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Chinese Journal of Ultrasonography

1992  to  Present  ISSN: 1004-4477

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Binding capability of microbubbles targeted to VCAM-1 under pulsatile high-shear flow conditions

Juefei WU ; Li YANG ; Yunbin XIAO ; Ying LIU ; Meiyu LI ; Jianguo BIN ; Ruizhu HUANG ; Yili LIU ; Jianping BIN

Chinese Journal of Ultrasonography.2010;19(9):811-814. doi:10.3760/cma.j.issn.1004-4477.2010.09.027

Objective To assess the binding capability of microbubbles targeted to VCAM-1 using the parallel plate flow chamber mimic the pulsatile high-shear flow conditions of artery. Methods Targeted microbubbles were designed by conjugating monoclonal antibodies against mouse VCAM-1 to the lipid shell of the microbubbles via an "avidin-biotin" bridge. The binding and retention of targeted microbubbles to VCAM-1 (MBv) immobilized on a culture dish were assessed in a flow chamber at variable shear stress (0.5~ 16.0 dynes/cm2 ). The pulsatile flow conditions were generated and compared to the continuous flow conditions. The retentive ability of MBv was evaluated by the detachment test. Results The marked binding of MBv were seen in pulsatile and continuous flow conditions at low-shear flow conditions of 0.5 ~ 2dyn/cm2 ,but the binding rate in the pulsatile flow group was higher ( P <0. 05) than that in the continuous flow conditions. Furthermore,the marked binding of MBv was still noted at the highest shear rates (4~8dyn/cm2) under pulsatile flow conditions, while it was not observed under continuous flow conditions. The half detachment rate of MBv was high up to (20.7 ± 3. 1)dyn/cm2. Conclusions The targeted microbubbles binding to VCAM-1 specific and effective at high-shear stress under pulsatile flow conditions. The molecular ultrasound imaging can be potentially used in the high-shear conditions artery system.

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Value of ultrasonic elastography in diagnosing breast small masses

Zizhuo ZHAO ; Bing OU ; Baoming LUO ; Hui ZHI ; Xiaoyun XIAO ; Yanling WEN

Chinese Journal of Ultrasonography.2010;19(9):787-789. doi:10.3760/cma.j.issn.1004-4477.2010.09.019

Objective To investigate the value of ultrasonic elastography(UE) in diagnosing breast small masses (diameter≤10 mm). Methods The static sonograms of conventional ultrasound(US) and UE of the 274 breast small lesions which pathologically proved were reviewed. Images were assigned according to the B1-RADS criteria for US. The elastographic images were evaluated using improved 5-scoring system.Pathology was followed up as diagnostic criteria. The diagnostic performance of the 2 methods was evaluated with receiver operating characteristic curve(ROC). Results The areas under the ROC curve of the two modalities were 0. 891 (UE) and 0.742 (BI-RADS), respectively. The difference between them was significant. Conclusions UE is helpful in differentiating between malignant and benign breast small lesions.

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Quantitative assessment of left ventricular systolic synchrony before and after stress in chronic ischemic model by real-time three-dimensional echocardiography

Li WEN ; Yunhua GAO ; Jiarong ZHENG ; He HUANG ; Hu TAN ; Jie CHEN ; Weijin LIU ; Jianhua CUI

Chinese Journal of Ultrasonography.2010;19(9):806-810. doi:10.3760/cma.j.issn.1004-4477.2010.09.025

