造影增强内镜超声在胰腺疾病诊治中的作用.ppt

**Figure1.EUSimageshowinghypoechoicmass(arrow)intheuncinateprocess(dashedline);scanningisfromduodenum;noperfusionsignalsvisible.Figure2.EUSimageinsamepatientasFigure1afterinjectionofFS069(Optison).Thereisamarkedincreaseinsignalintensityinthesurroundingtissue,butstillnopower-Dopplersignalsvisibleinthemass(surgicallyprovenpancreaticadenocarcinoma).*Figure3.EUSimageofhypoechoiclesion(arrow)inthepancreaticbody(dashedline)visualizedfromstomach.Figure4.EUSimageinsamepatientasFigure3,20secondsaftertheinjectionof1mLofFS069(Optison).Thereismassiveenhancementofthecolorsignalscomparedwithsurroundingtissue.Noteenhancementofvesselsinstomachwall.ThePRFandthewallfiltersettingshadtoberaisedtoreduceartifacts.Duringfollow-upthelesiondisappearedanditwasjudgedtohavebeenaninflammatorypseudotumor.*Figure1作者总共入组51例患者，其中肿块型胰腺炎19例，PDAC32例。StatisticaldistributionofTIC-relatedparameterswithinthetwolots.(a)Distributionofmedianintensitiesbetweenthetwopathologies.(b)Distributionofthemaximumintensitieswithinthetwolots.(c)Mediantimestopeakforthetwopathologies.(d)AreaunderthecurveforthetwocorrespondingTICs.Legend:a.u.=arbitraryunits;CP=chronicpancreatitis;PA=pancreaticadenocarcinoma;Imax=maximumintensity;TTP=timetopeak;AUC=areaunderthecurve.*Figure2ExampleofCEH-EUSandTICofpseudotumoralchronicpancreatitis.(a)Pseudotumoralchronicpancreatitis.(b)GraphicalrepresentationoftheTICtrendlinefortheROIcorrespondingtotheinflammatorymassreferencedtotheparenchymabaseline.*Figure3ExampleofCEH-EUSandTICofpancreaticadenocarcinoma.(a)Pancreaticadenocarcinoma.(b)GraphicalrepresentationoftheTICtrendlinefortheROIcorrespondingtothetumorreferencedtotheparenchymabaseline.*、造影增强内镜超声

在胰腺疾病诊治中的作用造影增强超声的发展静脉造影剂最早用于心血管疾病超声检查，以增强