Dietrich C F, Schreiber-Dietrich D, Schuessler G, Ignee A
Innere Medizin 2, Caritas-Krankenhaus Bad Mergentheim, Germany.
Dtsch Med Wochenschr. 2007 Jun 1;132(22):1225-31. doi: 10.1055/s-2007-979403.
The diagnostic process, differential diagnosis and continuing routine follow-up of patients with focal liver lesions require an easily available, reliable and cost-effective diagnostic method. Ultrasound is a widely used method for the detection of liver lesions, but it has generally been regarded as inferior to contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI). Recent advances in contrast-enhanced ultrasound (CEUS) have improved the detection rate to a level similar to that attained with CT and MRI. Because of the high spatial resolution of ultrasound, CEUS can also detect metastases smaller than 1 cm. This has been demonstrated in several single-centre studies and recently also a European multi-centre study. This review focuses on the recent advances of CEUS in detecting and characterizing focal liver lesions.
对于局灶性肝病变患者的诊断过程、鉴别诊断及持续常规随访，需要一种易于获得、可靠且经济高效的诊断方法。超声是检测肝病变广泛使用的方法，但一般认为其不如对比增强计算机断层扫描（CT）和磁共振成像（MRI）。对比增强超声（CEUS）的最新进展已将检测率提高到与CT和MRI相似的水平。由于超声具有高空间分辨率，CEUS还能检测出小于1厘米的转移灶。这已在多项单中心研究中得到证实，最近一项欧洲多中心研究也证明了这一点。本综述重点关注CEUS在检测和鉴别局灶性肝病变方面的最新进展。
