顾继英,陈惠莉,许小云,杜联芳,白敏,苏一巾.超声造影对甲状腺肿块诊断价值的初步探讨[J].中国医学影像技术,2008,24(7):1018~1020 |
超声造影对甲状腺肿块诊断价值的初步探讨 |
Initial research for the diagnostic value of thyroid mass with contrast-enhanced ultrasound |
投稿时间:2008-01-25 修订日期:2008-03-24 |
DOI: |
中文关键词: 甲状腺疾病 超声检查 造影剂 |
英文关键词:Thyroid diseases Ultrasonography Contrast media |
基金项目:上海市自然科学基金资助项目(05ZR14087)。 |
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中文摘要: |
目的 初步探讨超声造影在甲状腺肿块诊断中的应用价值。 方法 26例29个甲状腺肿块术前常规二维及彩色多普勒超声检查后,行超声造影检查,观察造影剂开始显影、达峰及消退的全过程,并用ACQ软件进行时间-强度曲线分析。 结果 结节性甲状腺肿的超声造影表现大多以等增强、低增强为主,少数为高增强;腺瘤呈"快进慢退高增强"的造影表现,为富血供型;甲状腺癌大多以等增强及低增强为主,增强回声不均匀,早于周边甲状腺组织消退。 结论 超声造影对甲状腺肿块良恶性的鉴别提供了更多的信息,有一定的诊断作用。 |
英文摘要: |
Objective To discuss the diagnostic value of contrast-enhanced ultrasound (CEUS) in the thyroid masses. Methods Twenty-six cases with 29 thyroid masses were examined by two-dimensional and color Doppler ultrasonography before operation. Following the contrast-enhanced ultrasound, we observed the beginning of contrast agent enhancement, the peak and dissipation as a whole, and analyzed the time-intensity curve with ACQ software. Results Most nodular goiter cases showed isoenhancement or hypoenhancement; few cases showed hypoenhancement; adenomas with "fast-in and slowly-out" pattern showed the rich blood supply; most thyroid cancer showed sio- or hypoenhancement, uneven enhance echo, and dissipated earlier than the peripheral thyroid tissues. Conclusion Contrast-enhanced ultrasound can provide more informations for the diagnosis of benign and malignant thyroid masses. |
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