对比增强超声波用于临床评估脊椎动脉起源病理
Yu-Hong Pu1, Kristine J S Kwan2, Jin-Dong Tong2
1Department of Medical Ultrasound, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Pudong, Shanghai, China.
Ultrasound in medicine & biology
|September 17, 2025
概括
与对比度增强的超声波 (CEUS) 是一种可行的非侵入性工具,用于评估脊椎动脉 (VA) 的起源,其结果与CTA和DSA相似. CEUS有效地识别斑块和异常,有助于预防脊髓底性中风.
科学领域:
- 血管成像 血管成像
- 诊断性的超声波检查
- 神经学 神经学
背景情况:
- 脊椎动脉 (VA) 起源异常可能导致脊椎底性中风.
- 准确评估VA来源对于诊断和治疗计划至关重要.
- 像CTA和DSA这样的传统成像模式都有局限性.
研究的目的:
- 评估对比增强超声波 (CEUS) 的可行性,以评估脊椎动脉 (VA) 的起源.
- 为了将CEUS发现与计算机断层扫描血管造影 (CTA) 和数字减去血管造影 (DSA) 进行比较.
主要方法:
- 一项对60名接受CEUS进行VA原产地评估的患者的回顾性研究.
- 将CEUS图像与CTA和/或DSA数据进行比较.
- 分析包括VA起源直径,长度,斑块内新血管化和血液流动动力学.
主要成果:
- 在96.7%的患者中,CEUS成功地确定了VA来源.
- 对VA原始直径的CEUS测量与CTA和DSA相似.
- CEUS检测到斑块内新血管化和血液流动方向,提供了比CTA/DSA更多的信息.
结论:
- CEUS是一种可行且有效的非侵入性方法,用于VA来源和V1段评估.
- CEUS提供了与DSA和CTA相比较的诊断准确性.
- CEUS是一种有前途的工具,用于识别VA异常,并预防脊椎骨中风.
相关概念视频
Imaging Studies for Cardiovascular System II:Types of Echocardiography
632
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
632
Ultrasonography
7.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
7.3K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
303
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
303
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
364
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
364
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
294
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
294
Imaging Studies II: Ultrasonography
371
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
371


