School of Biomedical Engineering and Medical Imaging, Hubei University of Science and Technology, Xianning 437100, China.
The First Affiliated Hospital of Hubei University of Science and Technology, Xianning 437100, China.
J Healthc Eng. 2022 Apr 12;2022:4600751. doi: 10.1155/2022/4600751. eCollection 2022.
This paper proposes the effect of contrast-enhanced ultrasound combined with real-time elastic imaging technology in the differential diagnosis of salivary gland tumors. 200 patients were selected, including 120 males and 60 females. The age ranged from 9 to 83 years, with an average of 55.4 years. Among the 200 cases, there were 90 cases of single parotid gland on the right, 77 cases of single parotid gland on the left, 2 cases of bilateral (single parotid gland on each side), 2 cases of multiple parotid gland on the right (2 lesions), 1 case of 2 lesions on the left and 1 lesion on the right, and 1 case of multiple parotid gland on the left (4 lesions). 135 cases were located in the superficial lobe (78%) and 38 cases (22%) in the deep lobe of parotid gland. The ARIETTA 70 color Doppler ultrasound diagnostic instrument is used. The equipment is equipped with high-frequency contrast probe, real-time elastic imaging technology, and related software. The results showed that the detection rate of salivary gland tumors by ultrasound was 100% and the diagnostic coincidence rate was 71% (123/173). Ultrasound can not only identify the tumors in and around the parotid gland but also identify the location, size, and internal structure of the tumors. Combined with CDFI, it can make qualitative diagnosis of most benign and malignant salivary gland tumors and provide help for clinical treatment and operation plan. It is proved that contrast-enhanced ultrasound and real-time elastic imaging technology have advantages over gray-scale ultrasound in differentiating benign and malignant superficial enlarged lymph nodes, and the combined use can effectively improve the diagnostic efficiency.
本研究旨在探讨超声造影联合实时弹性成像技术在唾液腺肿瘤鉴别诊断中的应用价值。选取 200 例患者,男 120 例,女 60 例,年龄 9~83 岁,平均年龄 55.4 岁。其中右侧单腮腺 90 例,左侧单腮腺 77 例,双侧 2 例(双侧各单腮腺 1 例),右侧多腮腺 2 例(2 个病灶),左侧 2 个病灶 1 例,右侧 1 个病灶 1 例,左侧多腮腺 4 个病灶 1 例。位于腮腺浅叶 135 例(78%),位于腮腺深叶 38 例(22%)。采用 ARIETTA 70 彩色多普勒超声诊断仪,仪器配备高频对比探头,实时弹性成像技术及相关软件。结果显示,超声对唾液腺肿瘤的检出率为 100%,诊断符合率为 71%(123/173)。超声不仅能识别腮腺内及周围的肿瘤,还能识别肿瘤的位置、大小和内部结构。结合 CDFI 可对大多数良性和恶性唾液腺肿瘤进行定性诊断,为临床治疗及手术方案提供帮助。证实超声造影联合实时弹性成像技术在鉴别良恶性腮腺表面肿大淋巴结方面具有优势,两者联合应用可有效提高诊断效能。