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Quantitative diagnostic value of real-time ultrasound elastography in rats with obstructive jaundice |
MENG Ye1 XIAO Yang2 LIU Yong3 WANG Tao4 XI Ke-min4▲ |
1.Department of Ultrasound,the Second Affiliated Hospital of Mudanjiang Medical University,Heilongjiang Province, Mudanjiang157009,China;
2.Department of Hepatobiliary Surgery,the Second Affiliated Hospital of Mudanjiang Medical University,Heilongjiang Province,Mudanjiang157009,China;
3.Mudanjiang Medical University,Heilongjiang Province, Mudanjiang157011,China;
4.Department of Ultrasound,Hongqi Hospital of Mudanjiang Medical University,Heilongjiang Province,Mudanjiang157011,China |
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Abstract Objective To explore the quantitative diagnostic value of RTE for quantitative analysis of the elasticity of the liver changes in rats with obstructive jaundice.Methods 30 male SD rats(2.5-3.0 months,280-330 g)were randomly divided into group A(experimental group)and group B(control group),15 rats in each group.Rats of the group A was operated to make refolding obstructive jaundice animal model,while group B was only given the sham operation.Ultrasound diagnostic imaging software was used to analyze the elasticity of the liver changes of the animal models preoperative, 2 weeks after the modeling and 2 weeks after the removal of the obstruction;and the diffusion quantitative analysis of the elastic image,the percentage of blue areas(%AREA)and strain mean(MEAN)within the region of interest(ROI)of the rat liver were measured and recorded.The changes of%AREA and MEAN in the two groups were compared at preoperative,2 weeks after the modeling and 2 weeks after the removal of the obstruction.Results There was no significant difference in%AREA and MEAN between the two groups at preoperative and 2 weeks after obstruction relieving(P>0.05).The AREA and MEAN of group A were 42.60±3.69,93.20±2.54,compared with the group B of 25.40±1.40,108.00± 4.93,the difference was statistically significant(t=6.230,P=0.019;t=4.328,P=0.047).The AREA and MEAN values at 2 weeks after modeling were compared with those at preoperative and 2 weeks after obstruction relieving,the differences were statistically significant(P<0.05).Conclusion Diffusion quantitative analysis of RTE can reflect the liver changes caused by obstructive jaundice,the MEAN and%AREA in the ROI of the liver after obstructive jaundice may change significantly,which can be used as quantitative indicators of the degree of obstructive jaundice reference.
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[1] |
Dienstag JL.The role of liver biopsy in chronic hepatitis C[J]. Hepatology,2002,36(5 Suppl 1):152-160.
|
[2] |
Bravo AA,Sheth SG,Chopra S.liver biopsy[J].N Engl J Med,2001,344(7):495-500.
|
[4] |
丛淑珍,甘科红,裴淑芳,等.组织弥散定量分析评估肝纤维化价值的探讨[J].中华超声影像学杂志,2011,6(2):487-490.
|
[5] |
罗葆明,欧冰,智慧,等.改良超声弹性成像评分标准在乳腺肿块鉴别诊断中的价值[J].现代临床医学生物工程学杂志,2006,12(5):396-398.
|
[3] |
OphirJ,CéspedesI,PonnekantiH,etal.Elastography:a quantitative method for imaging the elasticity of biological tissues[J].Ultrason Imaging,1991,13(2):111-134.
|
[6] |
梁霞,吴泽惠,杨通明,等.实时超声弹性成像对乳腺单发实性小肿块的诊断价值[J].中国临床医学影像杂志,2011,22(4):229-231.
|
[7] |
韩东刚,封娟毅,余珊珊,等.对比探讨实时超声弹性成像与99Tcm-MIBI亲肿瘤显像在甲状腺占位性结节疾病中的诊断价值[J].中国超声医学杂志,2011,27(6):501-504.
|
[8] |
周瑞莉,王满立,王煜,等.二维超声联合实时超声弹性成像技术诊断甲状腺微小癌的临床分析[J].中国超声医学杂志,2012,28(5):409-412.
|
[9] |
郑颖,孟繁坤.实时组织超声弹性成像在胆汁性肝硬化患者中的应用价值[J].临床超声医学杂志,2013,15(9):635-637.
|
[10] |
陶山,王少璐,吴强,等.弹性超声蓝色面积百分比在乙肝纤维化分级中的应用研究[J].中国医药导报,2015,12(19):102-105.
|
[11] |
Yashima Y,TsujinoT,Masuzaki R,et al.Increased liver elasticity in patients with biliary obstruction[J].J Gastroenrol,2011,46(1):86-91.
|
[12] |
Wang J,Guo L,Shi X,et al.Real-time elastography with a novel quantitative technology for assessment of liver fibrosis in chronic hepatitis B[J].Eur J Radiol,2012,81(1):e31-e36.
|
[13] |
张喜平,黄鑫梅,沈延飞,等.梗阻性黄疸并发肝损伤研究概况[J].医学研究杂志,2008,37(11):8-12.
|
[14] |
汤靓,周伟平.梗阻性黄疸病理生理学改变[J].中国实用外科杂志,2007,27(10):839-841.
|
[15] |
杜阳春,廖新红,杨红,等.实时超声弹性成像评价肝纤维化程度的初步探讨[J].中国超声医学杂志,2012,28(2):154-156.
|
[16] |
林炜,张春阳,黄桂华,等.肝门部恶性梗阻性黄疸介入减黄术预后多因素分析[J].中国普通外科杂志,2010,19(8):929-932.
|
[17] |
李银侠,洪峻峰,郭佳,等.实时超声弹性成像对梗阻性黄疸的定量化诊断价值[J].上海医学杂志,2014,37(7):595-598.
|
|
|
|