超声多模态技术评估肝泡球蚴病活性状态的研究进展  

Research Progress in Evaluation of Bioactive Status of Hepatic Alveolar Echinococcosis by Multimodal Ultrasonography

作　　者：曾红春 刘文亚 ZENG Hongchun;LIU Wenya(Department of Ultrasonography,Shanghai Songjiang District Central Hospital,Shanghai 201600,China;Imaging Center,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]上海市松江区中心医院超声科,上海201600 [2]新疆医科大学第一附属医院影像中心,乌鲁木齐830000

出　　处：《医学综述》2023年第20期4227-4231,共5页Medical Recapitulate

基　　金：国家自然科学基金(81460267,81974263)。

摘　　要：肝泡球蚴病(HAE)病灶内微血管、纤维化、钙化以及微囊泡共存,超声表现较为特异。HAE病灶内部结构复杂,常规超声无法显示病灶的微血管灌注状态以及病灶纤维化的精准范围,故常规超声无法精准评估HAE病灶的生物活性状态。超声造影(CEUS)和超声弹性成像可弥补二维超声的不足,CEUS可以实时动态评估HAE病灶的微血管状态,超声弹性成像可以评估病灶的纤维化程度,为评估HAE生物学活性提供了重要的影像学依据,但其诊断标准仍有待进一步研究。The coexistence of microvessels,fibrosis,calcification,and microcapsules within the lesion of hepatic alveolar echinococcosis(HAE)results in a more specific ultrasound finding.The internal structure of HAE lesions is complex,and conventional ultrasound cannot accurately assess the microvascular perfusion status and the precise range of lesion fibrosis,so conventional ultrasound cannot accurately evaluate the biological activity status of HAE lesions.The emergence of contrast-enhanced ultrasound(CEUS)and ultrasonic elastography has made up for the shortcomings of two-dimensional ultrasound.CEUS can dynamically evaluate the microvascular status of HAE lesions in real-time,and ultrasound elastography can evaluate the degree of fibrosis in the lesions,providing important imaging basis for evaluating the biological activity of HAE.However,its diagnostic criteria still need further research.

关 键 词：肝泡球蚴病 超声造影 超声弹性成像 

分 类 号：R445.1[医药卫生—影像医学与核医学]