High-intensity focused ultrasound ablation assisted using color Doppler imaging for the treatment of hepatocellular carcinomas.

High-intensity focused ultrasound ablation assisted using color Doppler imaging for the treatment of hepatocellular carcinomas.
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DOI:
10.1007/s00261-013-0010-z
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发表时间:
2013-12
期刊:
影响因子:
--
通讯作者:
Wang, Zhi-Biao
Wang, Zhi-Biao
中科院分区:
医学3区
文献类型:
--
作者:
Fukuda, Hiroyuki;Numata, Kazushi;Nozaki, Akito;Kondo, Masaaki;Morimoto, Manabu;Maeda, Shin;Tanaka, Katsuaki;Ohto, Masao;Ito, Ryu;Ishibashi, Yoshiharu;Oshima, Noriyoshi;Ito, Ayao;Zhu, Hui;Wang, Zhi-Biao

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我们评估了彩色多普勒血流成像的有用性,以弥补分辨率不足的超声(US)监测在高强度聚焦超声(HIFU)治疗肝细胞癌(HCC)。对11例小肝癌(<3个病灶,直径<3cm)患者进行了彩色多普勒超声引导下HIFU消融。在美国指导下使用HIFU系统(重庆海扶科技)。彩色多普勒超声检查使用HIFU 6150S超声成像单元系统和2.7 MHz电子凸探头进行。由于多反射的影响和强回声的出现,使用彩色多普勒图像。在11名患者中,1名患者的多反射是肿瘤可视化差的原因。在10例病例中,由于出现强回声,肿瘤显示不佳。在这些情况下,通过参考门静脉和肝静脉的彩色多普勒图像在监视器上识别原始肿瘤位置的能力非常有用。在彩色多普勒成像的辅助下,11例患者均成功进行了HIFU治疗。彩色多普勒成像对于使用HIFU治疗HCC是有用的,弥补了B型常规US成像偶尔提供的不良可视化。
We evaluated the usefulness of color Doppler flow imaging to compensate for the inadequate resolution of the ultrasound (US) monitoring during high-intensity focused ultrasound (HIFU) for the treatment of hepatocellular carcinoma (HCC). US-guided HIFU ablation assisted using color Doppler flow imaging was performed in 11 patients with small HCC (<3 lesions, <3 cm in diameter). The HIFU system (Chongqing Haifu Tech) was used under US guidance. Color Doppler sonographic studies were performed using an HIFU 6150S US imaging unit system and a 2.7-MHz electronic convex probe. The color Doppler images were used because of the influence of multi-reflections and the emergence of hyperecho. In 1 of the 11 patients, multi-reflections were responsible for the poor visualization of the tumor. In 10 cases, the tumor was poorly visualized because of the emergence of a hyperecho. In these cases, the ability to identify the original tumor location on the monitor by referencing the color Doppler images of the portal vein and the hepatic vein was very useful. HIFU treatments were successfully performed in all 11 patients with the assistance of color Doppler imaging. Color Doppler imaging is useful for the treatment of HCC using HIFU, compensating for the occasionally poor visualization provided by B-mode conventional US imaging.
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