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对软组织瘤的对比增强超声波引导核心针活检:准确性和适用性

Ying-Lun Zhang¹, Meng-Jie Wu¹, Yu Hu¹

¹Department of Ultrasound, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

European journal of radiology

|October 1, 2023

概括

与常规超声波 (美国) 相比,对比增强超声波 (CEUS) 引导的核心针活检 (CNB) 显著改善软组织瘤 (STT) 诊断. 推CEUS引导的CNB用于具有美国特点的STT,如深度位置或异质回声纹理.

科学领域:

放射学和成像学放射学和成像学
在瘤学瘤学.
病理学病理学病理学

背景情况:

软组织瘤 (STT) 需要准确的诊断才能有效治疗.
传统的超声波 (美国) 引导的核心针活检 (CNB) 在诊断性传播疾病方面存在局限性.
与对比度增强的超声波 (CEUS) 提供了对组织特征的增强可视化.

研究的目的:

评估CEUS引导的CNB对STT的诊断疗效.
识别传统的美国特征,预测成功的CEUS引导的CNB.
为了比较美国指导的和CEUS指导的CNB之间的诊断产量.

主要方法:

对123名经过手术确认的性传播疾病患者进行了回顾性分析.
美国指导的CNB和CEUS指导的CNB之间的诊断产量的比较.
美国传统特征与活检成功率的相关性.

主要成果:

采用CEUS指导的CNB的诊断产量比采用美国指导的CNB更高 (p=0.011).
在STT中,CEUS发现了更多无声区域 (p=0.031).
在STT中观察到CEUS引导的CNB的诊断产量更高,其中包括深层带膜层,直径≥5厘米,粗边缘,异质的回声纹理和无声区域的缺失.

结论:

由CEUS指导的CNB是STT的有效诊断工具.
由CEUS指导的CNB对于STT表现出特定的美国常规特征特别有益.
该研究推CEUS引导的CNB用于STT的深层附带层位置,大直径,不规则的边缘,异质的回声纹理或缺乏无声区域.

关键词:

与对比度增强的超声波.核心针活组织检查软组织瘤是软组织瘤.超声波学超声波学超声波学

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