Objective To assess the left ventricular systolic asynchronicity in chronic ischemic model with real-time three-dimensional echocardiography (RT-3DE), and to explore the affection of low-dose dobutamine to it. Methods A chronic ischemic model was induced by placing an Ameroid constrictor in the left circumflex(LCX) in swines,then full volume RT-3DE was performed by Philips iE33 with X3-1 probe combining rest and stress(dobutamine stress echocardiography, DSE) every week after LCX constriction.Ten normal pigs before operation served as controls (group A). Examination of all the models post operation were grouped into group B (mild stenosis, LCX stenosis<50% ), group C (moderate stenosis, LCX stenosis 50%~75%) and group D (severe stenosis, LCX stenosis≥75%) according to the results of coronary angiography. Images were copied to QLAB 5.2 postprocess workstation,and 3DQA software was used to analyze the full volume data sets. The time to the point with minimal systolic volume (Tmsv) in each segment was taken to derive the following indexes of systolic synchrony: the maximum difference of Tmsv (Tmsv-dif) and standard deviation(Tmsv-SD) among various segments and standard index (Tmsv-dif% and Tmsv-SD%), to evaluate left ventricular dyssynchrony. Tmsv3-6 represented the maximum difference of Tmsv between lateral segment and posterior septum (Tmsv3-5: between lateral segment and inferior) in basal level. Results Tmsvl2-Dif%, Tmsv6-Dif%, Tmsv3-6% and Tmsv3-5% under stress condition in group C and D were significantly higher than those at rest;all the data in group D were significantly higher than in group A and B, and in group C higher than group A ( P <0.05,0.01 ). Compared with group A,Tmsv6-Dif,Tmsv3-6 and Tmsv3-5 in group B were significantly increased under stress condition,and so did their standardize data under both rest and stress conditions ( P < 0.05, 0. 01 ). Conclusions RT-3DEcombined with DSE could display sensitively the left ventricular asynchrony caused by chronic ischemia,and that will be more significant in lateral wall in LCX stenosis than in normal segments.

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Indication of contrast-enhanced ultrasound in evaluating of portal vein patency

Jie REN ; Mei LIAO ; Ping WANG ; Ping YAN ; Yanling ZHANG ; Rongqin ZHENG

Chinese Journal of Ultrasonography.2010;19(9):780-782. doi:10.3760/cma.j.issn.1004-4477.2010.09.016

Objective To evaluate the usefulness of baseline ultrasound(BUS) and contrast-enhanced ultrasound(CEUS) in diagnosis of portal vein(PV) patency and to explore the indication of CEUS. Methods The diagnostic capability of BUS and CEUS were assessed in 64 cases according to definition of PV on BUS,which was divided into high, moderate and low definition. Results Thirty-five patients with portal vein thrombosis(PVT) and 29 patients with normal portal vein were confirmed. The diagnostic accuracies by using BUS and CEUS were 93.1% and 96.6% with high definition of PV,56.3% and 87.5% with moderate definition,and 68.4% and 89. 5% with low definition, respectively. Conclusions In the case of high definition of PV,the validity of diagnosing of PV patency with BUS may be similar to that with CEUS,thus introduction of CEUS would probably not be necessary. Otherwise CEUS is recommended.

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Evaluation of contrast-enhanced ultrasound for the diagnosis of dysplastic nodule in liver cirrhosis

Wei WU ; Minhua CHEN ; Kun YAN ; Yin DAI ; Shanshan YIN ; Jiyou LI

Chinese Journal of Ultrasonography.2010;19(9):776-779. doi:10.3760/cma.j.issn.1004-4477.2010.09.015

Objective To observe the enhancement pattern of focal liver lesions in cirrhotic patients and to evaluate the value of contrast-enhanced ultrasound(CEUS) in the diagnosis of dysplastic nodule with hepatocellular carcinoma(DN-Ca). Methods One hundred and forty-one cirrhotic patients with 163 focal liver lesions with the size of 1 - 3 cm were included in this study. All the nodules were examined using CEUS with SonoVue and underwent biopsy. The biopsies were performed using 18G needles in the different parts of enhancement. The enhancement patterns of DN-Ca, HCC and regenerative nodule(RN) were analyzed.Results Twenty-one lesions were diagnosed as DN-Ca by biopsy,45 lesions as hepatocellular carcinoma (HCC) and 97 lesions as RN. All the 21 lesions of DN-Ca presented partial enhancement during arterial phase or portal phase and wash-out during the late phase; the other areas of the lesions presented delayed or simultaneous enhancement during arterial phase and 23.8 % (5/21 ) slight wash-out in the late phase. Of the 45 lesions of HCC,82.2 % (37/45) presented global enhancement during arterial phase or portal phase, and 17.8% (8/45) presented inhomogeneous enhancement with no-enhancement in the central area during arterial phase, 100% (45/45) presented wash-out during the late phase. In 97 RNs, 96.9% (94/97)presented delayed or simultaneous enhancement during arterial phase, 3.1% (3/97) presented slightly enhancement during arterial phase;25.8% (25/97) showed wash-out and 74. 2% (72/97) showed no washout during the late phase. The pathological diagnosis was HCC in the enhanced area and hepatocytes regeneration in the un-enhanced area in the 21 DN-Ca. Conclusions CEUS is helpful in predicting the progress from RN to HCC by analyzing the hemodynamics. CEUS can improve the diagnostic accuracy of biopsy by providing more accurate information.

