23. 23
Ultraskaņas elastogrāfija
Neinvazīva attēlveidošanas metode, ko pielieto, lai
noteiktu relatīvo audu saspiežamību vai deformāciju,
pielietojot noteiktu spēku
Divas galvenās elastogrāfijas formas:
»Kvazistatiskā jeb deformācijas elastogrāfija (SE - strain
elastography)
»Bīdes viļņa elastogrāfija (SWE – shear wave elastography).
http://www.ultrasonografija.lv/index.php?id=83
24. 24
Deformācijas elastogrāfijā tiek mērīta audu
nobīde, kas rodas sākotnējā kompresijas spēka
rezultātā. Mīkstos audos nobīde ir lielāka,
salīdzinot ar cietiem (blīviem) audiem
http://www.ultrasonografija.lv/index.php?id=83
25. 25
Bīdes viļņa elastogrāfijā tiek mērīts
šķērsvirzienā orientēto bīdes viļņu ātrums.
Cietos (blīvos) audos bīdes viļņi izplatās ātrāk,
nekā mīkstos audos
http://www.ultrasonografija.lv/index.php?id=83
29. 29
Kāda ir savstarpējā ehogenitāte?
https://www.researchgate.net/figure/221915614_fig2_Fig-4-Normal-ultrasound-liver-
pattern-Echogenicity-and-echodensity-of-the-liver-and
30. 30
Kas ir redzams attēlā? Kā to raksturot?
http://www.slredultrasound.com/ImageBank/Renal.html
31. 31
Kas šī par zondi? Kur pielieto?
http://www.kpiultrasound.com/categories/ultrasound-probes/page/10/
32. 32
Kas redzams šajā attēlā?
http://ultrasoundcases.info/Slide-View.aspx?cat=137&case=7418
36. 36
Kā sauc šādu izmeklējumu?
https://gi.jhsps.org/GDL_Disease.aspx?CurrentUDV=31&GDL_Cat_ID=
551CDCA7-A3C1-49E5-B6A0-C19DE1F94871&GDL_Disease_ID=E81
Echogenicity (misspelled sometimes as echogenecity) is the ability to bounce an echo, e.g. return the signal in ultrasound examinations. In other words, echogenicity is higher when the surface bouncing the sound echo reflects increased sound waves. Tissues that have higher echogenicity are called "hyperechogenic" and are usually represented with lighter colors on images in medical ultrasonography. In contrast, tissues with lower echogenicity are called "hypoechogenic" and are usually represented with darker colors. Areas that lack echogenicity are called "anechogenic" and are usually displayed as completely dark.
Attenuation, ēnas
ULTRASOUND DISCLOSED THAT WAS A CYSTIC TUMOR AT THE RIGHT LOBE THYROID WITH MANY COMET TAIL ARTIFACTS INSIDE THE CYST.
This 85 year-old woman presented with abdominal pain. In her liver were multiple small echogenic foci with comet-tail artefact. Comet-tail artefact arises from reverberation of the ultrasound beam within a small cyst or gas bubble. The multiple echoes generated register as a trail on the image.Comet-tail artefact arising within the liver may be due to gas (portal venous gas or biliary tree gas). The appearance may also be seen with von Meyenberg complexes (biliary hamartomas), a benign condition found in up to 5% of the population.
It is named after the Austrian physicist Christian Doppler, who proposed it in 1842 in Prague.
Strain elastography
This invasive ductal carcinoma shows blue (for hard) colouration that extends beyond the B-mode lesion.
67-year-old patient with liver cirrhosis and ascites. Real-time elastography (Hitachi Hi Vision Preirus) with convex probe shows the difference in hardness between intercostal muscles (blue), the ascites fluid (red) and the hard liver parenchyma( blue) with the mean histogram 8.5 [Figure 1].
2D=SWE
60 years old male patient with multiple thyroid nodules (the largest with a volume of 8.3 ml, size: 29 x 18 x 29 mm) in the right lobe, scintigraphically “cold”. Laboratory tests were within normal ranges. B mode ultrasound revealed an isoechoic inhomogenous nodule. 2D SWE (Aixplorer, Supersonic) demonstrated similar stiffness compared to the normal thyroid parenchyma [Figure 1 and 2]. Surgery was performed. Histology revealed follicular adenoma.