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一种使用超声造影剂声诺维确定肝段的新方法。

A novel method to determine hepatic segments using Sonazoid, an ultrasound contrast agent.

作者信息

Ham Taehyuk, Jeon Joo Hee, Roh Younghoon, Lee Sungwook, Lee Sangyoon, Kwon Heejin, Cho Jin Han

机构信息

Department of Radiology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea.

Department of Surgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea.

出版信息

Ultrasonography. 2020 Jan;39(1):94-101. doi: 10.14366/usg.19020. Epub 2019 Jul 21.

DOI:10.14366/usg.19020
PMID:31786906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6920615/
Abstract

The conventional radiologic method for liver segmentation is based on the position of the hepatic and portal veins. However, during surgery, liver segments are resected based on the distribution of hepatic portal blood flow. This discrepancy can lead to a number of problems, such as miscommunication among clinicians, missing the location of the segment with the hepatic mass, and the risk of extended hepatic resection. We suggest a novel method to determine hepatic segments based on portal blood flow, as in the surgical approach, but by using high and low mechanical indexes in contrast-enhanced ultrasonography with Sonazoid. This approach is helpful for preoperatively determining hepatic segments and reducing the risk of missing the location of a hepatic tumor or extended hepatic resection.

摘要

传统的肝脏分割放射学方法是基于肝静脉和门静脉的位置。然而，在手术过程中，肝段是根据肝门静脉血流分布进行切除的。这种差异可能导致一些问题，如临床医生之间的沟通不畅、遗漏肝肿块所在肝段的位置以及扩大肝切除的风险。我们提出一种基于门静脉血流来确定肝段的新方法，如同手术方法一样，但通过在使用声诺维的超声造影中采用高、低机械指数。这种方法有助于术前确定肝段，并降低遗漏肝肿瘤位置或扩大肝切除的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/b13cee9f1bec/usg-19020f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/51ebb4343cc8/usg-19020f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/8e3f1ef9d105/usg-19020f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/47c2b43174c1/usg-19020f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/9d5a61b4d8f2/usg-19020f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/b13cee9f1bec/usg-19020f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/51ebb4343cc8/usg-19020f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/8e3f1ef9d105/usg-19020f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/47c2b43174c1/usg-19020f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/9d5a61b4d8f2/usg-19020f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ab/6920615/b13cee9f1bec/usg-19020f5.jpg

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Contrast-enhanced ultrasonography: advance and current status in abdominal imaging.超声造影：腹部影像学的进展与现状。
Ultrasonography. 2015 Jan;34(1):3-18. doi: 10.14366/usg.14034. Epub 2014 Sep 12.
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Liver segmentation: practical tips.肝脏分割：实用技巧。
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多普勒超声在甲状腺疾病中的临床应用：韩国甲状腺放射学会共识声明
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