CAJ | 학술논문

目的探讨动态三维超声造影(3D-CEUS)在显示肝肿瘤血管中的应用价值.方法选择超声检查发现肝占位患者65例,经手术病理证实或两种以上的影像学检查方法诊断.对病灶行常规超声、二维超声造影(2D-CEUS)和动态3D-CEUS检查,对2D-CEUS及动态3D-CEUS图像进行处理和分析,观察并比较两种造影方式病灶的增强方式及肿瘤血管的空间分布等情况.结果肝肿瘤的增强方式在2D-CEUS和动态3D-CEUS中的表现一致.两者在显示肿瘤血管的空间分布及立体关系方面比较,差异有统计学意义(P＜0.05);在动态3D-CEUS中,肝良恶性病变的血管形态比较,差异有统计学意义(P＜0.05).结论动态3D-CEUS可更直观、全面地显示肝肿瘤血管的空间立体关系、周边及内部血管的分布形态,为肝肿瘤的超声诊断及临床治疗提供更多的信息.
목적 탐토동태삼유초성조영(3D-CEUS)재현시간종류혈관중적응용개치.방법 선택초성검사발현간점위환자65례,경수술병리증실혹량충이상적영상학검사방법진단.대병조행상규초성、이유초성조영(2D-CEUS)화동태3D-CEUS검사,대2D-CEUS급동태3D-CEUS도상진행처리화분석,관찰병비교량충조영방식병조적증강방식급종류혈관적공간분포등정황.결과 간종류적증강방식재2D-CEUS화동태3D-CEUS중적표현일치.량자재현시종류혈관적공간분포급입체관계방면비교,차이유통계학의의(P＜0.05);재동태3D-CEUS중,간량악성병변적혈관형태비교,차이유통계학의의(P＜0.05).결론 동태3D-CEUS가경직관、전면지현시간종류혈관적공간입체관계、주변급내부혈관적분포형태,위간종류적초성진단급림상치료제공경다적신식.
Objective To investigate the application potentiality of dynamic three-dimensional contrast-enhanced ultrasound (3D-CEUS) in showing vascular patterns of hepatic tumors.Methods Total of 65 hepatic tumors were examined with two-dimensional contrast-enhanced ultrasound (2D-CEUS) and dynamic 3D-CEUS and make statistical comparison between two imaging modes in aspects of enhancement patterns,spatial relationships of tumors and vascularity of different hepatic tumors.Results Dynamic 3D-CEUS showed the same enhancement patterns with 2D-CEUS.However,Dynamic 3D-CEUS was superior to 2D-CEUS in the display of spatial relationships of hepatic tumors and vascularity(P ＜0.05).The vascularity between benign and malignant hepatic tumors was statistically significant (P ＜ 0.05).Conclusions Dynamic 3D-CEUS is a useful technique in the differential diagnosis of hepatic tumors as well as 2D-CEUS,and dynamic 3D-CEUS displays the spatial relationship of hepatic tumors and vascularity more visually and comprehensively,which provides additional beneficial information for the diagnosis and therapy of hepatic tumors.