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肝硬化中的再生结节:超声表现与解剖学相关性

Regenerating nodules in cirrhosis: sonographic appearance with anatomic correlation.

作者信息

Freeman M P, Vick C W, Taylor K J, Carithers R L, Brewer W H

出版信息

AJR Am J Roentgenol. 1986 Mar;146(3):533-6. doi: 10.2214/ajr.146.3.533.

DOI:10.2214/ajr.146.3.533
PMID:3511637
Abstract

A sonographic-anatomic correlation study was undertaken to define the sonographic appearance of regenerating nodules in cirrhotic livers. Three cirrhotic livers with multiple regenerating nodules were obtained from patients undergoing liver transplantation. Sonograms of the resected livers were made and correlated directly with the anatomic specimens. Using a 3-MHz transducer, no discrete alterations in the echo texture of the livers were seen to correspond to the regenerating nodules. With a 7.5-MHz transducer, discrete islands of liver parenchyma were identified corresponding to regenerating nodules anatomically. The nodules were recognized because of visualization of thin, slightly more echogenic borders, which corresponded pathologically to fibrous and fatty connective tissue surrounding and separating the nodules.

摘要

进行了一项超声解剖相关性研究,以确定肝硬化肝脏中再生结节的超声表现。从接受肝移植的患者中获取了三个有多个再生结节的肝硬化肝脏。对切除的肝脏进行超声检查,并将其与解剖标本直接关联。使用3兆赫换能器时,未观察到肝脏回声纹理有与再生结节相对应的离散改变。使用7.5兆赫换能器时,在解剖学上确定了与再生结节相对应的离散肝实质岛。这些结节可被识别是因为可见薄的、回声略增强的边界,在病理上这对应于围绕并分隔结节的纤维和脂肪结缔组织。

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1
Regenerating nodules in cirrhosis: sonographic appearance with anatomic correlation.肝硬化中的再生结节:超声表现与解剖学相关性
AJR Am J Roentgenol. 1986 Mar;146(3):533-6. doi: 10.2214/ajr.146.3.533.
2
Regenerating nodules of liver cirrhosis: MR imaging with pathologic correlation.肝硬化再生结节:磁共振成像与病理对照
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Regenerating nodules in hepatic cirrhosis: MR findings with pathologic correlation.肝硬化中的再生结节:磁共振成像表现及其与病理的相关性
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[Siderotic regenerating nodules in liver cirrhosis--evaluation by gradient echo (FLASH) imaging 1.5T].[肝硬化中的含铁血黄素再生结节——1.5T梯度回波(FLASH)成像评估]
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MR imaging of liver cirrhosis.肝硬化的磁共振成像
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Nondysplastic nodules that are hyperintense on T1-weighted gradient-echo MR imaging: frequency in cirrhotic patients undergoing transplantation.在T1加权梯度回波磁共振成像上呈高信号的非发育异常结节:接受移植的肝硬化患者中的发生率
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Hepatic regenerating nodules in hereditary tyrosinemia.遗传性酪氨酸血症中的肝再生结节
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The expression of transforming growth factor-alpha in cirrhosis, dysplastic nodules, and hepatocellular carcinoma: an immunohistochemical study of 70 cases.转化生长因子-α在肝硬化、发育异常结节及肝细胞癌中的表达:70例免疫组织化学研究
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Comparison of ultrasound colored image views produced by application of statistical analysis of radio-frequency signals and histological findings in patients with chronic hepatitis C.
J Med Ultrason (2001). 2010 Apr;37(2):51-8. doi: 10.1007/s10396-009-0248-9. Epub 2009 Dec 11.
2
Sonographic characteristics of small hepatocellular carcinoma.小肝细胞癌的超声特征
Gastrointest Radiol. 1989 Summer;14(3):255-61. doi: 10.1007/BF01889210.
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Alcoholic liver disease: value of the left-to-right portal vein ratio in its sonographic diagnosis.酒精性肝病:门静脉左右支比值在其超声诊断中的价值
Gastrointest Radiol. 1991 Summer;16(3):215-20. doi: 10.1007/BF01887349.
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Focal ultrasound lesions in liver cirrhosis diagnosed as regenerating nodules by fine-needle biopsy. Follow-up of 12 cases.经细针穿刺活检诊断为肝硬化再生结节的肝脏局灶性超声病变。12例随访情况。
Dig Dis Sci. 1990 Apr;35(4):422-7. doi: 10.1007/BF01536913.