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超声造影在评估胎盘发育和功能中的应用。

Contrast-enhanced ultrasound for the assessment of placental development and function.

机构信息

Division of Reproductive & Developmental Sciences, Oregon National Primate Research Center, Oregon Health & Science University, Portland, OR 97006, USA.

Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR 97123, USA.

出版信息

Biotechniques. 2020 Nov;69(5):392-399. doi: 10.2144/btn-2020-0069. Epub 2020 Sep 4.

DOI:10.2144/btn-2020-0069
PMID:32883092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7669649/
Abstract

The use of contrast agents as signal enhancers during ultrasound improves visualization and the diagnostic utility of this technology in medical imaging. Although widely used in many disciplines, contrast ultrasound is not routinely implemented in obstetrics, largely due to safety concerns of administered agents for pregnant women and the limited number of studies that address this issue. Here the microbubble characteristics that make them beneficial for enhancement of the blood pool and the quantification of real-time imaging are reviewed. Literature from pregnant animal model studies and safety assessments are detailed, and the potential for contrast-enhanced ultrasound to provide clinically relevant data and benefit our understanding of early placental development and detection of placental dysfunction is discussed.

摘要

在超声检查中使用对比剂作为信号增强剂可以提高该技术在医学成像中的可视化效果和诊断效用。尽管对比超声在许多学科中得到广泛应用,但在妇产科中并未常规实施,这主要是由于对孕妇使用的给药对比剂的安全性顾虑以及针对该问题的研究数量有限。本文综述了使微泡有益于增强血池和实时成像定量的特性。详细介绍了来自妊娠动物模型研究和安全性评估的文献,并讨论了对比增强超声提供临床相关数据的潜力及其对早期胎盘发育和胎盘功能障碍检测的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/3329b98d73a1/btn-69-392-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/434e87000d00/btn-69-392-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/4506ad37c086/btn-69-392-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/3329b98d73a1/btn-69-392-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/434e87000d00/btn-69-392-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/4506ad37c086/btn-69-392-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd2b/7686531/3329b98d73a1/btn-69-392-g3.jpg

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Contrast-enhanced ultrasound for the assessment of placental development and function.超声造影在评估胎盘发育和功能中的应用。
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2
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引用本文的文献

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Controversies in contrast-enhanced ultrasound (CEUS): pregnancy, paediatric, abdominal trauma, complex renal cysts, and endovascular aortic repair follow-up.超声造影(CEUS)的争议:妊娠、儿科、腹部创伤、复杂性肾囊肿及血管内主动脉修复随访
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本文引用的文献

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Assessment of uteroplacental vascularisation in early first-trimester pregnancy with contrast-enhanced ultrasound and 3D power Doppler angiography: protocol for a prospective, cross-sectional, multicentre and non-randomised open study ("HOPE Study").早孕期经阴道超声造影及三维能量多普勒血管成像评估子宫胎盘血流灌注:一项前瞻性、横断面、多中心、非随机开放研究方案(“HOPE 研究”)。
BMJ Open. 2019 Sep 11;9(9):e030353. doi: 10.1136/bmjopen-2019-030353.
2
Maternal High-Fat Diet Consumption and Chronic Hyperandrogenemia Are Associated With Placental Dysfunction in Female Rhesus Macaques.母鼠高脂肪饮食摄入和慢性高雄激素血症与雌性恒河猴胎盘功能障碍有关。
Endocrinology. 2019 Aug 1;160(8):1937-1949. doi: 10.1210/en.2019-00149.
3
Safety of contrast-enhanced ultrasound using microbubbles in human pregnancy: A scoping review.
使用微泡的超声造影剂在人类妊娠中的安全性:一项范围综述。
Ultraschall Med. 2025 Jun;46(3):259-269. doi: 10.1055/a-2351-0747. Epub 2024 Jun 24.
4
Maternal-fetal cross-talk via the placenta: influence on offspring development and metabolism.母体-胎儿通过胎盘的交流:对子代发育和代谢的影响。
Development. 2023 Oct 15;150(20). doi: 10.1242/dev.202088. Epub 2023 Oct 13.
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Ultrasound Med Biol. 2023 Dec;49(12):2557-2564. doi: 10.1016/j.ultrasmedbio.2023.08.021. Epub 2023 Sep 24.
6
Placental assessment using spectral analysis of the envelope of umbilical venous waveforms in sheep.利用羊脐带静脉血流包络谱分析进行胎盘评估。
Placenta. 2023 Oct;142:119-127. doi: 10.1016/j.placenta.2023.08.072. Epub 2023 Sep 6.
7
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