高级检索
    张颖, 吴意赟, 葛成霞, 夏云锦, 马云飞. 体位、探头位置及方向对肝脏可视化瞬时弹性成像的影响[J]. 徐州医科大学学报, 2021, 41(11): 827-830. DOI: 10.3969/j.issn.2096-3882.2021.11.009
    引用本文: 张颖, 吴意赟, 葛成霞, 夏云锦, 马云飞. 体位、探头位置及方向对肝脏可视化瞬时弹性成像的影响[J]. 徐州医科大学学报, 2021, 41(11): 827-830. DOI: 10.3969/j.issn.2096-3882.2021.11.009
    The influence of body position, probe’s position and direction on a new visual transient elastography technique for testing liver stiffness[J]. Journal of Xuzhou Medical University, 2021, 41(11): 827-830. DOI: 10.3969/j.issn.2096-3882.2021.11.009
    Citation: The influence of body position, probe’s position and direction on a new visual transient elastography technique for testing liver stiffness[J]. Journal of Xuzhou Medical University, 2021, 41(11): 827-830. DOI: 10.3969/j.issn.2096-3882.2021.11.009

    体位、探头位置及方向对肝脏可视化瞬时弹性成像的影响

    The influence of body position, probe’s position and direction on a new visual transient elastography technique for testing liver stiffness

    • 摘要: 目的探讨可视化瞬时弹性成像(ViTE)技术测量健康成人肝脏硬度的影响因素。方法使用迈瑞Resona6 ViTE技术随机对40例健康成人进行肝硬度检测,分析不同体位、探头位置及方向对肝脏硬度测量(LSM)值的影响,并评估受试者年龄、性别、身高、体重、体质量指数(BMI)、皮下脂肪厚度对LSM值的影响。结果仰卧位和左侧卧位右侧肋间隙LSM值分别为(4.99±1.22)kPa、(6.56±3.06)kPa,两者差异有统计学意义(P<0.05);右侧肋间隙和右侧肋弓下LSM值分别为(4.99±1.22)kPa、(4.43±1.46)kPa,两者差异有统计学意义(P<0.05);探头垂直胸壁方向、与胸壁垂直方向倾斜15°角、与胸壁垂直方向倾斜30°角时LSM值分别为(4.99±1.22)kPa、(5.20±1.53)kPa、(6.04±2.41)kPa,三者间差异有统计学意义(P<0.05);LSM值与年龄、性别、身高、体重、BMI、皮下脂肪厚度均无明显相关性;肝右叶的检测成功率显著高于肝左叶(P<0.05)。结论应用ViTE技术检测肝脏硬度时,应考虑到患者体位、探头方向及位置对LSM值的影响。

       

      Abstract: Purpose: To explore parameters that influence liver stiffness measurement (LSM) using visual transient elastography (ViTE) in healthy population. Methods: We use Mindray’s Resona6 ViTE technology to randomly test the liver stiffness of healthy adults, and 40 subjects was selected to analyze the impacts of the body position, probe’s position and direction on LSM. Besides, We assessed the impacts of age, gender, height, weight, BMI, and subcutaneous fat thickness on LSM. Results: The LSM values from the supine and the left decubitus position were (4.99±1.22) Kpa and (6.56±3.06) Kpa respectively, and the difference was statistically significant. The LSM values obtained from the right intercostal space and the right inferior margin of costal arch are (4.99±1.22) Kpa and (4.43±1.46) Kpa respectively, and the difference was statistically significant. The LSM values obtained when the probe is perpendicular to the chest wall, at an angle of 15° to the vertical direction of the chest wall, and at an angle of 30° to the vertical direction of the chest wall were (4.99±1.22) Kpa, (5.20±1.53) Kpa, (6.04±2.41) Kpa respectively, and the difference was also statistically significant. This study also found no significant impact of age, gender, height, weight, BMI, and subcutaneous fat thickness on LSM. Moreover, the detection success rate of the right lobe of liver is significantly higher than that of left lobe. Conclusion: When applying ViTE technology to detect liver stiffness, the influence of subject’s body position, probe’s direction and position on the LSM value should be considered.

       

    /

    返回文章
    返回