Du Wen-Hua, Yang Wei-Xiao, Wang Xiang, Xiong Xiu-Qin, Zhou Yi, Li Tao
Dept. of US, Daping Hospital & Research Institute of Surgery, the Third Military Medical University, Chongqing 400042, China.
World J Gastroenterol. 2003 Feb;9(2):258-61. doi: 10.3748/wjg.v9.i2.258.
To investigate the characteristics of the vascularity of hepatic metastasis.
Six New Zealand rabbits, weighing averagely 2.7+/-0.4 kg, were selected and operated to establish hepatic VX2 tumor carrier model. Hepatic VX2 tumors were then imaged with conventional B mode US, second harmonic imaging (SHI), color Doppler flow imaging (CDFI), power Doppler imaging (PDI) and harmonic PDI by a transducer S8 connected to HP-5 500 ultrasound system. A kind of self made echo contrast agent was intravenously injected at a dose of 0.01 mL/kg through ear vein, and then the venous passage was cleaned with sterilized saline.
Totally, 6 hypoechoic lesions and 3 hyperechoic lesions were found in the six carrier rabbits with a mean size about 2.1+/-0.4 cm under conventional B mode ultrasound, they were oval or round in shape with a clear outline or a hypoechoic halo at the margin of the lesions. Contrast agent could not change the echogenicity of the lesions under conventional B mode and SHI, however, it could greatly increase the flow sensitivity of the lesions under PDI and harmonic PDI. Nutrient artery of these metastatic lesions might also be well depicted under contrast enhanced PDI and harmonic PDI.
Our result suggested that contrast enhanced PDI, especially harmonic PDI, was a promised method in the detection of vascularity of hepatic tumor nodules.
探讨肝转移瘤的血管特征。
选取6只平均体重为2.7±0.4 kg的新西兰兔,手术建立肝VX2肿瘤载体模型。然后用连接到HP-5500超声系统的S8探头,对肝VX2肿瘤进行常规B型超声、二次谐波成像(SHI)、彩色多普勒血流成像(CDFI)、能量多普勒成像(PDI)和谐波PDI成像。通过耳静脉以0.01 mL/kg的剂量静脉注射一种自制的超声造影剂,然后用无菌生理盐水清洗静脉通道。
在6只载体兔中,常规B型超声下共发现6个低回声病灶和3个高回声病灶,平均大小约为2.1±0.4 cm,病灶呈椭圆形或圆形,轮廓清晰,边缘有低回声晕。在常规B型超声和SHI下,造影剂不能改变病灶的回声,但在PDI和谐波PDI下,可大大提高病灶的血流敏感性。在增强造影PDI和谐波PDI下,这些转移病灶的滋养动脉也能清晰显示。
我们的结果表明,增强造影PDI,尤其是谐波PDI,是检测肝肿瘤结节血管的一种有前景的方法。