关于儿童恶性焦点肝损伤与成像评估的综述:第一部分
Yi Dong1, Andrius Cekuolis2, Dagmar Schreiber-Dietrich3
1Department of Ultrasound, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China.
Diagnostics (Basel, Switzerland)
|December 9, 2023
概括
儿科恶性焦点肝病变 (FLLs) 很少见,但对诊断至关重要. 本综述涵盖了常见的类型,如肝细胞瘤,并讨论了先进的成像,包括对比增强超声波 (CEUS),以更好地表征.
科学领域:
- 儿科放射学 儿科放射学
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 恶性焦点肝病变 (FLLs) 在儿童中比成人少.
- 对儿科FLL的理解是有限的,因为它们很罕见,大多数是先天性的.
- 准确的成像对于儿童FLL的诊断和治疗监测至关重要.
研究的目的:
- 要概述常见的儿科恶性FLLs:肝细胞瘤,肝细胞癌和胆管癌.
- 在成人同行的背景下讨论这些儿科瘤.
- 突出医学成像在儿科FLL管理中的重要性.
主要方法:
- 对常见的儿科恶性FLL进行审查.
- 与成人瘤知识的比较.
- 讨论用于诊断和随访的成像特征.
主要成果:
- 肝母细胞瘤,肝细胞癌和胆管癌是关键的儿科恶性FLL.
- 医学成像对于非侵入性诊断和治疗后续治疗至关重要.
- 与对比度增强的超声波 (CEUS) 显示了在没有辐射暴露的情况下可能出现不确定的FLL.
结论:
- 适当的成像选择对于儿科恶性FLLs至关重要.
- CEUS可能成为一个有价值的工具来表征儿科FLL,提供无辐射的选择.
- 进一步将CEUS集成到儿科成像算法中是有希望的.
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