肝脏对比增强术中超声

Contrast-Enhanced Intraoperative Ultrasound of the Liver.

机构信息

Division of Surgical Oncology, Department of Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.

Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, E6-230-BF, Dallas, TX 75390-9316, USA.

出版信息

Surg Oncol Clin N Am. 2022 Oct;31(4):707-719. doi: 10.1016/j.soc.2022.06.007. Epub 2022 Sep 27.

DOI:10.1016/j.soc.2022.06.007

PMID:36243503

Abstract

Contrast-enhanced intraoperative ultrasound (CE-IOUS) is a relatively new but valuable tool that is increasingly used as an adjunct to computed tomography, MRI, and IOUS for patients undergoing liver surgery. CE-IOUS has an important role in 2 main settings: the discrimination of indeterminate lesions detected in cirrhotic livers by conventional IOUS and in the detection of colorectal liver metastasis that may be overlooked by other imaging modalities. The intraoperative nature of the imaging and interpretation allows for CE-IOUS to directly affect surgical decision-making that may importantly affect patient outcomes.

摘要

术中对比增强超声（CE-IOUS）是一种相对较新但非常有价值的工具，越来越多地被用于辅助 CT、MRI 和 IOUS，用于接受肝切除术的患者。CE-IOUS 在 2 个主要情况下具有重要作用：区分常规 IOUS 检测到的肝硬化肝脏中的不确定病变，以及检测其他成像方式可能忽略的结直肠肝转移。成像和解释的术中性质允许 CE-IOUS 直接影响手术决策，这可能对患者的结果产生重要影响。