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[超声造影。肝细胞癌射频消融及经动脉化疗栓塞的治疗监测]

[Contrast-enhanced sonography. Therapy control of radiofrequency ablation and transarterial chemoembolization of hepatocellular carcinoma].

作者信息

Jung E M, Uller W, Stroszczynski C, Clevert D-A

机构信息

Institut für Röntgendiagnostik, Universitätsklinikum Regensburg,Franz-Josef-Strauss-Allee 11, 93053 Regensburg.

出版信息

Radiologe. 2011 Jun;51(6):462-8. doi: 10.1007/s00117-010-2101-y.

DOI:10.1007/s00117-010-2101-y
PMID:21557022
Abstract

Due to the imaging of dynamic perfusion, hepatocellular carcinoma can be detected with a sensitivity of >90% using contrast-enhanced sonography. The characterization of liver tumors with contrast-enhanced sonography is comparable to the diagnostic accuracy of contrast-enhanced computed tomography. The dynamic detection of microvascularization with contrast-enhanced sonography allows the differentiation between vascularized tumors and non-vascularized necrotic lesions before, during and after transarterial chemoembolization or percutaneous radiofrequency ablation. Image fusion with volume navigation can be useful in the followup control.

摘要

由于动态灌注成像，使用超声造影可检测出肝细胞癌，其灵敏度>90%。超声造影对肝脏肿瘤的特征描述与增强计算机断层扫描的诊断准确性相当。超声造影对微血管化的动态检测能够在经动脉化疗栓塞或经皮射频消融术前、术中和术后区分血管化肿瘤和无血管化坏死病变。容积导航图像融合在随访控制中可能有用。

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引用本文的文献

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Radiologe. 2018 Jun;58(6):538-544. doi: 10.1007/s00117-018-0411-7.
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[Contrast-enhanced ultrasound (CEUS) of the liver : Critical evaluation of use in clinical routine diagnostics].[肝脏对比增强超声检查（CEUS）：临床常规诊断应用的批判性评估]
Radiologe. 2017 May;57(5):348-355. doi: 10.1007/s00117-017-0225-z.
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[Possibilities of sonographic image fusion: Current developments].[超声图像融合的可能性：当前进展]

