Leung Kwok-Yin, Wan Yung-Liang
Gleneagles Hospital Hong Kong, Hong Kong, China.
Department of Medical Imaging and Intervention, Linkou Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 333423, Taiwan.
Life (Basel). 2022 Jan 31;12(2):226. doi: 10.3390/life12020226.
Color flow imaging (CFI), being non-invasive, is commonly used in obstetrics to study the fetal and placental circulations. The conventional CFI modes include color Doppler flow imaging (CDFI) and power Doppler imaging (PDI). In recent years, there is increasing use of new modes, including high-definition flow imaging (HDFI), radiant flow, microvascular flow imaging (MVFI), and three-/four-dimensional rendering in glass-body mode. Compared to CDFI, HDFI can show a higher resolution and sensitivity and allow the detection of slower flows. MVFI increases the sensitivity to fine or low-flow vessels while producing little or no motion artifacts. Radiant flow shows the blood flow with a sense of depth and reduces blood overflow. Glass-body mode, showing both gray-scale and color-flow information, can demonstrate the heart-cycle-related flow events and the vessel spatial relationship. In this review, the characteristics and applications of the various CFI modes in obstetrics are discussed. In particular, how these new technologies are integrated in detailed diagnostic and early morphology scans is presented.
彩色血流成像(CFI)具有非侵入性,在产科中常用于研究胎儿和胎盘循环。传统的CFI模式包括彩色多普勒血流成像(CDFI)和能量多普勒成像(PDI)。近年来,新模式的应用越来越多,包括高清血流成像(HDFI)、辐射血流、微血管血流成像(MVFI)以及玻璃体模式下的三维/四维渲染。与CDFI相比,HDFI能显示更高的分辨率和灵敏度,并能检测到较慢的血流。MVFI提高了对细小或低流量血管的敏感性,同时产生很少或不产生运动伪像。辐射血流能显示具有深度感的血流并减少血液外溢。玻璃体模式同时显示灰阶和彩色血流信息,可展示与心动周期相关的血流事件和血管空间关系。在本综述中,讨论了各种CFI模式在产科中的特点和应用。特别介绍了这些新技术如何整合到详细的诊断和早期形态学扫描中。