对比增强超声波在肝脏活检中的应用
Andrzej Fedak1, Agnieszka Czapska2, Jan Jamroś2
1Department of Radiology, Jagiellonian University Medical College, Krakow, Poland.
Polish journal of radiology
|July 11, 2025
概括
与对比度增强的超声波 (CEUS) 通过增强焦点肝损伤的可视化来提高肝活检的安全性和有效性. 这种快速的技术比指导活检的其他成像方法具有优势.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 放射学 放射学是一门学科.
- 干预性超声波是干预性的超声波.
背景情况:
- 越来越多地发现焦点肝损伤 (FLL),需要可靠的诊断工具.
- 当像MRI和CT这样的成像方法没有确定性时,穿皮肝活检至关重要.
- 超声波导向活检是首选的,因为成本效益,安全性和速度.
研究的目的:
- 评估对比增强超声波 (CEUS) 在指导肝活检中的有用性.
- 将CEUS与其他先进的超声波技术进行比较,例如用于活检指导的融合成像.
- 突出CEUS在可视化FLL和帮助诊断准确性的好处.
主要方法:
- 对CEUS辅助肝脏活检的文献和临床经验的审查.
- 将CEUS与B模式超声波,MRI和CT用于病变可视化的比较.
- 评估CEUS用于指导皮肤穿透的核心针活检.
主要成果:
- CEUS显著增强了肝脏焦点病变的可视化,克服了B模式的限制.
- CEUS是快速的,不需要额外的处理,避免了融合成像的数据处理延迟.
- CEUS有助于区分死区域和检测神经内分泌瘤和转移.
结论:
- CEUS辅助肝脏活检是现代诊断中一个有价值和强大的工具.
- 与融合成像相比,CEUS提供了优越的损伤可视化和程序效率.
- 这种技术对于在B模式中很难识别病变的活检尤为有益.
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