剪切波弹性成像引导浅表器官细针穿刺活检的实时性评价  

Evaluation of shear wave elastography for guiding real-time fine-needle aspiration biopsy of superficial organs

作　　者：邢晋放[1] 乔晓慧[1] 金宇飚[2] 高峰[1] 张佳杰[1] 

机构地区：[1]上海交通大学附属第一人民医院超声影像科,上海200080 [2]上海交通大学附属第一人民医院病理科,上海200080

出　　处：《海南医学》2015年第7期985-987,共3页Hainan Medical Journal

基　　金：上海交通大学医学院科技基金项目(编号:14XJ10075)

摘　　要：目的评价剪切波弹性成像（SWE）引导浅表器官细针穿刺活检的实时性。方法随机选取浅表器官细针穿刺活检患者41例,其中男性22例,女性19例;年龄26~68岁,中位年龄46岁。选用法国Super Sonic Imagine公司生产的Aixplorer超声诊断仪（配备SWE）,启动SWE成像模式实时引导浅表器官细针穿刺。结果患者均可耐受,在探头扫查切面保持不变的情况下,利用SWE可以成功完成穿刺全程的实时监视引导,可以将穿刺部位精确地定位于病灶内硬度最高区域,穿刺针尖显示清晰。结论应用剪切波弹性成像可以实时引导浅表器官细针穿刺活检,但图像帧频需要进一步提高。Objective To probe into the feasibility of using shear wave elastography （SWE） for guiding re-al-time fine-needle aspiration biopsy of superficial organs. Methods Forty-one patients, including 22 males and 19 females, aged 26~28 years old （46 years old in mean）, who need fine-needle aspiration biopsy for their superficial or-gans, were randomly selected. The special ultrasonic diagnosis system Aixplorer （SuperSonic Imagine Company, France） was applied. SWE imaging model was used for real-time fine-needle aspiration biopsy. Results All patients could tolerate the treatment. With the scanning plane of probe remained unchanged, using SWE could successfully complete the real-time monitoring of the whole guided fine-needle aspiration of superficial organs. The site of fine-needle aspiration could be accurately positioned to the highest hardness region of SWE. The puncture needle dis-played clearly. Conclusion Using shear wave elastography can guide real-time fine-needle aspiration biopsy of su-perficial organs, but the image frame rate of SWE needs to be further improved.

关 键 词：介入超声 剪切波 弹性成像 浅表器官 穿刺活检 

分 类 号：R446[医药卫生—诊断学]