Clinical value of combination of contrast pulse sequencing and contrast high resolution imaging in detection of liver metastases

ZHANG Qi; DONG Yi; YANG Daohui; YU Lingyun; QIU Yijie; CAO Jiaying; WANG Wenping

doi:10.19732/j.cnki.2096-6210.2019.03.011

您当前的位置：

首页 >

文章列表页 >

Clinical value of combination of contrast pulse sequencing and contrast high resolution imaging in detection of liver metastases

更新时间：2025-12-15

- Clinical value of combination of contrast pulse sequencing and contrast high resolution imaging in detection of liver metastases
- Vol. 28, Issue 3, Pages: 182-186(2019)
- 作者机构：
  
  复旦大学附属中山医院超声科,上海,200032
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2019.03.011
  CLC：
- Published Online：19 July 2019，
  
  Published：19 July 2019
- 稿件说明：
移动端阅览
张琪,董怡,杨道辉,等. 联合应用对比脉冲序列成像和对比高分辨率成像技术诊断转移性肝癌的价值[J]. 肿瘤影像学, 2019, 28(3): 182-186 https://doi.

org/10.19732/j.cnki.2096-6210.2019.03.011
张琪,董怡,杨道辉,等. 联合应用对比脉冲序列成像和对比高分辨率成像技术诊断转移性肝癌的价值[J]. 肿瘤影像学, 2019, 28(3): 182-186 https://doi. DOI： 10.19732/j.cnki.2096-6210.2019.03.011.

org/10.19732/j.cnki.2096-6210.2019.03.011 DOI：

摘要

目的：

探究联合应用对比脉冲序列成像（contrast pulse sequencing，CPS）和对比高分辨率成像（contrast high resolution imaging，CHI）两种超声造影（contrast-enhaned ultrasound，CEUS）技术诊断转移性肝癌的临床价值。

方法：

对2017年7月2018年10月于复旦大学附属中山医院拟诊为转移性肝癌的45例患者行CEUS检查，联合应用CPS及CHI两种超声造影技术，以病理学检查结果为金标准，评估联合应用CPS及CHI技术诊断转移性肝癌的效能。采用常规超声探查肝内病灶，并观察其内部回声、数目、大小及位置。

结果：

共45例转移性肝癌患者纳入研究，其中单发病灶12例，2个病灶14例，3个及以上病灶19例。常规超声共检出94个病灶。CPS造影条件下，109个病灶动脉期呈快速高增强（

＜0.05），其中82个病灶呈环状高增强，27个病灶呈整体高增强；门静脉期11个病灶呈环状稍高增强，13个病灶呈整体稍高增强，85个病灶呈整体低增强。延迟期切换至CHI造影条件，与CPS造影相比，额外检出52个病灶，共161个病灶（

＜0.05），均表现为低回声。

结论：

CPS有较好的对比度和分辨率，有助于在超声造影动脉期确定病灶性质，明确诊断；CHI凭借其超长延迟期，有助于检出更多的肝脏转移灶。该研究联合应用CPS和CHI技术，为转移性肝癌的术前精准诊断和评估提供了重要的影像学信息。

Abstract

Objective:

To evaluate the clinical value of combined application of contrast pulse sequencing (CPS) and contrast high resolution imaging (CHI) in the detection of liver metastases.

Methods:

A total of 45 cases of liver metastases were enrolled from Jul. 2017 to Oct. 2018 in Zhongshan Hospital

Fudan Univ

ersity. All lesions were confirmed by pathological results. Combination of CPS and CHI was applied in each patient. Conventional ultrasound was used to detect the lesion echo

number

size

location.

Results:

Among 45 patients of liver metastasis

there were 12 with single lesion

14 with two lesions

and 19 with multiple lesions (3). Conventional ultrasound detected 94 lesions. CPS detected 109 lesions including 82 with peripheral rim-like hyperenhancement and 27 with whole homogenous hyper-enhancement. During portal phase

11 lesions showed slightly peripheral rimlike hyper-enhancement

13 lesions showed slightly homogeneous hyper-enhancement

and 85 lesions showed homogeneous hypoenhancement. During delayed phase

CHI detected more 52 lesions. Totally 161 lesions (

＜0.05) showed hypo-enhancement.

Conclusion:

CPS with better contrast and resolution could help to determine the lesions and make more precise diagnosis. CHI with long delayed phase and detailed and high resolution could help to detect more liver metastases. Combined application of CPS andCHI provides vital information in preoperative detection of liver metastases.

关键词

Keywords

references

Views

1535

下载量

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

A preliminary study on the application of Sonazoid contrast-enhanced ultrasound in improving the detection rate of liver nodules

Research on a prediction model for superficial lymphoma based on multimodal ultrasound radiomics

Contrast-enhanced ultrasound findings of gallbladder adenosquamous carcinoma: a case report

A study of the diagnostic efficacy of multi-parametric ultrasonography in the mucinous breast carcinoma

The application value of gastric oral contrast-enhanced ultrasound and gastroscopy in early diagnosis of gastric diseases in community hospitals

Related Author

WU Yi

HUANG Tianjiao

WEN Baojie

YU Pengli

KONG Wentao

XU Jianhua

NIE Fang

Chen ZHAO

Related Institution

Department of Ultrasound, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University

Department of Ultrasonography, Lanzhou University Second Hospital

Department of Ultrasound, Putuo Hospital, Shanghai University of Traditional Chinese Medicine

Department of Ultrasound, Zhongshan Hospital of Fudan University

Department of Ultrasound, Zhongshan Hospital (Xiamen Branch), Fudan University

AI问答

⁰