胃肠道疾病中的动态对比增强超声波:当前趋势还是必不可少的工具?
Mattia Paratore1, Matteo Garcovich2, Maria Elena Ainora1
1Medicina Interna e Gastroenterologia, CEMAD Digestive Disease Center, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome 00168, Italy.
World journal of gastroenterology
|July 21, 2023
概括
动态-CEUS (D-CEUS) 提供胃肠道疾病的定量分析,克服了对比增强超声波 (CEUS) 的主观限制. 为了在肝脏,胰腺和IBD管理中得到广泛的临床采用,需要进一步的标准化.
科学领域:
- 医疗成像医学成像
- 胃肠病学 胃肠病学
- 定量超声波检测 定量超声波检测
背景情况:
- 对比增强超声波 (CEUS) 由于其安全性,低成本和可重复性而广泛使用.
- 对比力动学的定量分析 (动态-CEUS或D-CEUS) 解决了传统CEUS的主观局限性.
- 在胃肠道瘤和炎症疾病中,D-CEUS具有潜在的应用.
研究的目的:
- 审查目前关于D-CEUS在胃肠道疾病中的应用的证据.
- 突出D-CEUS作为临床实践中一个有价值的工具的潜力.
- 专注于D-CEUS在肝脏,胰腺和炎症性肠道疾病中的使用.
主要方法:
- 在胃肠道疾病中应用D-CEUS的研究文献综述.
- 来自D-CEUS的对比动力学和 perfusion 参数的分析.
- 检查技术异质性和标准化挑战.
主要成果:
- D-CEUS提供了定量输液数据,增强了诊断能力,超出了主观的CEUS评估.
- 在肝脏,胰腺和炎症性肠道疾病中探索应用.
- 有限的大规模研究和技术异质性阻碍了D-CEUS标准化.
结论:
- 在胃肠道疾病中,D-CEUS对客观评估有希望.
- 标准化工作对于D-CEUS的临床整合至关重要.
- 需要进一步的研究,以建立D-CEUS作为常规诊断工具.
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