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本文引用的文献

1
The role of contrast-enhanced ultrasound in the characterisation of focal liver lesions.超声造影在肝脏局灶性病变特征性诊断中的作用。
Eur Radiol. 2001;11 Suppl 3:E27-34. doi: 10.1007/pl00014128.
2
The role of contrast-enhanced ultrasound in the detection of focal liver leasions.超声造影在肝脏局灶性病变检测中的作用。
Eur Radiol. 2001;11 Suppl 3:E15-26. doi: 10.1007/pl00014125.
3
B-mode enhancement of the liver with microbubble contrast agent: a blinded study in rabbits with VX2 tumors.用微泡造影剂对肝脏进行B超增强:一项针对VX2肿瘤兔的盲法研究
Acad Radiol. 2001 Aug;8(8):734-40. doi: 10.1016/S1076-6332(03)80580-9.
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Vascularity of liver tumours and recent advances in doppler ultrasound.
J Hepatol. 2001 Mar;34(3):474-82. doi: 10.1016/s0168-8278(01)00021-6.
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Assessment of vascular patterns of small liver mass lesions: value and limitation of the different Doppler ultrasound modalities.小肝脏肿块性病变血管模式的评估:不同多普勒超声模式的价值与局限性
Am J Gastroenterol. 2000 Dec;95(12):3537-46. doi: 10.1111/j.1572-0241.2000.03372.x.
6
Hepatic malignancies: improved detection with pulse-inversion US in late phase of enhancement with SH U 508A-early experience.肝脏恶性肿瘤:使用SH U 508A增强晚期的脉冲反转超声检查提高检测率——初步经验
Radiology. 2000 Sep;216(3):903-8. doi: 10.1148/radiology.216.3.r00se22903.
7
Hepatic tumors: contrast agent-enhancement patterns with pulse-inversion harmonic US.肝脏肿瘤:脉冲反转谐波超声造影剂增强模式
Radiology. 2000 Aug;216(2):411-7. doi: 10.1148/radiology.216.2.r00jl21411.
8
Improved characterisation of focal liver tumours: dynamic power Doppler imaging using NC100100 echo-enhancer.局灶性肝肿瘤特征的改善:使用NC100100回声增强剂的动态能量多普勒成像
Eur J Ultrasound. 2000 May;11(2):95-104. doi: 10.1016/s0929-8266(00)00074-4.
9
Vascularity of hepatocellular carcinoma: assessment with contrast-enhanced second-harmonic versus conventional power Doppler US.肝细胞癌的血管情况:对比增强二次谐波与传统能量多普勒超声评估
Radiology. 2000 Feb;214(2):381-6. doi: 10.1148/radiology.214.2.r00fe01381.
10
Microbubble enhancement of tumour neovascularity.微泡增强肿瘤新生血管形成。
Eur Radiol. 1999;9 Suppl 3:S413-4. doi: 10.1007/pl00014086.

高低声压下二次谐波成像对兔肝VX2肿瘤的评估

Assessment of hepatic VX2 tumors of rabbits with second harmonic imaging under high and low acoustic pressures.

作者信息

Du Wen-Hua, Yang Wei-Xiao, Wang Xiang, Xiong Xiu-Qin, Zhou Yi, Li Tao

机构信息

Department of Ultrasonography, Daping Hospital and Research Institute of Surgery, the Third Military Medical University, Chongqing 400042, China.

出版信息

World J Gastroenterol. 2003 Aug;9(8):1679-82. doi: 10.3748/wjg.v9.i8.1679.

DOI:10.3748/wjg.v9.i8.1679
PMID:12918100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4611523/
Abstract

AIM

To investigate the possible clinical application value of second harmonic imaging under low acoustic pressure.

METHODS

Six New Zealand rabbits, averaging 2.7+/-0.4 kg, were selected and operated upon to construct hepatic VX2 tumor carrier model. Hepatic VX2 tumors were imaged with B mode Ultrasonography (US), and second harmonic imaging (SHI) under high mechanic index (1.6) and low mechanic index (0.1). Echo agent was intravenously injected through ear vein at a dose of 0.01 mL/kg under B mode US and high MI SHI, and 0.05 mL/kg under low MI SHI, and then the venous channel was cleaned with sterilized saline. All the images were recorded by magnetic optics (MO), and they were analyzed further by at least two independent experienced sonographers.

RESULTS

Totally 6 hypoechoic and 3 hyperechoic lesions were found in the six carrier rabbits with a mean size about 2.1+/-0.4 under 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 B mode US and SHI under high acoustic pressure. However, it could greatly increase the real time visualization sensitivity of the lesions with SHI under low acoustic pressure.

CONCLUSION

Our results suggest that contrast enhanced SHI with low MI and a bubble non-destructive method would be much more helpful than conventional SHI in our future clinical applications.

摘要

目的

探讨低声压二次谐波成像的可能临床应用价值。

方法

选取6只平均体重为2.7±0.4 kg的新西兰兔,手术构建肝VX2肿瘤载体模型。用B型超声(US)以及在高机械指数(1.6)和低机械指数(0.1)条件下的二次谐波成像(SHI)对肝VX2肿瘤进行成像。在B型US和高MI SHI时,通过耳静脉以0.01 mL/kg的剂量静脉注射超声造影剂,在低MI SHI时以0.05 mL/kg的剂量注射,然后用无菌生理盐水清洗静脉通道。所有图像均用磁光(MO)记录,并由至少两名经验丰富的独立超声检查医师进一步分析。

结果

在6只载体兔中,B型超声共发现6个低回声病变和3个高回声病变,平均大小约为2.1±0.4,病变呈椭圆形或圆形,轮廓清晰,边缘有低回声晕。在B型US和高声压下的SHI时,造影剂不能改变病变的回声。然而,在低声压下的SHI时,它可以大大提高病变的实时可视化敏感性。

结论

我们的结果表明,在未来临床应用中,低MI和气泡无损方法的对比增强SHI比传统SHI更有帮助。