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经直肠超声相关伪像综述:对误判的理解、识别及预防

Review of artifacts associated with transrectal ultrasound: understanding, recognition, and prevention of misinterpretation.

作者信息

Hulsmans F J, Castelijns J A, Reeders J W, Tytgat G N

机构信息

Department of Diagnostic Radiology, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

J Clin Ultrasound. 1995 Oct;23(8):483-94. doi: 10.1002/jcu.1870230805.

DOI:10.1002/jcu.1870230805
PMID:7499519
Abstract

Artifacts are inadequate representations of the structures being imaged. Transrectal ultrasound (TRUS) used for evaluating rectal tumors has its own, unique spectrum of artifacts such as (1) pseudomasses (beam thickness: imaging of rectal folds; mirror image: reflection at an intraluminal fluid level); (2) inadequate size of the lesion (mirror image or grating lobes); (3) simulation of malignant infiltration (beam thickness, attenuation or refraction); (4) incomplete field of view (shadowing; reverberation or mirror-image); (5) confusing echo patterns (side lobe artifacts or mirror image: reflection at the balloon surface). The understanding of the physical properties of ultrasound is the basis for the recognition of these artifacts and prevention of misinterpretation. We present a review of these artifacts and their causes.

摘要

伪像指成像结构的不充分表现。用于评估直肠肿瘤的经直肠超声(TRUS)有其自身独特的伪像类型,例如:(1)假肿块(束宽:直肠皱襞成像;镜像:腔内液平面反射);(2)病变大小测量不准确(镜像或栅瓣);(3)模拟恶性浸润(束宽、衰减或折射);(4)视野不完整(声影;混响或镜像);(5)回声模式混淆(旁瓣伪像或镜像:球囊表面反射)。理解超声的物理特性是识别这些伪像并防止误判的基础。我们对这些伪像及其成因进行综述。

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Mirror artifacts in obstetric ultrasound: case presentation of a ghost twin during the second-trimester ultrasound scan.产科超声中的镜像伪像:一例中孕期超声检查时的“鬼影”双胎。
Fetal Diagn Ther. 2013;34(4):248-52. doi: 10.1159/000353702. Epub 2013 Sep 17.
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Indian J Gastroenterol. 2012 Jun;31(3):151-2. doi: 10.1007/s12664-012-0207-z.