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Comparison of enhancement features of primary hepatocellular carcinoma and recurrent hepatocelluar carcinoma on contrast-enhanced ultrasonography

Ruixue WEI ; Wenping WANG ; Hong DING ; Beijian HUANG ; Chaolun LI ; Hong HAN ; Zhengbiao JI

Chinese Journal of Ultrasonography.2010;19(9):773-775. doi:10.3760/cma.j.issn.1004-4477.2010.09.014

Objective To compare enhancement features of primary hepatocellular carcinoma(PHCC)and recurrent hepatocellular carcinoma(RHCC) on.contrast-enhanced ultrasonography(CEUS). Methods CEUS was performed in 56 patients with 70 RHCC and 83 patients with 93 PHCC. The enhancement features of these two groups of hepatocellular carcinoma were compared. The time used for the enhancement material to arrive the lesion(Ta ), that used for the lesion to become isoechoic(T1 ) and hypoechoic relative to the surrounding hepatic parenchyma(To) were analyzed. The echogenicity change between the lesion and the parenchyma was observed during arterial phase,portal phase and delayed phase. Results The time used for the lesion to become hypoechogenicity of RHCC and PHCC was (104.0 ± 51.8)s, (85.5 ± 43.0)srespectively,there was significant difference between the two groups( P = 0.010). There were 24 (34.3 % )cases of RHCC and 16 ( 17.2% ) cases of PHCC becoming isoechoic during portal phase,the former rate was significantly higher than the later one( P = 0. 012). Conclusions There is significant difference between PHCC and RHCC in the performance of CEUS,this is useful for the early diagnosis of RHCC.

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Wave intensity index of the carotid artery in patients with thyroid diseases

Zhenzhen WANG ; Jiawei TIAN ; Guoqing DU ; Guixia ZHENG ; Hong WEI ; Ying WANG

Chinese Journal of Ultrasonography.2010;19(9):769-772. doi:10.3760/cma.j.issn.1004-4477.2010.09.012

Objective To explore the clinical value of wave intensity(WI) curve of the carotid artery in patients with thyroid diseases and its value in evaluating cardiovascular function. Methods All 85 patients with thyroid diseases,including 45 hyperthyroidism and 40 hypothyroidism, were enrolled as case groups,while 270 healthy volunteers were considered as control. All the case groups and control were taken WI test under quiescent condition,and six continuous curves of the carotid artery diameter changes were recorded.Then the parameters of accelerating wave intensity (W1), decelerating wave intensity ( W2), negative area (NA) ,corrected R-W1 and W1-W2,elasticity modulus(Eρ) ,stiffness index(β) ,arterial compliance(AC) and pluse wave velocity(PWV) were calculated. Relationship between those indices and FT3 ,FT4 and TSH were analyzed by Pearson correlative analysis. Results The WI curve appeared differently among different groups,but the vessel elasticity indices did not have statistical significance. Correlation only existed between FT3 and part of the WI parameters. FT3 positively correlated with W1 ( r = 0. 951, P <0.01 ), NA( r =0.813, P <0.01) and W1-W2' ( r = 0. 887, P <0.01 ). And R-W1 ' negatively correlated with FT3( r =-0.878, P <0.01 ). Conclusions The WI curve could represent different function status of thyroid,and could be considered as a noninvasive examination for further clinical research,which may help explain the corresponding cardiovascular changes.

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Study on the clinical significance and fetal cardiac function of fetuses with intracardiac hyperechogenic foci using fetal echocardiography

Yunjiao ZHANG ; Bowen ZHAO ; Mei PAN ; Yuan YANG ; Qian YANG ; Haishan XU ; Bei WANG

Chinese Journal of Ultrasonography.2010;19(9):765-768. doi:10.3760/cma.j.issn.1004-4477.2010.09.011

Objective To evaluate the clinical significance and cardiac function of fetuses with intracardiac hyperechogenic focus(ICEF) by fetal echocardiography. Methods Fetal echocardiograms were performed on 1291 fetuses for evaluation of fetal heart structures and rhythms. Echocardiographic characteristics of ICEF were investigated. Fetal systolic and diastolic functions of 399 fetuses with an isolated ICEF were compared with 128 normal fetuses using conventional two-dimensional, M-mode, pulsed Doppler echocardiography and myocardial Doppler tissue imaging(DTI). Results The prevalence of ICEF was 34. 7% (448/1291). Twenty-four(5.4%) cases were found with cardiovascular malformations. There was 1 (0.22%) case of ICEF fetus associated with chromosomal abnormality (trisomy 21 ). Comprehensive fetal echocardiographic data analysis showed no significant differences in heart dimensions, global cardiac functions,and myocardial performances in the two groups( P >0.05). Conclusions An isolated ICEF in the fetal heart is not associated with increased risk for chromosome abnormalities. Fetuses with ICEF do not indicate impaired left ventricular systolic or diastolic function, therefore having no hemodynamic significance.

