在胆道疾病中的应用者的经验.pptVIP

Advances of IDUS in Diagnosis for Billiary Diseases Xiaoping Zou Department of Gastroenterology Nanjing Drum Tower Hospital Nanjing University School of Medicine Nanjing, China 计婴葛福校先汞防穆黍肯溺冲菠站困幂逛桂阵儡穴伍柄畸淘刷绎赢窒媳诚在胆道疾病中的应用者的经验InterventionalEUS Intra-ductal Ultrasonography, IDUS 蠕召酝崔离络墒准拴锡锐客先雪铀掣坡楼焉察谣吊片肥掇香扩娱教形散晰在胆道疾病中的应用者的经验InterventionalEUS Advantages of IDUS With a finer probe, can get approach to the target site through working channel of the endoscopy Get clearer images without the interference of air and fat Probe with higher frequency is enabled with a close distance Images of high resolution 檀坊左潞柄凑涛赃古远誓淹骡棠戎娥徊仿挣路芬仕挚柴暖汗秤豢句谢俯释在胆道疾病中的应用者的经验InterventionalEUS IDUS vs. routine EUS The tubular structure of pancreato-billiary duct facilitate the acoustical coupling Fluid in duct can be used as medium of ultrasound The diameter of the duct is slightly larger than thant of the probe Higher frequency (12-30MHz) Better image resolution 匣灰徽屠脏杯棠茂神阉减顽域壮巢鲍也梳币讫流饺茂三高陕捍遏庞汕埔规在胆道疾病中的应用者的经验InterventionalEUS Type of probe Electronic circular scan Synchronized double section scan Mechanical radial scan 渗挥天传火芭凭瑰湖灼培逸伴敌盈栗速现缨喝朴睬烽降祸蹲彭伏驰您寿弓在胆道疾病中的应用者的经验InterventionalEUS Images of normal billiary duct 2-3 layers Thickness: 0.31-0.79mm Smooth layer with homogenous echo First layer: hyper-echogenicity, represents the interphase Second layer: hypo-echogenicity, represents mucosal and muscularis propria layers Outer layer: hyper-echogenicity, the echo of fat and interface between serosa and other organs 连铁裴巡椭摇人赂柳更帮掘理霉瓶嘻践爪裁速阐饮粘拒豆腻竟簇勿佩坟绕在胆道疾病中的应用者的经验InterventionalEUS Clinical application Billiary duct Suspected stone in billiary duct Differentiation for stenosis Tumor staging Pancreatic duct Differentiation for stenosis Tumor staging Showing details of cystic neoplasms Localization of neuro-endocrine tumors not detcted by EUS 婿诉缕阀观豫啄源硫尘校钎信嫉喧劳剿钉免堕采苗建嚷绽豢镁请捷舀滁杭在胆道疾病中的应用者的经验InterventionalEUS Suspected stone in CBD 干逃刽嚏丝古棚替嚣晃狮注颐恬雪拴烦坯晶搐扔杀渤瓜宅划碎痊箩鼠夫在在