Diagnostic and treatment evaluation of parenchyma hemangioma with high frequency ultrasound combined acoustic radiation force impulse and contrast-enhanced ultrasound
10.3877/cma.j.issn.1672-6448.2015.01.007
- VernacularTitle:高频超声联合弹性成像及超声造影在软组织血管瘤诊断及治疗中的临床应用
- Author:
Shuo, LI
;
Xiaoning, LIANG
;
Hong, SUN
;
Xiurong, LU
;
Wei, ZHAO
;
Wen, CAO
;
Ruijun, GUO
- Publication Type:Journal Article
- Keywords:
Ultrasonography,Doppler,color;
Elasticity imaging techniques;
Contrast media;
Hemangioma;
Soft tissue neoplasms
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2015;(1):25-29
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss the application value of high frequency ultrasound (HFUS) characteristics, acoustic radiation force impulse (ARFI) imaging technology and contrast-enhanced ultrasound (CEUS) in the diagnosis of soft tissue hemangioma.MethodsTo retrospectively analyze the clinical data of 44 cases of soft tissue hemangioma that were treated in Capital Medical University Affiliate Beijing Chaoyang Hospital from August, 2013 to May, 2014, and to analyze the difference between the characteristics of HFUS, ARFI and CEUS in soft tissue hemangioma and normal surrounding tissue.ResultsHFUS shows the features of morphological diversity of sinus shape expansion tube structure, unclear boundary, irregular configuration, compressibility and partial strong echo in the phlebolith. Color Doppler ultrasound (CDFI), detects abundant interphase red-blue bloodstream signal slowly and consistently. The blood signal is strengthened after partial compression. CDFI shows more vein spectrum in the lesion. The discrepancy of comparison between VTQ and SWV value of soft tissue hemangioma and surrounding muscular tissue possesses statistical significance [(1.082±0.183) m/svs (1.414±0.331) m/s,P<0.01]. Ultrasound contrast can show the relationship between diseased region and surrounding tissue clearly, which is beneficial to the selection of operation method and prognosis.ConclusionThrough conventional two-dimensional ultrasound and high frequency CDFI, and further combining the acoustic pulse radiation ARFI technology and CEUS technology, the soft tissue hemangioma can’t only be more accurately diagnosed, but also provides more reliable diagnostic basis for clinic.
