用对比增强的内镜超声波检查淋巴结胀的情况
Tanyaporn Chantarojanasiri1, Thawee Ratanachu-Ek2, Eizaburo Ohno3
1Division of Gastroenterology, Department of Internal Medicine, Rajavithi Hospital, Rangsit University, Bangkok, Thailand. chtunya@gmail.com.
Journal of medical ultrasonics (2001)
|August 5, 2023
概括
与对比度增强的内镜超声波 (CE-EUS) 通过评估血管性来改善淋巴腺病的评估. 恶性淋巴结表现出明显的增强模式,有助于诊断,当组织采样是不可行的.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 内镜超声波 (EUS) 对于评估胸内和腹内淋巴腺病变至关重要.
- 通过精细针吸收或活检,EUS可以进行组织诊断.
- 传统的B模式EUS成像对目标选择的诊断准确性有局限性.
研究的目的:
- 评估对比度增强EUS (CE-EUS) 在评估淋巴腺病血管性的实用性.
- 确定CE-EUS是否可以提高与传统EUS相比的诊断准确性.
- 探索CE-EUS在组织诊断禁忌的情况下的作用.
主要方法:
- 使用对比剂在EUS期间可视化损伤血管性.
- 使用B模式和CE-EUS分析淋巴结中的增强模式.
- 使用量化分析与时间强度曲线在对比增强的和EUS.
主要成果:
- 恶性淋巴腺病通常表现为异质增强或增强缺陷.
- 定量研究表明,恶性节点的增强模式迅速下降.
- CE-EUS为组织诊断提供了有价值的辅助信息.
结论:
- CE-EUS增强了EUS对淋巴腺病的诊断能力.
- 与CE-EUS观察到的明显的血管性模式可以区分恶性与良性节点.
- CE-EUS是一个有价值的工具,特别是在组织诊断具有挑战性或禁忌的情况下.
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