دورية أكاديمية

Assessment of drainage vein of focal nodular hyperplasia using contrast-enhanced ultrasound.

التفاصيل البيبلوغرافية
العنوان: Assessment of drainage vein of focal nodular hyperplasia using contrast-enhanced ultrasound.
المؤلفون: Watanabe Y; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan. koushin0809@yahoo.co.jp., Ogawa M; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Konishi A; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Suda S; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Tamura Y; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Kaneko M; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Hirayama M; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Matsumoto N; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan., Kogure H; Department of Gastroenterology and Hepatology, Nihon University School of Medicine, Tokyo, Japan.
المصدر: Journal of medical ultrasonics (2001) [J Med Ultrason (2001)] 2024 Apr 12. Date of Electronic Publication: 2024 Apr 12.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Japan NLM ID: 101128385 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1613-2254 (Electronic) Linking ISSN: 13464523 NLM ISO Abbreviation: J Med Ultrason (2001) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Tokyo, Japan : Springer Verlag, c2001-
مستخلص: Purpose: Identification of drainage vessels is useful for differential diagnosis of hepatic tumors. Direct drainage to the hepatic vein has been reported to occur in focal nodular hyperplasia (FNH), but studies evaluating the drainage veins of FNH are limited. We aimed to investigate the detection rate of the FNH drainage vein and the factors related to visualization of the drainage vein on contrast-enhanced ultrasound (CEUS).
Methods: Fifty consecutive patients with 50 FNH lesions were retrospectively evaluated in this study. We calculated and compared the detection rate of the FNH drainage vein on CEUS, contrast-enhanced magnetic resonance imaging (CEMRI), and contrast-enhanced computed tomography (CECT), and identified the factors correlated with visualization of the FNH drainage vein on CEUS by using multivariate logistic regression analyses.
Results: Visualization of the drainage vein was confirmed in 31 of 50 lesions (62%) using CEUS, three of 44 lesions (6.8%) using CEMRI, and one of 18 lesions (5.6%) using CECT. The detection rate of the FNH drainage vein on CEUS was significantly higher than that on CEMRI and CECT (p < 0.001). Multivariate analysis identified lesion size (≥ 25 mm) and detection of the spoke-wheel pattern on Doppler US as independent factors for drainage vein detection in FNH.
Conclusion: Our study showed that rapid FNH drainage to the hepatic vein was observed at a relatively high rate on CEUS, suggesting that CEUS focusing on detection of drainage veins is important for diagnosing FNH.
(© 2024. The Author(s), under exclusive licence to The Japan Society of Ultrasonics in Medicine.)
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فهرسة مساهمة: Keywords: Contrast-enhanced ultrasonography; Drainage hepatic vein; Focal nodular hyperplasia; Liver
تواريخ الأحداث: Date Created: 20240412 Latest Revision: 20240412
رمز التحديث: 20240413
DOI: 10.1007/s10396-024-01451-x
PMID: 38609664
قاعدة البيانات: MEDLINE
الوصف
تدمد:1613-2254
DOI:10.1007/s10396-024-01451-x