术前评估中通过对供血动脉进行超微血管成像评估颈动脉体瘤

Assessment of Carotid Body Tumors by Superb Microvascular Imaging of Feeding Arteries During Preoperative Evaluation.

作者信息

Gao Luying, Zhang Xiaoyan, Jiang Yuxin, Wang Hongyan, Zheng Yuehong, Li Wanying, Li Jianchu, Zhang Bo

机构信息

Department of Ultrasound, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Department of Vascular Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Front Surg. 2022 Apr 26;9:816768. doi: 10.3389/fsurg.2022.816768. eCollection 2022.

DOI:10.3389/fsurg.2022.816768

PMID:35558392

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9090302/

Abstract

PURPOSE

Superb microvascular imaging (SMI) has led to new advances in vascular imaging applications. This study aimed to explore the blood supply and feeding arteries of carotid body tumors (CBTs) on SMI to improve the accuracy of information available to surgeons.

METHODS

Twenty-six CBT lesions were subjected to color Doppler flow imaging (CDFI) and SMI and were later confirmed by pathology. The blood flow patterns and feeding arteries of the CBTs on CDFI and SMI were graded and compared.

RESULTS

The feeding arteries of two CBT lesions, which were not visible on CDFI, were identified as the internal carotid artery (ICA) on SMI. The feeding arteries of three CBTs were judged to stem from both the ICA and the external carotid artery (ECA) (MIX) based on SMI compared to the ICA or ECA on CDFI. We classified the feeding arteries of CBTs as originating from the ICA or others (including the ECA and MIX). One hundred percent (3/3) of the CBT lesions stemming from the ICA had Adler I or Adler II blood flow patterns, and 100% (23/23) of the CBT lesions stemming from other arteries had Adler II or Adler III blood flow patterns. Higher Adler categories were assigned based on SMI than CDFI ( < 0.001).

CONCLUSION

SMI may be superior to CDFI in detecting the vascularity of CBTs, and SMI revealed more potential feeding arteries of CBTs than CDFI. CBTs originating from the ICA are less vascular than those originating from the ECA.

摘要

目的

超微血管成像（SMI）推动了血管成像应用的新进展。本研究旨在探讨颈动脉体瘤（CBT）在SMI上的血供及供血动脉，以提高外科医生可获得信息的准确性。

方法

对26个CBT病变进行彩色多普勒血流成像（CDFI）和SMI检查，随后经病理证实。对CDFI和SMI上CBT的血流模式和供血动脉进行分级并比较。

结果

2个CBT病变的供血动脉在CDFI上不可见，在SMI上被确定为颈内动脉（ICA）。与CDFI上的ICA或颈外动脉（ECA）相比，基于SMI判断3个CBT的供血动脉来自ICA和ECA两者（混合型）。我们将CBT的供血动脉分类为源自ICA或其他（包括ECA和混合型）。源自ICA的CBT病变中有100%（3/3）具有Adler I或Adler II血流模式，源自其他动脉的CBT病变中有100%（23/23）具有Adler II或Adler III血流模式。基于SMI分配的Adler类别高于CDFI（<0.001）。