Du Wen-Hua, Yang Wei-Xiao, Wang Xiang, Xiong Xiu-Qin, Zhou Yi, Li Tao
Department of Ultrasonography, Daping Hospital and Research Institute of Surgery, the Third Military Medical University, Chongqing 400042, China.
World J Gastroenterol. 2003 Aug;9(8):1679-82. doi: 10.3748/wjg.v9.i8.1679.
To investigate the possible clinical application value of second harmonic imaging under low acoustic pressure.
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.
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.
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.
探讨低声压二次谐波成像的可能临床应用价值。
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。
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。
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。