Med. Klinik 2, Caritas-Krankenhaus, 97980 Bad Mergentheim, Germany.
World J Gastroenterol. 2013 Aug 14;19(30):4850-60. doi: 10.3748/wjg.v19.i30.4850.
Conventional ultrasound (US) is the recommended imaging method for lymph node (LN) diseases with the advantages of high resolution, real time evaluation and relative low costs. Current indications of transcutaneous ultrasound and endoscopic ultrasound include the detection and characterization of lymph nodes and the guidance for LN biopsy. Recent advances in US technology, such as contrast enhanced ultrasound (CEUS), contrast enhanced endoscopic ultrasound (CE-EUS), and real time elastography show potential to improve the accuracy of US for the differential diagnosis of benign and malignant lymph nodes. In addition, CEUS and CE-EUS have been also used for the guidance of fine needle aspiration and assessment of treatment response. Complementary to size criteria, CEUS could also be used to evaluate response of tumor angiogenesis to anti-angiogenic therapies. In this paper we review current literature regarding evaluation of lymphadenopathy by new and innovative US techniques.
传统超声（US）是推荐用于淋巴结（LN）疾病的成像方法，具有高分辨率、实时评估和相对较低成本的优点。经皮超声和内镜超声的当前适应证包括检测和描述淋巴结以及引导 LN 活检。超声技术的最新进展，如对比增强超声（CEUS）、对比增强内镜超声（CE-EUS）和实时弹性成像，显示出提高超声对良恶性淋巴结的鉴别诊断准确性的潜力。此外，CEUS 和 CE-EUS 还用于指导细针抽吸和评估治疗反应。除了大小标准外，CEUS 还可用于评估肿瘤血管生成对抗血管生成治疗的反应。本文我们回顾了关于新的和创新的超声技术评估淋巴结疾病的当前文献。
