中国临床医学2016，Vol.23Issue(3)：273-277,5.
肝细胞肝癌的动态三维超声造影成像质量的影响因素分析
Imaging quality of dynamic three-dimensional contrast-enhanced ultrasonography in hepatocellular carcinoma:an analysis of influencing factors
摘要
Abstract
Objective:To investigate the influencing factors of the imaging quality of dynamic three-dimensional contrast-enhanced ultrasonography (3D-CEUS) in hepatocellular carcinoma (HCC) .Methods:73 dynamic 3D-CEUS data of 67 lesions in 63 HCC patients confirmed by pathology and clinical follow-up were retrospectively analyzed .The imaging quality of dynamic 3D-CEUS was scored .Effects of various factors on the imaging quality of HCC dynamic 3D-CEUS arterial phase were analyzed:whether the lesion was primary ,location of the lesion ,size ,depth ,blood supply ,patients'breathing during the arterial phase and whether there was liver cirrhosis .Results:The imaging quality of dynamic 3D-CEUS in the arterial phase of 73 HCC was assessed as 3 points ,2 points and 1 point for 51 times (69 .9% ) ,13 times (17 .8% ) and 9 times (12 .3% ) respectively .Whether the lesion was primary or not ,location of the lesion ,size and whether there was liver cirrhosis had no significant influence on the imaging quality of HCC dynamic 3D-CEUS .Depth of the lesion ,blood supply and patients’ breathing during the arterial phase had significant influence on the imaging quality of HCC dynamic 3D-CEUS ( P= 0 .028 , 0 .000 ,and 0 .000 ,respectively) .Conclusions:Depth of the lesion more than 8 cm ,lack of blood supply and patients’ poor breathing during the arterial phase could affect the imaging quality of HCC dynamic 3D-CEUS ,whereas whether the lesion is primary or recurrent ,location of the lesion ,size and liver cirrhosis have no significant influence on the imaging quality of HCC dynamic 3D-CEUS .关键词
超声检查/三维超声造影/微气泡/肝细胞肝癌Key words
ultrasonography/three-dimensional contrast-enhanced ultrasonography/microbubbles/hepatocellular carcinoma分类
医药卫生引用本文复制引用
毛丽娟,王文平,丁红,薛立云,范培丽,李翠仙,韩红..肝细胞肝癌的动态三维超声造影成像质量的影响因素分析[J].中国临床医学,2016,23(3):273-277,5.基金项目
国家自然科学基金（81371577，81571675）．Supported by National Natural Science Foundation of China（81371577，81571675）． （）
