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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Characterization of nontraumatic focal splenic lesions using contrast-enhanced sonography.
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Characterization of nontraumatic focal splenic lesions using contrast-enhanced sonography.

机译:使用造影增强超声检查非创伤性脾脏病变的特征。

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PURPOSE: To compare contrast-enhanced sonography (CEUS) with contrast-enhanced CT in the assessment of nontraumatic focal lesions of the spleen. METHODS: CEUS and CT findings in 22 patients with fever of unknown origin and ultrasound-detected splenic focal lesions were analyzed retrospectively. CEUS was performed using an ultrasound unit equipped with a 3.6-MHz probe and contrast-specific software. A 4-ml bolus of second-generation contrast medium was used. The CEUS examinations included a 4-minute recording following injection of the contrast medium. MRI, splenic biopsy, or ultrasound follow-up were used if findings from CT were inconclusive. RESULTS: The final diagnoses were as follows: seven splenic infarcts, five hemangiomas, three lacerations, two benign cysts, one lymphoma, one granuloma, one abscess, and two lesions of unknown etiology. CEUS and CT had the same specificity (77.2%). Both CEUS and CT failed to characterize nodular hypovascular lesions with a hypoenhancing pattern. CONCLUSIONS: CEUS is as effective as CT for characterizing nontraumatic focal lesions of the spleen. If CEUS findings are consistent with a benign splenic lesion, CT seems to be of limited additional value.
机译:目的:比较造影增强超声(CEUS)和造影增强CT在评估非创伤性脾脏局灶性病变中的作用。方法:回顾性分析22例不明原因发热,超声检查发现的脾局灶性病变的CEUS和CT表现。使用配备有3.6 MHz探头和对比度专用软件的超声仪执行CEUS。使用4 ml大剂量的第二代造影剂。 CEUS检查包括注射造影剂后的4分钟记录。如果CT的结果尚无定论,则使用MRI,脾活检或超声随访。结果:最终诊断如下:脾梗死7例,血管瘤5例,撕裂3例,良性囊肿2例,淋巴瘤1例,肉芽肿1例,脓肿2例,病因不明。 CEUS和CT的特异性相同(77.2%)。 CEUS和CT均未能以结节增强模式来表征结节性血管新生病变。结论:CEUS在表征非创伤性脾脏局灶性病变方面与CT一样有效。如果CEUS检查结果与良性脾脏病变一致,则CT的附加价值似乎有限。

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