彩色多普勒超声和对比增强超声在识别胰腺导管腺癌血管侵犯方面的功效。

IF 4.1 2区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Insights into Imaging Pub Date : 2024-07-25 DOI:10.1186/s13244-024-01779-5

Wan-Ying Jia, Yang Gui, Xue-Qi Chen, Li Tan, Jing Zhang, Meng-Su Xiao, Xiao-Yan Chang, Meng-Hua Dai, Jun-Chao Guo, Yue-Juan Cheng, Xiang Wang, Jia-Hui Zhang, Xiao-Qian Zhang, Ke Lv

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引用次数: 0

摘要

目的比较彩色多普勒超声和对比增强超声（CEUS）在评估胰腺导管腺癌（PDAC）血管侵犯方面的作用：这项回顾性研究纳入了2017年1月至2020年12月期间在我院接受彩色多普勒超声、CEUS和对比增强计算机断层扫描（CECT）评估的210例PDAC患者。对于接受手术和术中探查的患者，将病理结果作为金标准。对于非手术患者，则将 CECT 结果作为参考标准。评估的血管包括胰周动脉系统和静脉系统的血管。比较了彩色多普勒超声和 CEUS 对血管侵犯的诊断性能：结果：在51名接受手术和术中探查的患者中，彩色多普勒超声和CEUS仅在评估胰体和胰尾PDAC患者静脉系统侵犯方面存在差异，前者优于后者。在159例非手术患者中，CEUS和彩色多普勒超声在评估肠系膜上动静脉侵犯方面没有差异。在评估腹腔动脉及其分支方面，CEUS优于彩色多普勒超声，某些血管的准确率高达97.8%。彩色多普勒超声是评估脾静脉和门静脉的理想方法：结论：CEUS 比彩色多普勒更适合评估胰周动脉。CEUS结合彩色多普勒超声可作为CECT的潜在补充，也有望用于评估化疗后PDAC的血管侵犯情况：对比增强 US 和彩色多普勒在评估胰腺导管腺癌血管侵犯方面各有优势，通过标准化超声流程有望提高检查效率：对比增强超声在评估胰腺导管腺癌侵犯腹腔动脉方面具有独特优势。多普勒成像在评估静脉系统侵犯方面具有很高的价值。胰腺导管腺癌超声成像程序的标准化有望提高效率。

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Efficacy of color Doppler ultrasound and contrast-enhanced ultrasound in identifying vascular invasion in pancreatic ductal adenocarcinoma.

Objectives: To compare color Doppler ultrasound and contrast-enhanced ultrasound (CEUS) in evaluating vascular invasion in pancreatic ductal adenocarcinoma (PDAC).

Materials and methods: This retrospective study included 210 patients with PDAC who were evaluated by color Doppler ultrasound, CEUS, and contrast-enhanced computed tomography (CECT) at our institution between January 2017 and December 2020. Pathologic results were used as the gold standard in patients who underwent surgical and intraoperative exploration. For nonsurgical patients, CECT results were used as the reference standard. The vessels evaluated included those in the peripancreatic arterial system and venous system. The diagnostic performances of color Doppler ultrasound and CEUS for vascular invasion were compared.

Results: In 51 patients who underwent surgery and intraoperative exploration, color Doppler ultrasound and CEUS differed only in assessing venous system invasion in patients with PDAC of the pancreatic body and tail, with the former being superior to the latter. In 159 nonsurgical patients, there was no difference between CEUS and color Doppler ultrasound in assessing superior mesenteric arteriovenous invasion. CEUS was superior to color Doppler ultrasound in evaluating the celiac artery and its branches, with an accuracy of up to 97.8% for some vessels. Color Doppler ultrasound was ideal for evaluating the splenic and portal veins.

Conclusion: CEUS is more suitable for the evaluation of peripancreatic arteries than color Doppler. CEUS combined with color Doppler ultrasound can be used as a potential supplement to CECT and is also expected to be used to evaluate vascular invasion of PDAC after chemotherapy.

Critical relevance statement: Contrast-enhanced US and color Doppler in the assessment of vascular invasion in pancreatic ductal adenocarcinoma have their respective advantages, through standardized ultrasound processes are expected to improve the efficiency of inspection.

Key points: Contrast-enhanced US has unique advantages in assessing pancreatic ductal adenocarcinoma invasion of the celiac artery. Doppler imaging is of high value in assessing venous system invasion. Standardization of ultrasound imaging procedures for pancreatic ductal adenocarcinoma is expected to improve efficiency.

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来源期刊

Insights into Imaging Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

7.30

自引率

4.30%

发文量

182

审稿时长

13 weeks

期刊介绍： Insights into Imaging (I³) is a peer-reviewed open access journal published under the brand SpringerOpen. All content published in the journal is freely available online to anyone, anywhere! I³ continuously updates scientific knowledge and progress in best-practice standards in radiology through the publication of original articles and state-of-the-art reviews and opinions, along with recommendations and statements from the leading radiological societies in Europe. Founded by the European Society of Radiology (ESR), I³ creates a platform for educational material, guidelines and recommendations, and a forum for topics of controversy. A balanced combination of review articles, original papers, short communications from European radiological congresses and information on society matters makes I³ an indispensable source for current information in this field. I³ is owned by the ESR, however authors retain copyright to their article according to the Creative Commons Attribution License (see Copyright and License Agreement). All articles can be read, redistributed and reused for free, as long as the author of the original work is cited properly. The open access fees (article-processing charges) for this journal are kindly sponsored by ESR for all Members. The journal went open access in 2012, which means that all articles published since then are freely available online.