HBVDNA10的5次方開始吃抗乙肝病毒藥,大概率美國醫生不會開乙肝抗病毒藥給你吃.

乙肝抗病毒的藥吃了就得吃一輩子,HBVDNA是用PCR方法檢測,小於10不等於病毒真的沒有.擅自停肝抗病毒萬一反跳很容易在短期內引起肝衰竭.

https://m.thepaper.cn/newsDetail_forward_17108630

CT Scan vs. MRI: What’s the Difference? And How Do Doctors Choose Which Imaging Method to Use?

https://www.mskcc.org/news/ct-vs-mri-what-s-difference-and-how-do-doctors-choose-which-imaging-method-use#:~:text=Some%20cancers%2C%20such%20as%20prostate,up%20better%20on%20an%20MRI.

What are the advantages of MRI?

Where MRI really excels is showing certain diseases that a CT scan cannot detect. Some cancers, such as prostate cancer, uterine cancer, and certain liver cancers, are pretty much invisible or very hard to detect on a CT scan. Metastases to the bone and brain also show up better on an MRI. This imaging is also used for many purposes unrelated to cancer, including injuries to soft tissue or joints, and injury or disease of internal organs including the brain, heart, and digestive organs.

CT與MRI影像對肝細胞癌診斷價值的比較及預後因素分析

https://www.spandidos-publications.com/10.3892/ol.2018.9690#

In conclusion, the diagnostic efficacy of MRI in the diagnosis of small HCC is better than that of CT scan screening. When CT screening is not sufficient to accurately determine liver tumor lesions, MRI can provide a more precise imaging basis. Univariate and Cox multivariate regression analysis showed that the background of hepatitis B liver cirrhosis, tumor staging, and portal vein embolization were independent risk factors for poor prognosis of HCC. Therefore, developing individualized comprehensive treatment programs based on different situations of patients, regularly reviewing and timely taking measures for complications may effectively prolong the survival of patients. Thus, within the affordable scope of medical expenses, MRI diagnosis can provide important basis and screening method for appropriate treatment of HCC.

所有跟帖： 

• 肝,脾,膽大小正常。 -allthelight- ♂ (1073 bytes) () 04/15/2023 postreply 10:02:34

• 幫你查了一下 -5181- ♂ (1383 bytes) () 04/15/2023 postreply 10:23:23

• 非常感謝，好像回帖中也有其他人推薦他。 -allthelight- ♂ (669 bytes) () 04/15/2023 postreply 10:51:46

• DR.Robert Brown是street0120003推薦,我隻是幫你查下背景,這個醫生看起來不錯. -5181- ♂ (0 bytes) () 04/15/2023 postreply 11:10:35

• 非常感謝。網上評論好的醫生心裏也不踏實，總覺的哪個網友用過才可靠些。 -allthelight- ♂ (0 bytes) () 04/15/2023 postreply 16:33:26