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肺部常规和对比增强的US:从性能到诊断
Sergio Jiménez-Serrano1, Alfredo Páez-Carpio1, Blanca Doménech-Ximenos1
1From the Department of Radiology, Imaging Diagnostic Center, Hospital Clinic Barcelona, Villarroel 170, 08036 Barcelona, Spain (S.J.S., A.P.C., B.D.X., L.C., M.S.); Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Conn (M.V.R.); and Department of Radiology, Hospital de la Vall d'Hebron, Barcelona, Spain (I.V.).
与对比度增强的超声波 (CEUS) 增强了对外围肺部疾病 (PLDs) 的肺部成像. 使用CEUS指导的活检提高了可访问的脑下病变的诊断准确性.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 医疗成像医学成像
背景情况:
- 肺部超声波 (美国) 从补充工具发展为胸部成像的关键组成部分.
- 与对比度增强的超声波 (CEUS) 显著改善了用于诊断周围肺部疾病 (PLDs) 的灰度成像.
研究的目的:
- 突出肺部CEUS在诊断外围肺部疾病中的价值.
- 解释该技术,正常和病理发现,以及肺CEUS中的增强模式.
- 为了证明CEUS在指导肺活检中的实用性.
主要方法:
- 肺部CEUS技术和应用的审查.
- 分析与肺双动脉供应相关的增强模式.
- 评估CEUS指导的皮肤穿活检,以检查腹膜下病变.
主要成果:
- 肺部CEUS对于诊断PLD很有价值,尽管它在中心肺部疾病方面的局限性.
- 在分化诊断中观察到肺 CEUS 辅助的明显增强模式.
- 用CEUS引导的活检是可行的,准确的,并且对于可访问的下损伤具有成本效益.
结论:
- 肺 CEUS 是对周边肺部疾病的有效诊断工具.
- CEUS提高了诊断能力,并有助于活检规划和指导.
- 进一步将CEUS纳入临床实践是有必要的,以改善患者的治疗结果.
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