首页> 外文期刊>European radiology >Qualitative assessment of tumor vascularity in hepatocellular carcinoma by contrast-enhanced coded ultrasound: comparison with arterial phase of dynamic CT and conventional color/power Doppler ultrasound.
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Qualitative assessment of tumor vascularity in hepatocellular carcinoma by contrast-enhanced coded ultrasound: comparison with arterial phase of dynamic CT and conventional color/power Doppler ultrasound.

机译:对比增强编码超声对肝细胞癌肿瘤血管的定性评估:与动态CT动脉期和常规彩色/功率多普勒超声的比较。

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摘要

The purpose of this study was to evaluate the detection rate of tumor vessels and vascularity in hepatocellular carcinoma (HCC) by contrast-enhanced coded US using Levovist, and to compare with conventional color/power Doppler US (CDUS) and dynamic CT. Ninety nodules (72 hypo/isoechoic nodules, 18 hyperechoic nodules) in 61 patients were studied. We observed tumor vessels by continuous transmission at the early vascular phase (40 s following administration of Levovist) and vascularity by intermittent transmission (intervals of 2-3 s) at the late vascular phase (40 to approximately 120 s). The detection rate of tumor vessels at the early vascular phase was 97% in hypo/isoechoic nodules and 70% in hyperechoic nodules with high density in dynamic CT being higher than that by CDUS. Tumor vascularity at the late vascular phase in hypo/isoechoic and hyperechoic nodules was hyper-enhancement in 78 and 40%, iso-enhancement in 19 and 40%, and hypo-enhancement in 3 and 0%, respectively. The detection rates of tumor vessels and vascularity in hyperechoic nodules were similar to those by CDUS. The detection rates of tumor vessels and vascularity were not affected by the tumor size in HCC tumors with high density in dynamic CT. Contrast-enhanced US with Levovist was superior to CDUS and equal to dynamic CT to assess tumor vessels in hypo/isoechoic nodules. Although it was equal to CDUS for hyperechoic nodules, this modality is useful in evaluating tumor hemodynamics.
机译:这项研究的目的是通过使用Levovist对比增强的US评估肝细胞癌(HCC)的肿瘤血管和血管的检出率,并将其与常规彩色/功率多普勒US(CDUS)和动态CT进行比较。研究了61例患者的90个结节(72个低/等回声结节,18个高回声结节)。我们在早期血管阶段(给予Levovist后40 s)通过连续传播观察肿瘤血管,而在晚期血管阶段(40至约120 s)通过间歇性传播(间隔2-3 s)观察肿瘤血管。低/等回声结节在血管早期的肿瘤血管检出率为97%,高回声结节为70%,动态CT的高密度高于CDUS。低/等回声和高回声结节在血管晚期的肿瘤血管形成分别为:高增强78%和40%,等增强19%和40%,以及低增强3%和0%。高回声结节中肿瘤血管和血管的检出率与CDUS相似。动态CT中高密度肝癌的肿瘤大小不受肿瘤血管和血管的检出率的影响。与Levovist增强对比的US在评估低/等回声结节中的肿瘤血管方面优于CDUS并等于动态CT。尽管高回声结节与CDUS相当,但这种方式可用于评估肿瘤的血液动力学。

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