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超声剪切波弹性及频散成像技术检测健康成人肝脏黏弹性的参考值范围

Reference value range of ultrasonic shear wave elasticity and dispersion imaging for detecting liver viscoelasticity in healthy adults

  • 摘要:
    目的 探讨基于超声剪切波弹性成像(shear wave elastography,SWE)及剪切波频散成像(shear wave dispersion,SWD)技术检测健康成人肝脏黏弹性的最优测量方法及医学参考值范围。
    方法 选择2020年5月至10月复旦大学附属中山医院的健康体检者50例,行肝脏SWE及SWD检测,分析不同肝脏检测部位、不同取样面积及年龄、性别对测值的影响,进一步确定健康人群的肝脏黏弹性的参考值范围。
    结果 肝右叶S5/S6段切面检测的成功率高于肝左叶最大切面(100%vs 76%),结合肝右叶测值内部一致性和离散程度均优于肝左叶测值,肝右前叶为测量的最佳位置;不同取样面积(直径10 mm及20 mm)的肝脏SWE及SWD测值差异无统计学意义;不同年龄组及不同性别组间肝脏SWE及SWD测值差异无统计学意义。
    结论 应用剪切波黏弹性技术检测肝脏黏弹性成功率高,稳定性好,肝右前叶为最佳测量部位,不同取样面积、性别及年龄对测值无明显影响。推算肝脏SWE参考值范围为3.93~8.75 kPa;肝脏SWD参考值范围为8.80~14.99 m/(s·MHz)。

     

    Abstract:
    Objective To explore the optimal method and the medical reference range of liver shear wave elastography (SWE) and shear wave dispersion (SWD) imaging in healthy adults.
    Methods From May to October 2020, 50 healthy people in Zhongshan Hospital, Fudan University were selected, the SWE and SWD data of the liver in 50 healthy subjects were collected. The influence of different measuring positions, different sampling areas, different ages or genders on the SWE and SWD values was analyzed, then the normal liver reference range of healthy adults was determined.
    Results The success rate of the S5/S6 section of the right lobe of the liver was 100%, which was higher than that of the maximum section of the left lobe of the liver (76%). The internal consistency and dispersion degree of the measured values of the right lobe were also better than those of the left lobe of the liver. So the right anterior lobe of the liver was the best measuring position. There was no significant difference in SWE and SWD values among different sampling area (10 mm and 20 mm in diameter), age, or gender groups.
    Conclusions SWE and SWD technology have a high success rate and good stability. The right anterior lobe of the liver is the best site for measuring. Different sampling areas, different gender, and ages have no influence on the measured value. According to our study, the normal range of SWE and SWD values of the liver in healthy adults were 3.93~8.75 kPa and 8.80~14.99 m/(s·MHz), respectively.

     

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