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Journal of Chinese Integrative Medicine ›› 2007, Vol. 5 ›› Issue (2): 126-129.doi: 10.3736/jcim20070204

• Original Clinical Research • Previous Articles     Next Articles

Correlation between syndrome differentiation and CT quantitative diagnosis of fatty liver

Song Wang1, Qiong Li2, Xi-fu Wang1, Guang Ji1   

  1. 1. Department of Radiology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032,China
    2. Research Center of Fatty Liver, Longhua Hospital, Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
  • Online:2007-03-31 Published:2007-03-15

Objective: To explore the correlation between syndrome differentiation and CT quantitative diagnosis of fatty liver. 

Methods: One hundred and thirteen cases of fatty liver verified clinically accepted plain CT scan after syndrome differentiation (syndrome of stagnation of liver qi and spleen deficiency, syndrome of intermingled phlegm and blood stasis, syndrome of phlegm-dampness blocking internally, syndrome of deficiency of liver and kidney, syndrome of interior dampness-heat), and then the CT values of the liver and the spleen were measured respectively. 

Results: It was shown that there was a correlation between the syndrome differentiation and the fatty infiltration in the liver. Significant differences of the distribution of fat and the ratio of liver-spleen were found among the five different syndromes (P<0.05). Diffused, mild fatty liver mainly displayed syndrome of stagnation of liver qi and spleen deficiency. 

Conclusion: Syndrome differentiation of fatty liver is correlated with CT quantitative diagnosis, which can be discriminated by the ratio of liver spleen.

Key words: fatty liver, tomography, X-ray computed, diagnosis, syndrome

CLC Number: 

  • R81

Table 1

Relation of syndrome differentiation and the typing and graduation of CT scanning results(Cases)"

Figure 1

Focal type fatty liver A: The fatty infiltration of the liver was local; there was low lamellar density shadow in posterior segment of the right lobe of the liver, which was non-globular and showed transitional change without positioning effect; the ratio of liver and spleen CT values was 0.365 0. B: Enhancement scanning of the same case of A. It could be distinguished from occupying lesion in the liver."

Figure 2

Diffusion type fatty liverA: This case was diagnosed as mild fatty liver with syndrome of stagnation of liver qi and spleen deficiency. The liver density was reduced widely; the CT value of the liver was lower than that of the spleen; the ratio of the liver and spleen CT values was 0.935 7, between 1.0 and 0.7. B: This case was diagnosed as severe fatty liver with syndrome of phlegmdampness blocking internally. CT scanning showed diffused, severe fatty liver, there was limpid blood vessel shadow; the ratio of the liver and spleen CT values was 0.449 3. C: This case was diagnosed as mild fatty liver with syndrome of interior dampnessheat. CT scanning showed diffused, mild fatty liver; the ratio of the liver and spleen CT values was 0.969 6. D: This case was diagnosed as moderate fatty liver with syndrome of interior dampnessheat. There was undefined blood vessel shadow; the ratio of the liver and spleen CT values was 0.685 2, between 0.7 and 0.5."

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