GUIDING AND CONTROLLING PERCUTANEOUS PANCREAS BIOPSIES WITH CONTRAST-ENHANCED ULTRASOUND: TARGET LESIONS ARE NOT LOCALIZED ON B-MODE ULTRASOUND

被引：19

作者：

Wei, Ying ^{[1
]}

Yu, Xiao-Ling ^{[1
]}

Liang, Ping ^{[1
]}

Cheng, Zhi-Gang ^{[1
]}

Han, Zhi-Yu ^{[1
]}

Liu, Fang-Yi ^{[1
]}

Yu, Jie ^{[1
]}

机构：

[1] Gen Hosp Chinese Peoples Liberat Army, Dept Intervent Ultrasound, Beijing 100853, Peoples R China

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2015年 / 41卷 / 06期

关键词：

Contrast-enhanced ultrasound; Pancreas; Biopsy; Core needle; B-mode ultrasound; FINE-NEEDLE-ASPIRATION; DOPPLER ULTRASONOGRAPHY; CARCINOMA; ACCURACY;

D O I：

10.1016/j.ultrasmedbio.2015.01.015

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

The aim of the study described here was to prospectively investigate the clinical and practical value of percutaneous contrast-enhanced ultrasound (CEUS)-guided biopsy of pancreatic lesions that are not definitively localized by B-mode ultrasound (US). Fifty-three patients underwent CEUS-guided biopsy. The rate of satisfactory percutaneous biopsy was 96.23% (51/53) with a median number of puncture attempts per patient of 3.0, and the diagnostic accuracy in satisfactory sampling was 96.08% (49/51). The sensitivity of CEUS-guided biopsy in diagnosing malignancy was 90.48% (38/42). There was only one major complication in our study, a patient (1/51, 1.96%) with biliary peritonitis. For pancreatic lesions that are not definitively localized by B-mode US, puncture guided by CEUS could improve accuracy, lower the incidence of complications and avoid unnecessary biopsy. (E-mail: dyuxl301@aliyun.com) (C) 2015 World Federation for Ultrasound in Medicine & Biology.

引用

页码：1561 / 1569

页数：9

共 21 条

[1] Ultrasonography of the pancreas. 5. Interventional procedures [J].

D'Onofrio, M. ;

Malago, R. ;

Zamboni, G. ;

Manfrin, E. ;

Pozzi Mucelli, R. .

ABDOMINAL IMAGING, 2007, 32 (02) :182-190

[2]

D'Onofrio M, 2005, MED RAD DIA IMG, P335

[3] Pancreatic multicenter ultrasound study (PAMUS) [J].

D'Onofrio, Mirko ;

Barbi, Emilio ;

Dietrich, Christoph F. ;

Kitano, Masayuki ;

Numata, Kazushi ;

Sofuni, Atsushi ;

Principe, Francesco ;

Gallotti, Anna ;

Zamboni, Giulia A. ;

Mucelli, Roberto Pozzi .

EUROPEAN JOURNAL OF RADIOLOGY, 2012, 81 (04) :630-638

[4]

Dong BW, 2001, CHIN J ULTRASONOGR, V10, P219

[5] Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008 [J].

Ferlay, Jacques ;

Shin, Hai-Rim ;

Bray, Freddie ;

Forman, David ;

Mathers, Colin ;

Parkin, Donald Maxwell .

INTERNATIONAL JOURNAL OF CANCER, 2010, 127 (12) :2893-2917

[6]

Iglesias-Garcia Julio, 2012, Gastroenterol Hepatol, V35 Suppl 1, P91, DOI 10.1016/S0210-5705(12)70040-7

[7]

Kitano Masayuki, 2012, Gastrointest Endosc Clin N Am, V22, P349, DOI 10.1016/j.giec.2012.04.013

[8] NEW TECHNIQUES AND FUTURE PERSPECTIVE OF EUS FOR THE DIFFERENTIAL DIAGNOSIS OF PANCREATIC MALIGNANCIES: CONTRAST HARMONIC IMAGING [J].

Kitano, Masayuki ;

Sakamoto, Hiroki ;

Komaki, Takamitsu ;

Kudo, Masatoshi .

DIGESTIVE ENDOSCOPY, 2011, 23 :46-50

[9]

Mircea PA, 2001, REV ROM ULTRASONOGR, V3, P39

[10] Evaluation of blood flow in pancreatic ductal carcinoma using contrast-enhanced, wide-band Doppler ultrasonography - Correlation with tumor characteristics and vascular endothelial growth factor [J].

Ohshima, T ;

Yamaguchi, T ;

Ishihara, T ;

Yoshikawa, M ;

Kobayashi, A ;

Sakaue, N ;

Baba, T ;

Yamada, S ;

Saisho, H .

PANCREAS, 2004, 28 (03) :335-343

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