Contrast-enhanced ultrasound detects perfusion defects in an ex vivo porcine liver model: a useful tool for the study of hepatic reperfusion

被引:5
作者
Alzaraa, Ahmed [1 ]
Al-Leswas, Dhya [1 ]
Chung, Wen Yuan [1 ]
Gravante, Gianpiero [1 ]
Bruno, Morgan [2 ]
West, Kevin [3 ]
Dennison, Ashley [1 ]
Lloyd, David [1 ]
机构
[1] Univ Hosp Leicester, Leicester Gen Hosp, Dept Hepatobiliary & Pancreat Surg, Leicester LE5 4PW, Leics, England
[2] Univ Hosp Leicester, Leicester Gen Hosp, Dept Radiol, Leicester LE5 4PW, Leics, England
[3] Univ Hosp Leicester, Leicester Gen Hosp, Dept Histopathol, Leicester LE5 4PW, Leics, England
关键词
Liver; Transplant; Ultrasound; Contrast agents; Ischemia; CYTOKINE RESPONSE; TRANSPLANTATION; MICROBUBBLES; AGENTS; SONOGRAPHY; EXPERIENCE; ABLATION; KIDNEY; TUMORS; SERUM;
D O I
10.1007/s10047-013-0717-1
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Following transplantation, areas of hypoperfusion can be associated with metabolic changes and poor organ recovery. Our study evaluated contrast-enhanced ultrasound (CEUS) agents for the detection of such areas. Livers were collected from ten pigs, connected to extracorporeal circuits and perfused using autologous blood. After 1 and 4 h livers were scanned with an ultrasound machine following the administration of CEUS agents. Biopsies from perfused and non-perfused areas were collected. The entire parenchyma enhanced strongly on non-contrast ultrasound at 1 h with no perfusion defects. Four hours later multiple perfusion defects manifested not evident with non-contrast ultrasound. Histology confirmed non-perfused areas corresponded to ischemic zones. In our model the addition of CEUS revealed perfusion defects after 4 h. This might facilitate detection and characterization of perfusion defects in transplanted livers.
引用
收藏
页码:475 / 482
页数:8
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