超声造影肝脏影像报告和数据管理系统发展现状及临床应用进展

丁建民; 秦正义; 王芳

doi:10.3969/j.issn.1001-5256.2022.02.043

超声造影肝脏影像报告和数据管理系统发展现状及临床应用进展

DOI: 10.3969/j.issn.1001-5256.2022.02.043

丁建民^{1a, 2, ,},
秦正义^{1a, 2},
王芳^{1b, 2}

1a.
天津市第三中心医院超声科，天津 300170
1b.
天津市第三中心医院消化肝病科，天津 300170
2.
天津市重症疾病体外生命支持重点实验室，天津市人工细胞工程技术研究中心，天津市肝胆研究所，天津 300170

基金项目:

津市卫生健康委员会科技项目 (MS20017)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：丁建民负责拟定写作思路，撰写论文并最后定稿；秦正义参与撰写论文，收集文献；王芳参与修改论文。

详细信息

通信作者:
丁建民, djmzyn1982@sina.com

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- 被引次数: 0
出版历程
- 收稿日期: 2021-10-11
- 录用日期: 2021-11-12
- 出版日期: 2022-02-20

Development and clinical application of contrast enhanced ultrasound Liver Imaging Reporting and Data System

Jianmin DING^{1a, 2
, ,},
Zhengyi QIN^{1a, 2},
Fang WANG^{1b, 2}

1a.
Department of Ultrasound, Tianjin Third Central Hospital, Tianjin 300170, China
1b.
Department of Gastroenterology and Hepatology, Tianjin Third Central Hospital, Tianjin 300170, China
2.
Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China

Research funding:

Tianjin Health Science and Technology Project (MS20017)

More Information

Corresponding author: DING Jianmin, djmzyn1982@sina.com

摘要

摘要: 肝细胞癌(HCC)是我国乃至世界较为高发的恶性肿瘤，早期诊断及治疗是改善患者预后的关键。为了方便不同中心、不同专业医生间的沟通交流，美国放射学会于2016年发布第一版超声造影肝脏影像报告和数据管理系统(CEUS LI-RADS)，对肝脏影像术语、技术、解释、报告及数据收集进行规定，同时对不同肝脏局灶性病变进行HCC的风险分层，在临床应用中逐渐展露出优势。本文就CEUS LI-RADS的发展现状及临床应用进展进行综述，认为应用CEUS LI-RADS对HCC高危人群肝脏局灶性病变进行临床管理具有巨大的潜在价值，而且相信在不久的将来CEUS LI-RADS适用人群和适应证将会不断扩展，更好的服务于临床。
- 癌, 肝细胞 /
- 超声检查 /
- 数据库管理系统
Abstract: Hepatocellular carcinoma (HCC) is a malignant tumor with high incidence in China and the whole world, and early diagnosis and treatment are the key to improving the prognosis of patients. To facilitate the communication and cooperation between doctors of different centers and specialties, American College of Radiology issued the first edition of contrast-enhanced ultrasound (CEUS) Liver Imaging Reporting and Data System (LI-RADS) in 2016 to standardize the technical terms, techniques, interpretation, reporting, and data collection for liver imaging and perform HCC risk stratification for different focal liver lesions. This article reviews the development and clinical application of CEUS LI-RADS and believes that the application of CEUS LI-RADS has a great potential value in the clinical management of focal liver lesions in the population at a high risk of HCC, and the applicable population and indications for CEUS LI-RADS will continue to expand in the near future, so as to provide better service to clinical practice.
- Carcinoma, Hepatocellular /
- Ultrasonography /
- Database Management Systems

HTML全文

表 1 不同时相划分和需要观察的内容

时相	时间	观察内容
动脉期	10~20 s开始30~45 s结束	APHE、早期廓清(＜60 s)
门静脉期	30~45 s开始120 s结束	晚期廓清、廓清程度
延迟期	120 s开始4~6 min结束	扫查全肝，观察是否有其他结节

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