对比增强超声(CEUS)用于血管畸形的文献综述。

A Achiti, C Seinturier, S Blaise
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摘要

导言:血管畸形(VascM)的表现多种多样,因此很难诊断和处理。超声波是血管畸形患者的首选成像检查。在某些情况下,还需要额外的、有时是功能性的成像检查来确诊或突出血管引流网络。多普勒超声检查可能还不够,还需要一定数量的辅助检查。对比增强超声(CEUS)是目前血管领域,尤其是主动脉支架监测领域的常用方法:方法:我们在此通过文献综述来介绍在血管医学中使用 CEUS 的意义。我们使用以下关键词在1975年至2023年期间的Pubmed上进行了搜索:"血管畸形 "和 "造影剂增强超声"/"静脉畸形 "和 "造影剂增强超声"/"静脉畸形和造影剂增强超声":首次搜索共发现 887 篇文章。结果:第一次检索发现了 887 篇文章,其中 124 篇文章经过格式筛选后被保留下来。在阅读摘要后,仅有 9 篇文章被保留下来,原因是未选择涉及其他探索的文章,或与血管畸形无关。讨论与结论:CEUS可以对血管畸形的诊断进行非常有用的动态灌注分析。带时间分析的 CEUS 是一种很有前途的成像方法,可用于评估血管畸形经皮治疗前后的灌注情况。曲线下面积减少表示治疗引起的灌注变化。然而,CEUS 还不是诊断或描述外周血管畸形的标准化检测方法。不过,CEUS 的安全性使其可以用于血管畸形的诊断甚至随访。遗憾的是,我们还没有找到任何将 CESU 与其他技术进行比较的随机研究。
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Review of the literature on the use of contrast-enhanced ultrasound (CEUS) in vascular malformations.

Introduction: Vascular malformations (VascM) are difficult to diagnose and manage because of their heterogeneous presentations. Ultrasound represents the first imaging exam for patients with vascular malformations. In some cases, additional and sometimes functional imaging will be necessary to confirm the diagnosis or to highlight a vascular network of drainage. Doppler ultrasound could be not enough and a certain number of complementary examinations are then required. Contrast-enhanced ultrasound (CEUS) is used in current practice in the vascular field and in particular the monitoring of aortic stents.

Method: We present here the interest of using CEUS in VascM through a review of the literature. The search was carried out from Pubmed from 1975 to 2023 using the following keywords « vascular malformation » and « contrast enhanced ultrasound » / « venous malformation" and "contrast enhanced ultrasound"/ "venous malformation and contrast enhanced ultrasound".

Results: The first search found 887 articles. Among them, 124 articles were retained after the selection of the formats. After reading the abstracts, only 9 articles were retained due to the non-selection of articles dealing with other explorations or irrelevance, as they did not deal with vascular malformation. At the end, 17 articles were selected.

Discussion and conclusion: CEUS allows very usefull dynamic analysis of the perfusion in the diagnosis of VascM . CEUS with time analysis is a promising imaging method for the evaluation of perfusion before and after percutaneous treatment of vascular malformations. Area under the curve reduction indicates therapy-induced changes in perfusion. Nevertheless, CEUS is not yet a standardized test for diagnosing or characterizing peripheral vascular malformations. However, its safety allows it to be used for the diagnosis and even the follow up of the VascM. Unfortunately, we haven't been able to find any randomized studies comparing CESU with other techniques.

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