剪切波弹性成像鉴别不均质颈动脉斑块不同回声区域硬度差异的可行性研究.pdfVIP

超声影像学 ULTRASONIC IMAGING - 423 - 剪切波弹性成像鉴别不均质颈动脉斑块不同回 声区域硬度差异的可行性研究 申宜昊饶宛婷邹葵花张雪莹沈思航陶秀红邢晋放 【摘要】目的：探讨运用剪切波弹性成像（SWE ）技术定量鉴别不均质性颈动脉粥样硬化斑块（HCAP）内 部不同回声区域硬度差异的可行性。方法：通过二维灰阶超声筛选HCAP，依据回声强度将斑块内回声分为 相对高回声、相对等回声和相对低回声3个区域。对斑块进行SWE检查，选取质量合格的图像进行定量分 析，分别测量斑块内3个区域的硬度，保证每个区域测量感兴趣区面积相同，测量指标为剪切波弹性定量值 （SWQ)。结果：定量分析HCAP37个，斑块内高回声区SWQ与等回声区差异有统计学意义（P0.05），斑 块内高回声区SWQ与低回声区差异有统计学意义（P0.05），斑块内等回声区SWQ与低回声区差异有统计学 意义（P0.05)。结论：SWE可以定量区分HCAP内不同回声强度区的硬度差异，有望成为一项精准评估颈 动脉斑块稳定性的临床新技术。 【关键词】剪切波弹性成像；颈动脉粥样硬化斑块；回声强度；硬度 中图分类号：R445.1 文献标志码：A文章编号：1006-5741(2022)04-0423-04 Feasibility Study of Using Shear Wave Elastography to Identify Stiffness Differences in Different Echogenic Regions of Heterogeneous Carotid Plaques SHEN Yihao, RAO Wanting, ZOU Kuihua, ZHANG Xueying, SHEN Sihang, TAO Xiuhong, XING Jinfang [Abstract) Purpose: To investigate the feasibility of using the shear wave elastography (SwE) technique to quantitatively identify differences in stifness of different echogenic regions within heterogeneous carotid atherosclerotic plaques (HCAP).Methods: HCAP was screened by two-dimensional gray-scale ultrasound, and the intraplaque echogenicity was divided into three regions ofrelative high echogenicity, relative isoechogenicity, and relative hypo-echogenicity based on echogenicity. The plaques were examined by SWE, and the images with qualified quality were selected for quantitative analysis. The stifness of the three regions within the plaques was measured separately to ensure the same area of the region of interest for each region measurement, and the measurement index was the shear wave elasticity quantification value (SWQ).Results: Thirty-seven HCAPs were qu