临床肿瘤学杂志

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超声造影定量分析对肝癌的临床诊疗价值

梁锡天,吴博林,尚海涛,田宇航,程文   

  1. 150000 哈尔滨 哈尔滨医科大学附属肿瘤医院超声科
  • 收稿日期:2016-12-27 修回日期:2017-02-23 出版日期:2017-06-30 发布日期:2017-06-30

Clinical value of the time-intensity parameters of CEUS in hepatocellular carcinoma

LIANG Xitian, WU Bolin, SHANG Haitao, TIAN Yuhang, CHENG Wen.   

  1. Department of Ultrasound, Harbin Medical University Cancer Hospital, Harbin 150000, China
  • Received:2016-12-27 Revised:2017-02-23 Online:2017-06-30 Published:2017-06-30

摘要: 超声造影(CEUS)作为一种新型功能成像技术,能够清楚地显示肝脏病灶血流灌注特点,并可通过量化分析得出病灶增强程度随时间变化的趋势,该趋势能够客观反映病灶区域的微血管密度,在疾病的诊断及疗效评价中起到了重要的作用。本文阐述了CEUS定量分析技术以及能够对肝脏良恶性鉴别起到重要帮助的一些参数,同时探讨该技术在肝细胞癌的预后判断、疗效评价中发挥的作用。

Abstract: As a new functional imaging technology, contrast-enhanced ultrasound (CEUS) can clearly show the characteristic of blood flow perfusion of the lesions. And we can get the time-intensity curve in the region of interest, which can reflect the level of enhancement varying with time by quantitative analysis software. It can reveal the microvessel density of lesions objectively. Therefore, the quantitative analysis of CEUS can play an important role in the diagnosis of tumor and the evaluation of treatment effect. The paper introduced the mechanism of quantitative analysis of CEUS and its primary parameters, and summarized the role of some parameters in distinguishing benign and malignant liver diseases, assessing the prognosis of hepatocellular carcinoma, as well as evaluating therapeutic effect.

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