Title | Application of Contrast-Enhanced Ultrasound in Cystic Pancreatic Lesions Using a Simplified Classification Diagnostic Criterion |
Authors | Fan, Zhihui Yan, Kun Wang, Yanjie Qiu, Jianxing Wu, Wei Yang, Lei Chen, Minhua |
Affiliation | Peking Univ, Canc Hosp & Inst, Dept Ultrasound, Key Lab Carcinogenesis & Translat Res,Minist Educ, Beijing 100142, Peoples R China. Peking Univ, Hosp 1, Dept Radiol, Beijing 100034, Peoples R China. Peking Univ, Canc Hosp & Inst, Dept Beijing Off Canc Prevent & Control, Key Lab Carcinogenesis & Translat Res,Minist Educ, Beijing 100142, Peoples R China. Peking Univ, Canc Hosp & Inst, Dept Ultrasound, Key Lab Carcinogenesis & Translat Res,Minist Educ, 52 Fucheng Rd, Beijing 100142, Peoples R China. |
Keywords | MANAGEMENT NEOPLASMS FEATURES MASSES |
Issue Date | 2015 |
Publisher | BIOMED RESEARCH INTERNATIONAL |
Citation | BIOMED RESEARCH INTERNATIONAL.2015. |
Abstract | Objective. Classification diagnosis was performed for cystic pancreatic lesions using ultrasound (US) and contrast-enhanced ultrasound (CEUS) to explore the diagnostic value of CEUS by comparison with enhanced CT. Methods. Sixty-four cases with cystic pancreatic lesions were included in this study. The cystic lesions of pancreas were classified into four types by US, CEUS, and CT: type I unilocular cysts; type II microcystic lesions; type III macrocystic lesions; and type IV cystic lesions with solid components or irregular thickening of the cystic wall or septa. Results. Eighteen type I, 7 type II, 10 type III, and 29 type IV cases were diagnosed by CT. The classification results by US were as follows: 6 type I; 5 type II; 4 type III; and 49 type IV cases. Compared with the results by enhanced CT, the kappa value was 0.36. Using CEUS, 15, 6, 12, and 31 cases were diagnosed as types I-IV, respectively. The kappa value was 0.77. Conclusion. CEUS has obvious superiority over US in the classification diagnostic accuracy in cystic pancreatic lesions and CEUS results showed substantial agreement with enhanced CT. CEUS could contribute to the differential diagnosis of cystic pancreatic diseases. |
URI | http://hdl.handle.net/20.500.11897/419228 |
ISSN | 2314-6133 |
DOI | 10.1155/2015/974621 |
Indexed | SCI(E) PubMed |
Appears in Collections: | 北京肿瘤医院 第一医院 |