Contrast-Enhanced Ultrasonography in the Diagnosis of Portal Vein Thrombosis A Pictorial Review

被引：5

作者：

Iliescu, Laura ^{[1
,2
]}

Toma, Letitia ^{[1
,2
]}

Mercan-Stanciu, Adriana ^{[1
]}

Grumeza, Mihaela ^{[1
]}

Ioanitescu, Simona ^{[1
,2
]}

机构：

[1] Fundeni Clin Inst, Clin Internal Med, Bucharest, Romania

[2] Carol Davila Univ Med & Pharm, Bucharest, Romania

来源：

ULTRASOUND QUARTERLY | 2019年 / 35卷 / 04期

关键词：

contrast-enhanced ultrasonography; hepatocellular carcinoma; portal vein thrombosis; FOCAL LIVER-LESIONS; COMPUTED-TOMOGRAPHY; RISK-FACTORS; CIRRHOSIS; ULTRASOUND; MANAGEMENT; TRANSPLANTATION; ANTICOAGULATION; GUIDELINES; DISORDERS;

D O I：

10.1097/RUQ.0000000000000451

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Portal vein thrombosis is a frequently encountered complication in hepatology and hematology. In patients with liver cirrhosis, it can occur in the natural history of the disease due to clotting disorders or associated with hepatocellular carcinoma. The development of a malignant thrombus is a contraindication to several therapeutic procedures in liver cancer, such as liver resection or transplantation or transarterial chemoembolization; therefore, patients need to be attentively evaluated. Contrast-enhanced ultrasonography is a relatively new noninvasive imagistic investigation with proven accuracy in focal liver lesions. Its use in differentiating malignant and nonmalignant portal vein thrombosis is still controversial. This article revises the characteristics of portal vein thrombosis on contrast-enhanced ultrasonography in order to determine its accuracy in the diagnosis of malignant portal vein thrombosis.

引用

页码：311 / 315

页数：5

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