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Clinical study of wave intensity in assessing short-term effects of cardiac resynchronization therapy

Liwen LIU ; Bin MA ; Jun ZHANG ; Haibin ZHANG ; Yunyan DUAN ; Xiaodong ZHOU ; Ting ZHU ; Liping YANG

Chinese Journal of Ultrasonography.2010;19(9):761-764. doi:10.3760/cma.j.issn.1004-4477.2010.09.010

Objective To investigate the clinical application of wave intensity (WI) technique in assessing the short-term effects of cardiac resynchronization therapy(CRT). Methods Sixteen patients with congestive heart failure treated with CRT were chosen. Before the implantation of CRT pacemaker and 1 week, 1 month,3 month after it,the diameters and volumes of left ventricle(LV) in the end-diastole and the end-systole were measured by echocardiography. LV ejection fractions(LVEF) were calculated by Simpson's way,and the variation ratio of left ventricular end-systolic volume(△ESV) was assessed each time after the CRT. The maximal rate of LV pressure rise (LVdP/dtmax) was assessed in the continuous-wave Doppler spectrum of mitral regurgitation. The magnitude of W1, and the length of R-W1 interval as well as W1-W2interval were recorded by WI technique applied on the left carotid artery of each patient. Results Compared to the data before CRT,W1 and W1-W2 interval were significantly higher in different period after CRT (P <0. 01). This result was conformed with echocardiographic remodeling data and LV systolic function.Conclusions WI provides a potential usage in conveniently and effectively assessing the CRT effects in short-term.

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Relationship between echocardiographic epicardial adipose tissue thickness and coronary artery disease

Changchun LAI ; Yuefeng TONG ; Yongyuan XU ; Zhixing HU ; Yunxiang WANG ; Zhecheng LI ; Weijun Lü ; Zehua LIU

Chinese Journal of Ultrasonography.2010;19(9):757-760. doi:10.3760/cma.j.issn.1004-4477.2010.09.008

Objective To evaluate the relationship between echocardiographic epicardial adipose tissue thickness(EAT) and the presence and severity of coronary artery disease(CAD). Methods One hundredand forty-seven patients (101 patients with CAD and 46 patients with normal coronary arteries by diagnostic coronary angiography) were enrolled. EAT thickness was measured using 2-D echocardiographic parasternal long-and short-axis views. EAT thickness measurements were compared with angiographic findings. Results EAT was significantly higher in CAD group comparison to control group [(7.41 ± 1.63)mm vs (4.41±1.60) mm, P <0.01 ]. Furthermore, EAT increased with the severity of CAD [(8.53 ± 1.00)mm vs (6.36 ±1.73)mm, P <0.01]. Gensini's score significantly correlated with EAT (r = 0.71, P <0.01 ). EAT thickness ≥5.35 mm had 87.13% sensitivity and 80.42% specificity (ROC area 0. 89, P = 0.01,95% CI [0.84 - 0.9;]) for predicting CAD. Conclusions EAT thickness, which is easily and non-invasively evaluated by transthoracic echocardiography, can be an adjunctive marker to classical risk factors for the prediction of CAD, it was significantly correlated with the severity of coronary artery disease.

Country

China

Publisher

中华医学会

ElectronicLinks

https://zhcsyxxzz.yiigle.com/

Editor-in-chief

E-mail

cs@hebmu.edu.cn

Abbreviation

Chinese Journal of Ultrasonography

Vernacular Journal Title

中华超声影像学杂志

ISSN

1004-4477

EISSN

Year Approved

2007

Current Indexing Status

Currently Indexed

Start Year

1992

Description

历史沿革【现用刊名:中华超声影像学杂志;创刊时间:1992】,该刊被以下数据库收录【中国科学引文数据库(CSCD—2008)】,核心期刊【中文核心期刊(2008)】。

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