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解析超声造影与CT/MRI在肝脏肿块诊断中的差异

Unraveling distinctions between contrast-enhanced ultrasound and CT/MRI for liver mass diagnosis.

作者信息

Murad Vanessa, Jang Hyun-Jung, Kim Tae Kyoung

机构信息

University Medical Imaging Toronto, Joint Department of Medical Imaging - University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, Canada.

出版信息

Ultrasonography. 2025 Jan;44(1):19-30. doi: 10.14366/usg.24163. Epub 2024 Oct 16.

Abstract

Contrast-enhanced ultrasound (CEUS) offers a distinctive approach to liver mass diagnosis by utilizing intravenous contrast agents for enhanced visualization of vascular structures and tissue characterization. This review highlights the unique advantages of CEUS compared to computed tomography (CT) and magnetic resonance imaging (MRI), particularly focusing on the Liver Imaging Reporting and Data System framework. Key differences include CEUS's realtime imaging capability, which minimizes arterial phase mistiming and improves detection of hyperenhancing lesions, and its ability to provide detailed washout patterns. Also, CEUS's intravascular nature and lower risk of adverse reactions make it a safer alternative for patients with renal impairment or those contraindicated for CT/MRI.

摘要

超声造影(CEUS)通过静脉注射造影剂来增强血管结构的可视化和组织特征,为肝脏肿块的诊断提供了一种独特的方法。本综述强调了CEUS相对于计算机断层扫描(CT)和磁共振成像(MRI)的独特优势,尤其聚焦于肝脏影像报告和数据系统框架。关键差异包括CEUS的实时成像能力,它可将动脉期时间误差降至最低并改善对高增强病变的检测,以及其提供详细洗脱模式的能力。此外,CEUS的血管内特性和较低的不良反应风险使其成为肾功能不全患者或CT/MRI禁忌患者更安全的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b398/11717683/66ea0c48597c/usg-24163f1.jpg

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