超声弹性成像在诊断深静脉血栓中的应用.pdf

Te(1978null),3,V,D=bZ_:52bEnullmail:YT,6vZD2S,200120bEnullmail:l2010null04null07nullnull2010null05null07ApplicationofultrasonicelastographyindiagnosisofdeepveinthrombosisWANGLei1,CHENMing2*(1.DepartmentofUltrasound,ShanghaiChestHospital,ShanghaiJiaoTongUniversitySchoolofMedicine,Shanghai200030,China；2.DepartmentofUltrasound,EastHospital,TongjiUniversity,Shanghai200120,China)AbstractnullDeepveinthrombosis(DVT)isoneofthemostcommondiseasesinveinsystem.ExactagedeterminationofDVTisimportantforthechoiceoftreatment.Theaccuraciesofavailablemethodsincludingsonography,phlebography,CTandMRIareoftennotsufficient.Ultrasonicelastography(UE)isanewmethodofultrasonicimagingwhichcanobtainthequantitativeinformationoftheelasticitydistributionwithintissueandhencehassomeimportantclinicalvaluesandwideapplicationprospects.TheapplicationofUEinDVTwerereviewedinthisarticle.KeywordsnullElasticityimagingtechniques；Thrombosis2王null雷1综述,陈null明2*审校(1.ZYvDSD2S,Znull200030；2.6vZD2S,Znull200120)Knull1nulldnh?hbM-ZE41T,7C5PZE?2a5/aCT#HNNsbTB2ZE,2?F=s,15N-b85b1oMnull/；ms|nullR543null6；R445null1nullDSMnullAnullnullcI|null1672null8475(2010)06null0688null03nullnull(deepveinthrombosis,DVT)A8=,5Snha?h1b/k(pulmonaryembolism,PE)?hqaq#L?3qv+2bRathbun3d9,SM9DVTV60,DVT10,SDVThq#qMM9t4bVirchow5Ca8=aADVTvh$5bBGL58DVTVL6,1mb52_q(7_,-XDVTnZE7,7/$DVTS!8b,4Sm,M-d1b?2_9M-kYBK9,7/B,4Bb1null22QK*Ophir101991M4,2004MCV2NP!qb8F+B,688S2010M76nullChinJIntervImagingTher,2010,Vol7,No6FWvY,B#FhF9b22F/,FFB=,P$FMaMasZT3BY11,V7VF=MvlF,F=MlH,4UF；F=Mv,54UFb3|)3m)/,sFsHFM-2|M,VF=Mab2null2M1/-12/,aWua12#HgMob2null1nullK*LPZE,TmhFB,PFs,1Fs-M,M1m；YVu(regionofinterest,ROI),1FVROI=hMFFWs13bmFEsyYv,MMyFvl#abqy7b2null2Wunull/Catheline141999M4,BqWu/FM,FQ2o_FMbYVZEVROIFMmb/n,_y,5HGT,z；V78,S#%h?Z,VNFhEF8E15b2null3nullFatemiGreenleaf1998M?,；2?216null17#2b/Bq(l1kHz)TFiF=.l,3Bm,iYVLH2mVCbB/,-2/(acousticradiationforceimpulse,ARFI)/VBbSX|ARFI/F18a#hM19av_20#6!.,2009,15(6):284null286.3nullRathbunS.Thesurgeongeneralscalltoactiontopreventvinthrombosisandpulmonaryembolism.Circulation,2009,119(15):480null482.4null,fy,!.L5S5.:+D,2004:320null323.5nullCervantesJ,RojasG.Virchowslegacy:deepveinthrombosisandpulmonaryembolism.WorldJSurg,2005,29(Suppl1):S30nullS34.6nullEbellMH.Evaluationofthepatientwithsuspecteddeepveinthrombosis.JFamPract,2001,50(2):167null171.7nullLandefeldCS.Noninvasivediagnosisofdeepveinthrombosis.JAMA,2008,300(14):1696null1697.8nullKocakocE.DetectionofdeepveinthrombosiswithDopplersonography.JThrombThrombolysis,2008,26(2):159null160.9nullKarpioukAB,AglyamovSR,MallidiS.Combinedultrasoundandphotoacousticimagingtodetectandstagedeepveinthrombosis:phantomandexvivostudies.JBiomedOpt,2008,13(5):54null61.10nullOphirJ,CespedesI,PonnekantiH,etal.Elastography:aquantitativemethodforimagingtheelasticityofbiologicaltisnullsues.UltrasonImaging,1991,13(2):111null134.11nully,.2Z.SD,2005,11(5):23null31.12nullTaylorLS,PorterBC,RubensDJ,etal.Threedimensionalsonullnoelastography:principlesandpractices.PhysMedBiol,2000,45(6):1477null1494.13nullKallelF,OphirJ.Limitsonthecontrastofstrainconcentrationsinelastography.UltrasoundMedBiol,1998,24(8):1215null1219.14nullCathelineS,ThomasJL,WuF,etal.Diffractionfieldofalowfrequencyvibratorinsofttissuesusingtransientelastography.IEEETransUltrasonFerroelectrFreqControl,1999,46(4):1013null1019.15nully,.H87N.#h,2006,14(5):395null397.16nullFatemiM,GreenleafJF.Ultrasoundnullstimulatedvibronullacousticspectrography.Science,1998,280(5360):82null85.17nullFatemiM.Vibronullacoustography:animagingmodalitybasedonultrasoundnullstimulatedacousticemission.ProcNatlAcadSciUSA,1999,96(12):6603null6608.18nullMelodelimaD,BamberJ,DuckF,etal.Elastographyforbreastcancerdiagnosisusingradiationforce:systemdevelopnullmentandperformanceevaluation.UltrasoundMedBiol,2006,32(3):387null396.19nullFaheyB,NightingaleK,McAleaveyS,etal.Acousticradiationforceimpulseimagingofmyocardialradiofrequencyablation:ininulltialinvivoresults.IEEETransUltrasonFerroelectrFreqConnulltrol,2005,52(4):631null641.20nullTraheyGE,PalmeriML,BentleyRC,etal.Acousticradiationforceimpulseimagingofthemechanicalpropertiesofarteries:invivoandexvivoresults.UltrasoundMedBiol,2004,30(9):1163null1171.21nullFaheyB,HsuS,WolfP,etal.Liverablationguidancewithanullcousticradiationforceimpulseimaging:challengesandopportunullnities.PhysMedBiol,2006,51(5):3785null3808.22null,dO,.2/t$N.OS,2009,21(3):184null186.23nullTanterM,BercoffJ,AthanasiouA,etal.Quantitativeassessnullmentofbreastlesionviscoelasticity:initialclinicalresultsusingsupersonicshearimaging.UltrasoundMedBiol,2008,34(9):1373null1378.24nullWakefieldTW.Treatmentoptionsforvenousthrombosis.JVascSurg,2000,31(3):613null620.25nullWakefieldTW,LinnMJ,HenkePK,etal.Neovascularizationduringvenousthrombosisorganization:apreliminarystudy.JVascSurg,1999,30(5):885null892.26nullHenkePK,WakefieldTW,KadellAM,etal.Interleukinnull8adnullministrationenhancesvenousthrombosisresolutioninaratmodnullel.JSurgRes,2001,99(1):84null91.27nullBrowseNL,BurnandKG,IrvineAT.Deepveinthrombosis:pathology.2nded.London,En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