Qualitative and quantitative features of deep endometriosis in contrast-enhanced ultrasound: An initial experience and literature review.

IF 2.1 4区 医学 Q3 HEMATOLOGY Clinical hemorheology and microcirculation Pub Date : 2023-01-01 DOI:10.3233/CH-231843
Zijie Zheng, Shen Zhang, Cheng Zheng, Ruxue Wang, Yanping Zhang, Peixin Chen, Shanglan Zhou, Baoming Luo, Na Di
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Abstract

Purpose: This research aims to present the findings of contrast-enhanced ultrasound (CEUS) in a series of patients with proven deep endometriosis (DE) and provide an updated literature review.

Materials and methods: Between January 2018 and October 2022, seven patients with DE lesions had their imaging and medical records retrospectively reviewed. Clinical data, recorded images of a standardized conventional B-mode ultrasound, and Sonovue® CEUS were interpreted by two blinded, independent, experienced radiologists in consensus. The enhanced characteristics of the DE lesion on CEUS were also assessed using VueBox® software quantitatively.

Results: DE lesion appeared as irregular hypoechoic or heterogeneous on conventional ultrasound with dotted blood flow signal on color Doppler. Six of seven DE lesions showed heterogeneous hypo-enhancement in arterial phases. All the lesions showed a heterogeneous washout rapidly that began in the late arterial phase. In quantified analysis, the mean relative peak enhancement compared with adjacent tissue was 0.47±0.25.

Conclusion: Our findings and literature review suggested that CEUS could be a feasible and promising non-invasive modality for diagnosing DE.

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超声造影中深层子宫内膜异位症的定性和定量特征:初步经验和文献综述。
目的:本研究旨在介绍一系列已证实的深度子宫内膜异位症(DE)患者的超声造影(CEUS)结果,并提供最新的文献综述。材料和方法:在2018年1月至2022年10月期间,对7名DE病变患者的影像学和医疗记录进行了回顾性审查。临床数据、标准化常规B超的记录图像和Sonovue®CEUS由两位盲法、独立、经验丰富的放射科医生共同解释。还使用VueBox®软件定量评估了CEUS上DE病变的增强特征。结果:DE病变在常规超声上表现为不规则低回声或不均匀,彩色多普勒血流信号呈点状。7个DE病变中有6个在动脉期表现出不均匀性低增强。所有病变均表现为从动脉晚期开始的快速非均匀性冲洗。在量化分析中,与邻近组织相比,平均相对峰值增强为0.47±0.25。结论:我们的研究结果和文献综述表明,CEUS可能是诊断DE的一种可行且有前景的非侵入性方法。
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来源期刊
CiteScore
4.30
自引率
33.30%
发文量
170
期刊介绍: Clinical Hemorheology and Microcirculation, a peer-reviewed international scientific journal, serves as an aid to understanding the flow properties of blood and the relationship to normal and abnormal physiology. The rapidly expanding science of hemorheology concerns blood, its components and the blood vessels with which blood interacts. It includes perihemorheology, i.e., the rheology of fluid and structures in the perivascular and interstitial spaces as well as the lymphatic system. The clinical aspects include pathogenesis, symptomatology and diagnostic methods, and the fields of prophylaxis and therapy in all branches of medicine and surgery, pharmacology and drug research. The endeavour of the Editors-in-Chief and publishers of Clinical Hemorheology and Microcirculation is to bring together contributions from those working in various fields related to blood flow all over the world. The editors of Clinical Hemorheology and Microcirculation are from those countries in Europe, Asia, Australia and America where appreciable work in clinical hemorheology and microcirculation is being carried out. Each editor takes responsibility to decide on the acceptance of a manuscript. He is required to have the manuscript appraised by two referees and may be one of them himself. The executive editorial office, to which the manuscripts have been submitted, is responsible for rapid handling of the reviewing process. Clinical Hemorheology and Microcirculation accepts original papers, brief communications, mini-reports and letters to the Editors-in-Chief. Review articles, providing general views and new insights into related subjects, are regularly invited by the Editors-in-Chief. Proceedings of international and national conferences on clinical hemorheology (in original form or as abstracts) complete the range of editorial features.
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