Diagnosis of thyroid space-occupying lesions using real-time contrast-enhanced ultrasonography with sulphur hexafluoride microbubbles
10.3760/cma.j.issn.1673-0860.2009.04.004
- VernacularTitle:甲状腺占位性病变六氟化硫微泡超声造影的探讨
- Author:
Xiao-Juan ZHENG
1
;
Yong-Kui ZHANG
;
Chen-Yin ZHAO
;
Xiao-Long SHI
;
Chun-Sheng LI
;
Jia-Fan JIANG
;
Hao WANG
;
Bo YE
Author Information
1. 浙江省舟山市人民医院
- Keywords:
Thyroid neoplasms;
Ultrasonngraphy;
Contrast media;
Adenocarcinoma,papillary;
Adenorna;
Goiter,nodular
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(4):277-281
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of contrast-enhanced ultrasound (CEUS) in the diagnosis of thyroid occupied lesions with injection of sulphur hexafluoride microbubbles. Methods Fifty nine cases of conventional ultrasonic diagnosis of thyroid lesions in patients with 73 lesions re-sulfur hexafluoride microbubble ultrasound contrast real-time inspection, the use of CEUS and contrast pulse sequencing (CPS). Results Seventy-three lesions were satisfied with the dynamic contrast perfusion imaging. Ultrasound contrast prompted the 15 lesions (13 cases) of malignant lesions by postoperative pathology confirmed papillary thyroid carcinoma, ultrasound images showed a low or mixed echo, boundary ambiguity, accompanied by Microcalcification foci, blood flow distribution Ⅰ rank or grade Ⅲ. Ultrasound prompted 58 lesions (46 cases) of benign lesions, blood flow distribution of grade Ⅱ or Ⅲ, the performance of a variety of two-dimensional ultrasound image, showing cystic, solid or liquid-solid mass, border clearance. Contrast with the surrounding thyroid tissue, lesions ≤ 20 mm in diameter papillary thyroid carcinoma are poor blood supply type; diameter ≥ 20 mm papillary thyroid carcinoma, manifested prior to the beginning of the adjacent thyroid substance to enhance and dissection, showing the form of high-enhanced perfusion; thyroid follicular adenoma as early as the beginning of the adjacent thyroid substance to enhance and dissection, mass retained within the contrast agent longer time, showing the form of high-enhanced perfusion; nodular goiter enhanced for thyroid nodules and adjacent synchronization started to pick up in real terms, after the 6 lesions showed nodular contrast slightly earlier than the adjacent thyroid substance started to pick up, 28 lesions with synchronous real beginning of the adjacent thyroid dissection, 11 lesions of nodular dissipated early on (started receding time ≤ 25 s) adjacent to thyroid substance. Conclusion The real-time CEUS with injecting sulphur hexafluoride microbubbles is valuable in the diagnosis and differential diagnosis of the thyroid occupied lesions.
