虚拟导航联合超声造影在定位肝局灶性病变中的应用
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摘要
目的探讨常规超声造影检查及虚拟导航联合超声造影检查在肝局灶性病变精准定位的诊断效能。方法回顾分析本院经增强CT/MRI及病理活组织检查确诊为肝癌的患者56例,分别行常规超声造影检查及虚拟导航联合超声造影检查,计算两种方法的检出率。结果常规超声造影定位肝局灶性病变42例,检出率为75%,虚拟导航联合超声造影定位肝局灶性病变51例,检出率为92.7%。虚拟导航联合超声造影对肝局灶性病变的定位正确率高于常规超声造影,两者比较差异具有统计学意义(P<0.05)。结论虚拟导航联合超声造影在肝局灶性病变的定位中具有一定的临床价值,为后续治疗提供了技术支持。
Objective To investigate the diagnostic efficacy of conventional contrast-enhanced ultrasonography and virtual navigation combined with contrast-enhanced ultrasonography in the accurate localization of focal liver lesions. Methods A retrospective analysis of 56 patients with liver cancer confirmed by enhanced CT/MRI and pathological biopsy was performed. Routine contrast-enhanced ultrasonography and virtual navigation combined with contrast-enhanced ultrasonography were performed to calculate the detection rate of the two methods. Results 42 cases of focal hepatic lesions were localized by contrast-enhanced ultrasonography. The detection rate was 75%. Virtual navigation combined with contrast-enhanced ultrasound was used to locate 51 cases of focal liver lesions. The detection rate was 92.7%. Virtual navigation combined with contrast-enhanced ultrasonography was more accurate than conventional contrast-enhanced ultrasound in the diagnosis of focal liver lesions. The difference was statistically significant(P<0.05). Conclusion Virtual navigation combined with contrast-enhanced ultrasound has certain clinical value in the localization of focal liver lesions, providing technical support for follow-up treatment.
Objective To investigate the diagnostic efficacy of conventional contrast-enhanced ultrasonography and virtual navigation combined with contrast-enhanced ultrasonography in the accurate localization of focal liver lesions. Methods A retrospective analysis of 56 patients with liver cancer confirmed by enhanced CT/MRI and pathological biopsy was performed. Routine contrast-enhanced ultrasonography and virtual navigation combined with contrast-enhanced ultrasonography were performed to calculate the detection rate of the two methods. Results 42 cases of focal hepatic lesions were localized by contrast-enhanced ultrasonography. The detection rate was 75%. Virtual navigation combined with contrast-enhanced ultrasound was used to locate 51 cases of focal liver lesions. The detection rate was 92.7%. Virtual navigation combined with contrast-enhanced ultrasonography was more accurate than conventional contrast-enhanced ultrasound in the diagnosis of focal liver lesions. The difference was statistically significant(P<0.05). Conclusion Virtual navigation combined with contrast-enhanced ultrasound has certain clinical value in the localization of focal liver lesions, providing technical support for follow-up treatment.
引文
[1]张秀美,许昌.肝癌介入治疗及综合影像学对肝癌疗效评估的新进展[J].世界最新医学信息文摘,2019,19(15):39-40.
[2]李春晖,丁国立,李滨,等.超声造影在肝癌病灶诊断及引导射频消融治疗中的应用价值[J].影像研究与医学应用,2019,3(3):58-59.
[3]高明霞,刘学彬,林川,等.超声造影在原发性肝癌介入治疗中的应用效果评价[J].影像研究与医学应用,2019,3(4):20-22.
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[8]徐倩,林淑芝,董士佳,等.实时影像融合虚拟导航联合CEUS引导射频消融治疗肝癌新生或复发病灶[J].中国医学影像技术,2018,34(5):701-704.
[9]戴戈扬,戴琳,刘志,等.虚拟导航超声造影指导常规超声不能检出肝脏小占位病灶微波消融术的精准定位研究[J].实用医学杂志,2017,33(21):3643-3646.
[10]田江克,李志艳,李猛,等.虚拟导航超声造影与常规超声造影检查肝硬化背景小肝癌的诊断价值比较[J].传染病信息,2016,29(5):284-287.
[11]陈志辉,陈方红,纪建松,等.超声造影对肝癌射频消融后继发性肝动脉-门静脉瘘的诊断价值[J].医学影像学杂志,2019,29(2):252-256.
[2]李春晖,丁国立,李滨,等.超声造影在肝癌病灶诊断及引导射频消融治疗中的应用价值[J].影像研究与医学应用,2019,3(3):58-59.
[3]高明霞,刘学彬,林川,等.超声造影在原发性肝癌介入治疗中的应用效果评价[J].影像研究与医学应用,2019,3(4):20-22.
[4]Lee CH,Chen WT,Lin CC,et al.Radiofrequency ablation assisted by real-time virtual sonography for hepatocellular carcinoma inconspicuous under sonography and high-risk locations.Kaohsiung J Med Sci[J].2015;31(8):413-419.
[5]卓涛,陈冬梅,晏湘梅,等.超声造影指导射频消融治疗小肝癌的应用价值[J].现代医用影像学,2018,27(7):2436-2437.
[6]Himoto T,Kurokohchi K,Watanabe S,et al.Recent advances in radiofrequency ablation for the management of hepatocellular carcinoma.Hepat Mon[J].2012;12(10 HCC):e5945.
[7]任衍乔,郑传胜.肝癌射频消融术后各种影像学评价应用与进展[J].介入放射学杂志,2018,27(10):993-996.
[8]徐倩,林淑芝,董士佳,等.实时影像融合虚拟导航联合CEUS引导射频消融治疗肝癌新生或复发病灶[J].中国医学影像技术,2018,34(5):701-704.
[9]戴戈扬,戴琳,刘志,等.虚拟导航超声造影指导常规超声不能检出肝脏小占位病灶微波消融术的精准定位研究[J].实用医学杂志,2017,33(21):3643-3646.
[10]田江克,李志艳,李猛,等.虚拟导航超声造影与常规超声造影检查肝硬化背景小肝癌的诊断价值比较[J].传染病信息,2016,29(5):284-287.
[11]陈志辉,陈方红,纪建松,等.超声造影对肝癌射频消融后继发性肝动脉-门静脉瘘的诊断价值[J].医学影像学杂志,2019,29(2):252-256.