本文引用的文献

1
Image fusion with volume navigation of contrast enhanced ultrasound (CEUS) with computed tomography (CT) or magnetic resonance imaging (MRI) for post-interventional follow-up after transcatheter arterial chemoembolization (TACE) of hepatocellular carcinomas (HCC): Preliminary results.超声造影（CEUS）容积导航图像融合与计算机断层扫描（CT）或磁共振成像（MRI）在肝癌（HCC）经导管动脉化疗栓塞（TACE）后的介入后随访中的应用：初步结果。
Clin Hemorheol Microcirc. 2010;46(2-3):101-15. doi: 10.3233/CH-2010-1337.
2
Characterization of microvascularization of liver tumor lesions with high resolution linear ultrasound and contrast enhanced ultrasound (CEUS) during surgery: First results.高分辨率线性超声和对比增强超声（CEUS）在手术中对肝肿瘤病变微血管生成的特征描述：初步结果。
Clin Hemorheol Microcirc. 2010;46(2-3):89-99. doi: 10.3233/CH-2010-1336.
3
Radiologe. 2015 Nov;55(11):937-48. doi: 10.1007/s00117-015-0025-2.
4
[Sonographic imaging of the prostate].[前列腺的超声成像]
Urologe A. 2014 Jul;53(7):1052-60. doi: 10.1007/s00120-014-3533-1.
5
Visualization, imaging and new preclinical diagnostics in radiation oncology.放射肿瘤学中的可视化、成像及新的临床前诊断
Radiat Oncol. 2014 Jan 3;9:3. doi: 10.1186/1748-717X-9-3.
6
[Ultrasound diagnostics of diffuse liver diseases].[弥漫性肝脏疾病的超声诊断]
Radiologe. 2012 Aug;52(8):706-16. doi: 10.1007/s00117-012-2307-2.
7
[Preclinical imaging in animal models of radiation therapy].[放射治疗动物模型中的临床前成像]
Radiologe. 2012 Mar;52(3):252-62. doi: 10.1007/s00117-011-2194-y.
8
[Ultrasound-guided image fusion with computed tomography and magnetic resonance imaging. Clinical utility for imaging and interventional diagnostics of hepatic lesions].[超声引导下与计算机断层扫描及磁共振成像的图像融合。对肝脏病变进行成像及介入诊断的临床应用价值]
Radiologe. 2012 Jan;52(1):63-9. doi: 10.1007/s00117-011-2252-5.
9
[Radiofrequency ablation - is a technique finished?].[射频消融术——这是一项过时的技术吗？] （注：原文标题这种表述比较模糊，推测性翻译为“这是一项过时的技术吗”不太确定准确含义，仅按字面翻译并给出一种可能的意译供参考）
Radiologe. 2012 Jan;52(1):9-14. doi: 10.1007/s00117-011-2206-y.
10
[Latest developments in ultrasound of the liver].[肝脏超声的最新进展]
Radiologe. 2011 Aug;51(8):661-70. doi: 10.1007/s00117-010-2124-4.
Microbubble-enhanced US in body imaging: what role?微泡增强超声在体成像：有何作用？
Radiology. 2010 Oct;257(1):24-39. doi: 10.1148/radiol.10091210.
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Unenhanced and contrast-enhanced ultrasonography during hepatic transarterial embolization and chemoembolization with drug-eluting beads.肝动脉栓塞化疗栓塞术中超声造影与载药微球增强超声造影的应用。
Cardiovasc Intervent Radiol. 2010 Dec;33(6):1215-22. doi: 10.1007/s00270-010-9918-7. Epub 2010 Jun 16.
5
Radiofrequency ablation guided by contrast harmonic sonography using perfluorocarbon microbubbles (Sonazoid) for hepatic malignancies: an initial experience.对比谐波超声引导下使用全氟丙烷微泡（Sonazoid）的射频消融治疗肝脏恶性肿瘤：初步经验。
Liver Int. 2010 May;30(5):759-64. doi: 10.1111/j.1478-3231.2010.02226.x.
6
Sono-hepatic-arteriography (Sono-HA) in the assessment of hepatocellular carcinoma in patients undergoing transcatheter arterial chemoembolization (TACE).超声引导肝动脉造影（Sono-HA）在经导管动脉化疗栓塞（TACE）治疗的肝细胞癌患者中的评估。
Ultraschall Med. 2010 Jun;31(3):270-5. doi: 10.1055/s-0029-1245242. Epub 2010 Apr 20.
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Characterization of focal liver lesions with contrast-enhanced ultrasound.肝脏局灶性病变的超声造影特征。
Ultrasound Med Biol. 2010 Apr;36(4):531-50. doi: 10.1016/j.ultrasmedbio.2010.01.004.
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Hepatocellular carcinoma: CT for tumor response after transarterial chemoembolization in patients exceeding Milan criteria--selection parameter for liver transplantation.肝细胞癌：米兰标准外患者经肝动脉化疗栓塞后肿瘤反应的 CT 评价--肝移植的选择参数。
Radiology. 2010 Apr;255(1):289-300. doi: 10.1148/radiol.09090927.
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[Modern sonography in the diagnosis of acute abdomen].[现代超声检查在急腹症诊断中的应用]
Radiologe. 2010 Mar;50(3):214-25. doi: 10.1007/s00117-009-1901-4.
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Evaluation of malignant liver tumors: biphasic MS-CT versus quantitative contrast harmonic imaging ultrasound.恶性肝肿瘤的评估：双期多层螺旋CT与定量对比谐波成像超声的比较
Z Gastroenterol. 2009 Dec;47(12):1195-202. doi: 10.1055/s-0028-1109396. Epub 2009 Dec 3.