Diagnostic value of filling ultrasound combined with microflow imaging for small intestinal polyps in patients with Peutz-Jeghers syndrome
10.3760/cma.j.cn131148-20241127-00620
- VernacularTitle:充盈超声联合微血流成像对Peutz-Jeghers综合征患者小肠息肉的诊断价值
- Author:
Nan LUO
1
;
Longfang ZHANG
;
Chao AN
;
Xiaoyu LIANG
;
Hongjiao LOU
;
Lei WANG
;
Xi LIU
Author Information
1. 安徽医科大学第五临床医学院空军临床医学院，合肥 230000
- Publication Type:Journal Article
- Keywords:
Filling ultrasound;
Microflow imaging;
Peutz-Jeghers syndrome;
Small intestine polyp
- From:
Chinese Journal of Ultrasonography
2025;34(4):327-333
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical value of filling ultrasound combined with microflow imaging（MFI）in diagnosing small intestinal polyps for Peutz-Jeghers syndrome（P-JS）patients.Methods:From February 2022 to October 2024，86 P-JS patients were consecutively enrolled in the Air Force Special Medical Center. All patients underwent a filling ultrasound with oral 2.5% mannitol solution and MFI examination，with final polyp confirmation by enteroscopy. Polyps were categorized based on image quality（good or poor）and diameter（classified into different ranges）. The relationships between ultrasound characteristics，blood perfusion，and small intestine polyps were analyzed. ROC curve analysis was performed to evaluate the diagnostic efficacy of filling ultrasound alone and in combination with MFI for small intestine polyps.Results:Oral mannitol filling of the small intestine was successfully demonstrated. Multiple small intestinal polyps were detected in 82 patients，and no polyps in 4 patients. Filling ultrasound significantly improved the detection rate of small intestinal polyps in P-JS patients，especially for polyps ≤ 35 mm（ P<0.05）. However，there was no significant difference between the detection rate of polyps >35 mm and that of conventional ultrasound（ P>0.05）. In the case of poor image quality，filling ultrasound combined with MFI further improved the detection rate of ≤35 mm polyps（ P<0.05）. The results of the multivariate analysis showed that the maximum polyp diameter（ P=0.030）and blood flow pattern（ P=0.016）showed by MFI were influencing factors for the diagnosis P-JS small intestinal polyps. The diagnostic efficacies of filling ultrasound and filling ultrasound combined with MFI were good. The diagnostic AUC value，accuracy，sensitivity，and specificity of filling ultrasound were 0.887，0.863，0.850，and 0.765，respectively，while the diagnostic AUC value，accuracy，sensitivity，and specificity of filling ultrasound with MFI were 0.913，0.927，0.969 and 0.923，respectively. Conclusions:Filling ultrasound with oral 2.5% mannitol solution combined with MFI significantly optimizes the detection efficiency of small intestinal polyps in P-JS patients，providing strong support for clinical diagnosis.
