胆囊聚体≥7毫米的超声波特征:一个回顾性分析
Jessie L Chai1, Esther Baranov2, Andro Reginald Licaros3
1Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
概括
大多数胆囊息肉都是良性的,非新生体. 在超声波上增加的回声性在良性和瘤胆囊聚体中都是常见的,这使得它成为一种非特异性的发现.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 胆囊聚体是腹部超声波期间常见的发现.
- 准确的胆囊多的特征对于临床管理至关重要.
- 了解超声波特征可以帮助区分良性病变和瘤病变.
研究的目的:
- 详细说明胆囊7mm或更大的胆囊多的超声波特征.
- 为了将超声波发现与外科病理学相关联.
- 为了评估胆囊多随时间的尺寸稳定性.
主要方法:
- 使用自然语言处理对超声波报告 (2012-2020年) 的回顾分析.
- 鉴定和分类的多≥7mm基于对胆囊壁相对的回声性.
- 对手术病理学和长期超声波随访进行审查,以确定良性特征.
主要成果:
- 550份报告确定了450名胆囊多≥7mm的患者.
- 手术病理 (99名患者) 显示了97%的非瘤和3%的瘤多;没有恶性瘤.
- 在所有瘤和56.1%的非瘤息肉中观察到增强的回声性.
结论:
- 大多数胆囊息肉都是良性的.
- 增加的回声性是胆囊多的非特异性超声波特征.
- 这些发现支持目前的超声波放射学家协会关于胆囊聚体管理的指南.
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