季正标,张晖,俞清,王文平,徐智章.灰阶及彩色多普勒血流成像在甲状腺癌诊断中的应用[J].中国医学影像技术,2002,18(7):654~656
灰阶及彩色多普勒血流成像在甲状腺癌诊断中的应用
Gray-Scale and Color Doppler Flow Imaging in Diagnosis of Thyroid Carcinoma
投稿时间:2002-01-14  
DOI:
中文关键词:  甲状腺癌  灰阶超声  彩色多普勒血流成像
英文关键词:Thyroid carcinoma  Gray-scale sonography  Color Doppler flow imaging
基金项目:
作者单位
季正标 复旦大学附属中山医院超声诊断科,上海 200032 
张晖 复旦大学附属中山医院超声诊断科,上海 200032 
俞清 复旦大学附属中山医院超声诊断科,上海 200032 
王文平 复旦大学附属中山医院超声诊断科,上海 200032 
徐智章 复旦大学附属中山医院超声诊断科,上海 200032 
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中文摘要:
      目的 评价灰阶和彩色多普勒超声在甲状腺癌诊断中的作用。方法 分析经手术及病理证实89例甲状腺癌的98个病灶的灰阶及彩色多普勒声像图表现。结果 所有甲状腺癌肿超声显示59.1%(58/98)边界不清,76.5%(75/98)低回声或稍低回声,76.5%(75/98)内部回声不均,88.8%(87/98)无暗环,46.9%(46/98)内部出现微钙化点,95.9%(94/98)无液化,63.6%(14/22)内部出现丰富动脉血流,85.7%(18/21)阻力指数RI≥0.70。结论 根据肿瘤灰阶及彩色多普勒超声的特征性表现,有助于甲状腺癌的正确诊断。
英文摘要:
      Purpose To evaluate the value of ultrasonography in diagnosis of thyroid carcinoma. Methods Eighty-nine patients with 98 lesions confirmed by operation and pathology. The tumor characteristics of thyroid in gray-scale and color Doppler flow imaging (CDFI) were depicted. Results The ultrasonographic texture of all the lesions showed that there were unclear margin in 59.1%(58/98), hypoechoic pattern in 76.5%(75/98), inhomogeneity in 76.5%(75/98), absence of halo sign in 88.8%(87/98), microcalcification in 46.9%(46/98), no cystic degeneration in 95.9%(94/98). CDFI showed rich blood signal in 63.6%(14/22), resistance index RI≥0.70 in 85.7(18/21).Conclusion The ultrasonographic characteristics of tumor are helpful in diagnosis of thyroid carcinoma.
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