用对比增强超声波诊断肝脏焦点病变的挑战
Tudor Voicu Moga1,2, Raluca Lupusoru1,2, Mirela Danila1,2
1Department of Gastroenterology and Hepatology, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.
Diagnostics (Basel, Switzerland)
|January 11, 2025
概括
与对比度增强的超声波 (CEUS) 经常误诊肝脏焦点病变 (FLLs). 晚期肝纤维化,腺瘤和胆管癌存在诊断挑战,需要额外的成像来准确评估FLL.
科学领域:
- 放射学 放射学是一门学科.
- 肝病学 肝病学是一种肝病学.
- 在瘤学瘤学.
背景情况:
- 对比增强超声波 (CEUS) 是评估焦点肝病变 (FLL) 的主要工具.
- 在临床实践中,典型的CEUS增强模式可能不适用于所有FLL.
- 尽管CEUS评估,但诊断上的差异可能会出现.
研究的目的:
- 为了评估那些未被CEUS确诊或错误诊断的FLL.
- 确定导致CEUS对FLL评估诊断不准确性的因素.
- 评估在具有挑战性的FLL病例中需要补充成像的需要.
主要方法:
- 对FLL的8年单一中心数据的回顾性分析.
- CEUS评估,然后进行二次成像 (CT,MRI) 或组织病理学以确认.
- 分析增强模式和相关的临床因素.
主要成果:
- 979个FLL中的35.7%是不确定的或被CEUS误诊的.
- 肝细胞癌 (HCC) 和肝转移在不一致的病例中很常见.
- 超异位异位模式在不确定的病变中很常见;晚期纤维化,腺瘤和胆管癌与不准确性相关.
结论:
- 晚期肝纤维化,腺瘤和胆管癌与CEUS诊断挑战有显著的关联.
- 在某些复杂的病例中,单靠CEUS可能不足以确定FLL诊断.
- 补充成像模式对于精确诊断具有挑战性的FLLs至关重要.
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