Clinical value of superb microvascular imaging and contrast-enhanced ultrasound in diagnosis of bladder occupied lesions

LIU Qiping; CHEN Hongyan; ZHU Hui; GONG Huiling; ZHU Li; LIU Ying; HUANG Xiaoyu; ZHOU Yan; YANG Ning; CHEN Yongqi

doi:10.19732/j.cnki.2096-6212.2018.06.008

您当前的位置：

首页 >

文章列表页 >

Clinical value of superb microvascular imaging and contrast-enhanced ultrasound in diagnosis of bladder occupied lesions

更新时间：2025-12-15

- Clinical value of superb microvascular imaging and contrast-enhanced ultrasound in diagnosis of bladder occupied lesions
- Vol. 27, Issue 6, Pages: 466-470(2018)
- 作者机构：
  
  1. 复旦大学附属闵行医院超声科,上海,201199
  2. 复旦大学附属闵行医院泌尿外科,上海,201199
  3. 复旦大学附属闵行医院病理科,上海,201199
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6212.2018.06.008
  CLC：
- Published Online：16 January 2019，
  
  Published：16 January 2019
- 稿件说明：
移动端阅览
刘启平,陈红燕,朱慧,等. 超微血管显像与超声造影在诊断膀胱占位性病变中的临床价值[J]. 肿瘤影像学, 2018, 27(6): 466-470 https://doi.

org/10.19732/j.cnki.2096-6212.2018.06.008
刘启平,陈红燕,朱慧,等. 超微血管显像与超声造影在诊断膀胱占位性病变中的临床价值[J]. 肿瘤影像学, 2018, 27(6): 466-470 https://doi. DOI： 10.19732/j.cnki.2096-6212.2018.06.008.

org/10.19732/j.cnki.2096-6212.2018.06.008 DOI：

摘要

目的：

研究超微血管显像（superb microvascular imaging，SMI）与超声造影（contrast-enhanced ultrasound，CEUS）在膀胱占位性病变中的临床诊断价值。

方法：

对25例患者行常规膀胱超声检查，发现占位性病变者行彩色多普勒血流显像（color Doppler flow imaging，CDFI）、SMI及CEUS检查，比较3种技术在膀胱占位性病变中血流显示的差异，并观察造影剂进入病灶的灌注模式，分析其灌注特点，最后与手术后病理学检查结果进行对照分析。

结果：

25例膀胱占位性病变患者共36个病灶，其中膀胱恶性肿瘤31个、膀胱内翻性乳头状瘤2个、腺性膀胱炎3个。SMI与CEUS对膀胱占位性病变的血流显示率为100%，明显高于CDFI（69.4%），差异有统计学意义（

0.05）。CEUS提示恶性病灶35个，造影表现为快进慢退高增强；腺性膀胱炎1个，造影表现为慢进同退等增强。CEUS的诊断准确率为88.9%。

结论：

SMI与CEUS均能提高膀胱占位性病变的血流显示率。CEUS能实时观察膀胱占位性病变的血流情况，有助于判断其性质，具有较高的良恶性鉴别诊断价值。

Abstract

Objective:

To study the clinical value of superb microvascular imaging (SMI) and contrast-enhanced ultrasound (CEUS) in the diagnosis of bladder occupied lesions.

Methods:

A total of 25 cases with bladder occupied lesions found by conventional ultrasound were examined by color Doppler flow imaging (CDFI)

SMI and CEUS. The differences in displaying blood flow of bladder occupied lesions among the three methods were analyzed

and the perfusion

pattern of CEUS was investigated.

Results:

Among 36 bladder occupied lesions

31 were malignant

2 were inverted papilloma of the bladder

and 3 were glandular cystitis. The blood flow displaying rates of SMI and CEUS were 100%

which were significantly higher than that of CDFI (69.4%) (

0.05). Thirty-five malignant lesions were diagnosed by CEUS

showing fast enhancement

delayed washout and hyperenhancement. One glandular cystitis case showed slow enhancement

isochronous washout and iso-enhancement. The diagnostic accuracy of CEUS was 88.9%.

Conclusion:

Both SMI and CEUS can increase the displaying rate of blood flow of bladder occupied lesions. CEUS can real-time display the blood flow

which is helpful in differential diagnosis of benign bladder occupied lesions frommalignant ones.

关键词

Keywords

references

Views

2049

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