灰阶超声造影新技术对肝肿瘤诊断及射频治疗的应用价值.pdfVIP

3·26 · 中国医学影像技术2004 年第 20 卷第 3 期　Chin J Med Imaging Technol ,2004 ,Vol 20 ,No 3 New gray scale contrast ultrasound technique in liver neoplasms diagnosis and radiofrequency ablation application CHEN Minhua , YAN Kun , DAI Ying , SHEN Li , JIANG Xiaolong , YIN Shanshan ( ) Department of Ultrasound , School of Oncology , Peking University , Beijing 100036, China [ Abstract] 　Objective 　To investigate the role of new contrast agent ( SonoVue) and real time grayscale contrast tuned imaging (CnTI) in the evaluation of the perfusion and echogenicity of liver neoplasms and to discuss the diagnos tic value and radiofrequency ablation application. Methods 　Thirtyfive patients with unconfirmed liver neoplasms were enrolled in our study. Nine of them were diagnosed clinically , while the other 26 cases with pathological evidence through surgery or needle biopsy. Twentythree were hepatocellular carcinoma ( HCC) , 5 were liver metastases , and 7 were benign diseases. Fourteen of the 28 malignant cases were examined before radiofrequency ablation ( RFA) of the liver neoplasms. Results 　Among the 23 cases of typical HCC , 21 (91. 3 %) presented with early artery enhancement and immediate washout , while the other 2 cases of small ( 2 cm) hyperdifferentiated HCC washed out slowly. The enhancement pattern of 5 liver metastastic cases was diverse , including peripheral or various degree enhancement in the arterial or portal phase with slow or fast washout. The 3 cases of haemangioma were enhanced centripetally in portal phase and was