HISTOLOGIC CORRELATES OF GASTROINTESTINAL ULTRASOUND IMAGES
HISTOLOGIC CORRELATES OF GASTROINTESTINAL ULTRASOUND IMAGES
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DOI：
10.1016/0016-5085(89)91568-0
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发表时间：
1989-02-01
期刊：
影响因子：
29.4
通讯作者：
SILVERSTEIN, FE
中科院分区：
文献类型：
--
作者：
KIMMEY, MB;MARTIN, RW;SILVERSTEIN, FE
内镜超声成像有潜力提高胃肠道疾病的诊断。然而，胃肠道超声图像的解剖相关性尚未被精确定义。我们比较了超声图像与相应的组织切片的81例标本切除和死后，正常和患病的胃肠道组织。在正常胃肠道的超声图像上看到的五个层对应于（1）浅表粘膜，（2）深层粘膜，（3）粘膜下层加上粘膜下层和固有肌层之间的声学界面，（4）固有肌层减去粘膜下层和固有肌层之间的声学界面，以及（5）浆膜和浆膜下脂肪。该解释考虑了由组织层产生的回波和由层之间的界面产生的回波。肿瘤和炎症性疾病的超声图像上的异常发现对应于组织学组织结构。当正确解释时，胃肠道壁的超声图像可以提供潜在有用的诊断信息。
Endoscopic ultrasound imaging has potential for improving the diagnosis of gastrointestinal disease. However, the anatomic correlates of gastrointestinal ultrasound images have not been precisely defined. We have compared ultrasound images with the corresponding histologic sections of 81 specimens of resected and postmortem, normal and diseased gastrointestinal tissue. The five layers seen on ultrasound images of the normal gastrointestinal tract correspond to (1) superficial mucosa, (2) deep mucosa, (3) suabmucosa plus the acoustical interface between the submucosa and muscularis propria, (4) muscularis propria minus the acoustical interface between the submucosa and muscularis propria, and (5) serosa and subserosal fat. This interpretation takes into consideration the echoes produced by the tissue layers and the echoes produced by the interfaces between layers. Abnormal findings on ultrasound images of neoplastic and inflammatory diseases correspond to histologic tissue structure. When properly interpreted, ultrasound images of the gastrointestinal wall can provide potentially useful diagnostic information.