Optimal imaging of hepatic mass lesions
Optimal imaging of hepatic mass lesions
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肝脏肿块病变的最佳成像
DOI：
10.1111/j.1440-1746.2008.05647.x
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发表时间：
2008
影响因子：
4.1
通讯作者：
Satoshi Kobayashi
中科院分区：
文献类型：
--
作者：
O. Matsui;T. Gabata;Satoshi Kobayashi
实时评估可准确描述某些肝脏病变的血运模式。王等人已经说明了这一点。在本期杂志中，确认这是一种可以在常规临床实践中使用的技术。一些良性病变具有特征性的强化模式，具有诊断性。向心性进展的周边结节状强化是血管瘤的诊断。局灶性结节增生呈离心性强化，中央供血动脉呈放射状“辐轮状”分支。恶性病变表现为畸形的血管强化。原发性肝细胞癌典型表现为动脉期强化，由于肝动脉供血，进展迅速至弥漫性充盈，而转移性病变典型表现为环状或稀疏中央强化。欧洲超声医学和生物学学会联合会(EFSUMB)提供了一系列指南，描述了肝脏CEU可以产生明确临床影响的领域。这些措施包括：
to assess the pattern of vascularity in real time, which can accurately characterize certain liver lesions. This has been illustrated by Wang et al. in this issue of the Journal, confirming that this is a technique which can be used in routine clinical practice. Some benign lesions have characteristic patterns of enhancement which are diagnostic. Peripheral, nodular enhancement which progresses centripetally is diagnostic for a hemangioma. Focal nodular hyperplasia has centrifugal enhancement with a central feeding artery which tends to branch in a radial ‘spoke-wheel’ pattern. Malignant lesions show a dysmorphic pattern of vascular enhancement. Primary HCC classically has arterial phase enhancement, progressing rapidly to diffuse filling due to hepatic arterial supply, whereas metastatic lesions classically demonstrate rim or sparse central enhancement. The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) has provided a series of guidelines which describe the areas where CEUS of the liver can have a clear-cut clinical impact. These include:
肝细胞癌诊断和治疗的超声新技术
DOI：
--
发表时间：
2007
期刊：
Hepatol Res 37
影响因子：
--
作者：
C.Obuchi;M.Shiroma;H.Matsumoto;T.Taniguchi;K.Kumakawa;Kim SR;Kudo M;廣田栄子;Toyoda H;Kudo M
通讯作者：
Kudo M