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正常与异常胎儿的超声评估:传统成像、组织谐波成像及脉冲反转谐波成像技术的比较

Ultrasound evaluation of normal and abnormal fetuses: comparison of conventional, tissue harmonic, and pulse-inversion harmonic imaging techniques.

作者信息

Ryu Jeong-Ah, Kim Bohyun, Kim Sooah, Yang Soon Ha, Choi Moon Hae, Ahn Hyeong Sik

机构信息

Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Korean J Radiol. 2003 Jul-Sep;4(3):184-90. doi: 10.3348/kjr.2003.4.3.184.

DOI:10.3348/kjr.2003.4.3.184
PMID:14530648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2698086/
Abstract

OBJECTIVE

To determine the usefulness of tissue harmonic imaging (THI) and pulse-inversion harmonic imaging (PIHI) in the evaluation of normal and abnormal fetuses.

MATERIALS AND METHODS

Forty-one pregnant women who bore a total of 31 normal and ten abnormal fetuses underwent conventional ultrasonography (CUS), and then THI and PIHI. US images of six organ systems, namely the brain, spine, heart, abdomen, extremities and face were compared between the three techniques in terms of overall conspicuity and the definition of borders and internal structures.

RESULTS

For the brain, heart, abdomen and face, overall conspicuity at THI and PIHI was significantly better than at CUS (p < 0.05). There was, though, no significant difference between THI and PIHI. Affected organs in abnormal fetuses were more clearly depicted at THI and PIHI than at CUS.

CONCLUSION

Both THI and PIHI appear to be superior to CUS for the evaluation of normal or abnormal structures, particularly the brain, heart, abdomen and face.

摘要

目的

确定组织谐波成像(THI)和脉冲反转谐波成像(PIHI)在评估正常和异常胎儿方面的实用性。

材料与方法

41名孕妇共怀有31例正常胎儿和10例异常胎儿,先接受传统超声检查(CUS),然后进行THI和PIHI检查。比较三种技术下六个器官系统(即脑、脊柱、心脏、腹部、四肢和面部)的超声图像在整体清晰度以及边界和内部结构清晰度方面的差异。

结果

对于脑、心脏、腹部和面部,THI和PIHI的整体清晰度明显优于CUS(p < 0.05)。不过,THI和PIHI之间无显著差异。THI和PIHI对异常胎儿中受影响器官的显示比CUS更清晰。

结论

THI和PIHI在评估正常或异常结构,尤其是脑、心脏、腹部和面部方面似乎优于CUS。

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本文引用的文献

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Prenatal ultrasound findings of fetal neoplasms.胎儿肿瘤的产前超声检查结果。
Korean J Radiol. 2002 Jan-Mar;3(1):64-73. doi: 10.3348/kjr.2002.3.1.64.
2
Detection of parenchymal abnormalities in acute pyelonephritis by pulse inversion harmonic imaging with or without microbubble ultrasonographic contrast agent: correlation with computed tomography.使用或不使用微泡超声造影剂的脉冲反转谐波成像检测急性肾盂肾炎实质异常:与计算机断层扫描的相关性
J Ultrasound Med. 2001 Jan;20(1):5-14. doi: 10.7863/jum.2001.20.1.5.
3
Ultrasonographic evaluation of focal hepatic lesions: comparison of pulse inversion harmonic, tissue harmonic, and conventional imaging techniques.
肝脏局灶性病变的超声评估:脉冲反转谐波、组织谐波及传统成像技术的比较
J Ultrasound Med. 2000 May;19(5):293-9; quiz 301-2.
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The accuracy of antenatal fetal echocardiography.产前胎儿超声心动图的准确性。
Turk J Pediatr. 1999 Jul-Sep;41(3):349-52.
5
Assessment of resting perfusion with myocardial contrast echocardiography: theoretical and practical considerations.心肌对比超声心动图评估静息灌注:理论与实践考量
Am Heart J. 2000 Feb;139(2 Pt 1):231-40.
6
Wideband harmonic imaging: a novel contrast ultrasound imaging technique.宽带谐波成像:一种新型的超声造影成像技术。
Eur Radiol. 1999;9 Suppl 3:S364-7. doi: 10.1007/pl00014075.
7
Sonographic detection of acute parenchymal injury in an experimental porcine model of renal hemorrhage: gray-scale imaging using a sonographic contrast agent.猪肾出血实验模型中急性实质损伤的超声检测:使用超声造影剂的灰阶成像
AJR Am J Roentgenol. 1999 Nov;173(5):1289-94. doi: 10.2214/ajr.173.5.10541107.
8
Renal blood flow in pigs: changes depicted with contrast-enhanced harmonic US imaging during acute urinary obstruction.猪的肾血流:急性尿路梗阻期间用对比增强谐波超声成像描绘的变化
Radiology. 1999 Sep;212(3):725-31. doi: 10.1148/radiology.212.3.r99se14725.
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Depiction of renal perfusion defects with contrast-enhanced harmonic sonography in a porcine model.在猪模型中用对比增强谐波超声描绘肾灌注缺损。
AJR Am J Roentgenol. 1999 Sep;173(3):757-60. doi: 10.2214/ajr.173.3.10470918.
10
Clinical use of ultrasound tissue harmonic imaging.超声组织谐波成像的临床应用。
Ultrasound Med Biol. 1999 Jul;25(6):889-94. doi: 10.1016/s0301-5629(99)00060-5.