Department of Internal Medicine, Asklepios Klinikum Uckermark, Schwedt, Germany.
J Ultrasound Med. 2011 Sep;30(9):1281-93. doi: 10.7863/jum.2011.30.9.1281.
This pictorial essay will review and discuss the aspects of differential diagnosis with splenic sonography, including recent literature and exemplary pictorial sonographic cases. Although the spleen is well evaluated by computed tomography and magnetic resonance imaging, sonography has certain advantages, including its ubiquitous availability, lack of ionizing radiation, and low cost. Sonography of the spleen plays an important role in emergency diagnosis of splenic rupture and hemorrhage. The additional use of contrast-enhanced sonography can improve the diagnostic validity. Depending on the indication, sonography of the spleen is especially important for oncologic differential diagnosis of focal lesions, follow-up examinations, and image guidance of therapeutic interventions.
本影像学专题文章将回顾和讨论脾脏超声的鉴别诊断方面，包括最新文献和典型的超声影像学病例。虽然计算机断层扫描和磁共振成像对脾脏的评估效果良好，但超声具有一定的优势，包括广泛的可用性、无电离辐射和低成本。脾脏超声在脾破裂和出血的急诊诊断中发挥着重要作用。额外使用超声造影可以提高诊断的有效性。根据适应证的不同，脾脏超声对于局灶性病变的肿瘤学鉴别诊断、随访检查以及治疗干预的影像学引导尤其重要。
