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犬皮下肿块和结节性病变的B型血流成像及超声造影（CEUS）特征

B-Flow and Contrast-Enhanced Ultrasound (CEUS) Features of Subcutaneous Masses and Nodular Lesions in Dogs.

作者信息

De Bonis Andrea, Simeoni Francesco, Paolini Andrea, Rosto Martina, Del Signore Francesca, Bongiovanni Laura, Bianchi Amanda, Tamburro Roberto, Vignoli Massimo

机构信息

Faculty of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy.

Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, 3584CT Utrecht, The Netherlands.

出版信息

Vet Sci. 2024 Oct 21;11(10):516. doi: 10.3390/vetsci11100516.

DOI:10.3390/vetsci11100516
PMID:39453108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512324/
Abstract

Subcutaneous lesions in dogs are common in clinical practice. This prospective clinical study aims to compare B-flow and CEUS for the characterization of subcutaneous lesions evaluating their usefulness to distinguish benign subcutaneous lesions from malignant ones. Dogs were enrolled and ultrasound cine-loops were achieved in B-mode, Colour Doppler, Power Doppler, B-flow and CEUS. Lesions vascularisation highlighted through B-flow and CEUS were classified into five patterns: P1, absence of contrast uptake; P2, enhancement only in the peripheral area of the lesion; P3, thin (<2 mm) and few vessels (<5/field); P4, thicker (>2 mm) and more numerous vessels (>5/field); P5 enhancement with a reticular aspect and both thick and thin bands inside. Patterns highlighted with B-flow and CEUS were compared to a histological diagnosis of subcutaneous lesions. A total of 24 dogs and 30 subcutaneous nodules were included and divided into three groups: 3 non-neoplastic, 16 benign tumours and 11 malignant tumours. There was a statistically significant difference for B-flow and CEUS to differentiate benign tumours from malignant tumours. B-flow and CEUS had an excellent agreement. B-flow and CEUS displayed similar ability to evaluate different patterns and could be helpful in the evaluation of subcutaneous nodules.

摘要

犬皮下病变在临床实践中很常见。这项前瞻性临床研究旨在比较B-flow和CEUS对皮下病变的特征描述，评估它们在区分良性与恶性皮下病变方面的实用性。纳入犬只并在B模式、彩色多普勒、能量多普勒、B-flow和CEUS下获取超声动态图像。通过B-flow和CEUS突出显示的病变血管化分为五种模式：P1，无造影剂摄取；P2，仅在病变周边区域增强；P3，细（<2 mm）且血管少（<5/视野）；P4，粗（>2 mm）且血管多（>5/视野）；P5，呈网状增强且内部有粗细不等的条带。将B-flow和CEUS突出显示的模式与皮下病变的组织学诊断进行比较。共纳入24只犬和30个皮下结节，并分为三组：3个非肿瘤性、16个良性肿瘤和11个恶性肿瘤。B-flow和CEUS在区分良性肿瘤与恶性肿瘤方面存在统计学显著差异。B-flow和CEUS具有极好的一致性。B-flow和CEUS在评估不同模式方面显示出相似的能力，并且有助于皮下结节的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/fc0373b8dc09/vetsci-11-00516-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/2b7ee4a1aaea/vetsci-11-00516-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/3561a6825c8b/vetsci-11-00516-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/fc0373b8dc09/vetsci-11-00516-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/2b7ee4a1aaea/vetsci-11-00516-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/3561a6825c8b/vetsci-11-00516-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/185f/11512324/fc0373b8dc09/vetsci-11-00516-g003.jpg

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本文引用的文献

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Animals (Basel). 2024 Jan 19;14(2):312. doi: 10.3390/ani14020312.
2
Ultrasound-Based Technologies for the Evaluation of Testicles in the Dog: Keystones and Breakthroughs.基于超声技术评估犬睾丸：关键要点与突破
Vet Sci. 2023 Dec 1;10(12):683. doi: 10.3390/vetsci10120683.
3
Clinical Applications of B-Flow Ultrasound: A Scoping Review of the Literature.B 型血流超声的临床应用：文献综述
Diagnostics (Basel). 2023 Jan 21;13(3):397. doi: 10.3390/diagnostics13030397.
4
B-Mode and Contrast-Enhanced Ultrasonography Aspects of Benign and Malignant Superficial Neoplasms in Dogs: A Preliminary Study.犬良性和恶性浅表肿瘤的B超和超声造影检查：一项初步研究
Animals (Basel). 2022 Oct 14;12(20):2765. doi: 10.3390/ani12202765.
5
Characterization of Testicular Tumor Lesions in Dogs by Different Ultrasound Techniques.不同超声技术对犬睾丸肿瘤病变的特征分析
Animals (Basel). 2022 Jan 17;12(2):210. doi: 10.3390/ani12020210.
6
Malignancy prediction of cutaneous and subcutaneous neoplasms in canines using B-mode ultrasonography, Doppler, and ARFI elastography.基于 B 型超声、多普勒和 ARFI 弹性成像技术对犬皮肤及皮下肿瘤良恶性的预测。
BMC Vet Res. 2022 Jan 3;18(1):10. doi: 10.1186/s12917-021-03118-y.
7
B-Mode and Contrast Enhanced Ultrasonography Features of Gastric Inflammatory and Neoplastic Diseases in Dogs.犬胃炎性和肿瘤性疾病的B超及超声造影特征
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8
Small Subcutaneous Soft Tissue Tumors (<5 cm) Can Be Sarcomas and Contrast-Enhanced Ultrasound (CEUS) Is Useful to Identify Potentially Malignant Masses.直径小于 5 厘米的小型皮下软组织肿瘤也可能是肉瘤，而超声造影（CEUS）有助于识别潜在的恶性肿块。
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Drivers to adopting B-flow ultrasonography:contextualizing the integrated technology acceptance model.采用 B -flow 超声检查的驱动因素：整合技术接受模型的背景。
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