肿瘤影像学
腫瘤影像學
종류영상학
Oncoradiology
2014年
1期
5-7
,共3页
赵齐羽%蒋天安%陈芬%叶争渡%李琚%邓壮
趙齊羽%蔣天安%陳芬%葉爭渡%李琚%鄧壯
조제우%장천안%진분%협쟁도%리거%산장
肝内胆管细胞癌%超声造影%肝脏
肝內膽管細胞癌%超聲造影%肝髒
간내담관세포암%초성조영%간장
Intrahepatic cholangiocarcinoma%Contrast-enhanced ultrasound%Liver
目的:探讨肝内胆管细胞癌(ICC)超声造影的表现特点。方法回顾性分析32例经穿刺或手术病理证实为ICC患者的临床、常规超声图像及超声造影动态资料。结果32例ICC患者共34个病灶。超声造影在时间上的分布特点均表现为“快进快出”增强方式;空间上的分布特点有3种类型:20个(58.8%,20/34)周边环状高增强向内充填型,5个(14.7%,5/34)整体均匀增强型,9个(26.5%,9/34)周边环状高增强不向内充填型。结论 ICC在超声造影上具有特定的增强方式,超声造影有助于鉴别诊断。
目的:探討肝內膽管細胞癌(ICC)超聲造影的錶現特點。方法迴顧性分析32例經穿刺或手術病理證實為ICC患者的臨床、常規超聲圖像及超聲造影動態資料。結果32例ICC患者共34箇病竈。超聲造影在時間上的分佈特點均錶現為“快進快齣”增彊方式;空間上的分佈特點有3種類型:20箇(58.8%,20/34)週邊環狀高增彊嚮內充填型,5箇(14.7%,5/34)整體均勻增彊型,9箇(26.5%,9/34)週邊環狀高增彊不嚮內充填型。結論 ICC在超聲造影上具有特定的增彊方式,超聲造影有助于鑒彆診斷。
목적:탐토간내담관세포암(ICC)초성조영적표현특점。방법회고성분석32례경천자혹수술병리증실위ICC환자적림상、상규초성도상급초성조영동태자료。결과32례ICC환자공34개병조。초성조영재시간상적분포특점균표현위“쾌진쾌출”증강방식;공간상적분포특점유3충류형:20개(58.8%,20/34)주변배상고증강향내충전형,5개(14.7%,5/34)정체균균증강형,9개(26.5%,9/34)주변배상고증강불향내충전형。결론 ICC재초성조영상구유특정적증강방식,초성조영유조우감별진단。
Objective To evaluate the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of intrahepatic cholangiocarcinoma (ICC). Methods The clinical data and routine ultrasound and contrast-enhanced ultrasound imagings of 32 ICC cases confirmed pathologically were analyzed retrospectively. Results All lesions demonstrated hyperenhancement in the arterial phase, and hypoenhancement in the portal vein phase or delayed phase,with the pattern of‘fast in and fast out’. Three kinds of enhancement patterns were detected: 58.8% (20/34) with peripheral rim-like enhancement and concentric filling, 14.7% (5/34) with whole enhancement, and 26.5% (9/34) with peripheral rim-like enhancement and non-concentric filling. Conclusion ICC has typical CEUS appearance and CEUS plays a useful role in its differentional diagnosis.