用对比增强的超声波评估脏节约治疗细胞癌的脏细胞癌
Richard G Barr1, Davide Roccarina2, Louis Mazzareilli3
1Northeast Ohio Medical University, Rootstown, USA. rgbarr525@gmail.com.
Abdominal radiology (New York)
|December 9, 2025
概括
与对比度增强的超声波 (CEUS) 准确地识别了脏节约手术后的残留或复发瘤. 这种成像技术与CT具有很高的一致性,在术后监测中被证明是有效的.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 脏节约手术越来越多地用于脏瘤.
- 精确的术后监测对于检测残留或复发性疾病至关重要.
- 传统的成像方法在区分手术后的变化和瘤复发方面可能存在局限性.
研究的目的:
- 评估对比增强超声波 (CEUS) 在识别残留或复发性瘤的诊断准确性.
- 评估CEUS在各种脏节约干预后的表现,包括切除和部分切除.
主要方法:
- 从2018年1月到2025年5月在两个中心进行的CEUS研究的回顾性审查.
- 包括接受射频切除,冷切除,微波切除或部分切除的患者.
- 对CEUS发现的分析与活检结果和长期随访 (≥1年) 对真实阳性/阴性决定的相关分析.
主要成果:
- 在188名患者中分析了193个病变 (平均年龄68岁).
- 根据活检和长期随访,CEUS证明了100%的准确性,没有假阳性或假阴性.
- 在CEUS和对比增强计算机断层扫描 (CECT) 之间观察到很高的一致性 (96.7%),其中3个病例显示CEUS阳性尽管CECT是负的.
结论:
- CEUS是一种高精度的成像方法,用于检测脏节约手术后残留或复发的脏瘤.
- 该技术提供了可靠的监控,显示了与CT的良好一致,并提供了明确的结果.
- 在接受脏保护瘤手术的患者的管理中,CEUS是一个有价值的工具.
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