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progress
on
the
applicationof
ultrasound
ingynecology
progress
on
the
applicationo超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件endo-luminalultrasound(腔内超声)Real-TimeTissueElastography(弹性成像)Contrastenhancedultrasound(超声造影)Three-dimensionalUltrasonography(3D三维超声)endo-luminalultrasound(腔内超声)uterine
cavityultrasonographyIndicationscontraindicationuterine
cavityultrasonographyTransvaginalUltrasounduterine
cavityultrasonographypathologyIA022IB256IC143ambiguity800TransvaginalUltrasounduterineacoustic
penetrationdepth
isinverselyproportionaltotheprobefrequency。Resolution
isproportionaltotheprobe
frequencyacoustic
penetrationdepth
isAdvantagesandlimitationsHigh-frequency,highresolution,clearimageSmallscanningradiusAdvantagesandlimitationsHigh妇科腔内超声适应症和禁忌症适应症禁忌症:1)未婚无性生活史;2)阴道出血;3)阴道炎;4)老年性或放射性阴道萎缩;4)先天性阴道闭锁。相对禁忌症:1)患者不同意阴道超声检查;2)超出阴道探头探查范围的盆腔肿块;3)中、晚期妊娠有阴道出血原因不明者。---临床技术操作规范超声医学分册妇科腔内超声适应症和禁忌症适应症
2、实时组织弹性成像
(Real-TimeTissueElastography)
2、实时组织弹性成像
(Real-Ti[Elastography]
The
hardnessoforganizationis
closerelativetohistopathology
.
Grayscaleorcolorcodedimagingsoftsofthardexternalforcesofthard[Elastography]
ThehardnessElastographyElastography
1points:deformation,green;
2points:largelydeformation,Greenandbluemosaic;
3points:Boundarydeformation-green,centerpartundeformed,blue
4points:tumorundeformed-blue;
5points:tumorandperienchymaundeformed,
tumorandperienchyma-blue1points:deformation,greequantitativeanalysis--qualitativeanalysis1pointsbenign2~3pointsBenignmaybe4pointsPayattentiontothedifferentialdiagnosis5pointsmalignancymaybequantitativeanalysis--qualita
strainratio------quantitativeanalysissoftwarestrainratio(应变率)strainratio------quantitativStrainratio=B/A=FLR=tumor/fattytissue(referencevalue4.3)Strainratio=B/A=tumor/referencetissue
(referencevalue3.08)Strainratio=B/A=FLR=tumor/fa超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件clinicalapplicationTheearlydiagnosisofcancer
・Benign,malignantjudgement
・Diffusionregion
・ToconfirmthetherapeuticeffecclinicalstagingofvenousthrombosisHepaticfibrosisThecorrespondingclinicalfield:Thyroid,breast,prostate,skin,liver,pancreas,uterus/ovary,lymphnode,vascular,rectum,testis……clinicalapplication3、Contrast-EnhancedUltrasoundTheshortageofconventionalultrasound
differentialdiagnosisofbenignandmalignantdiseasesLowspecificityLowsensitivityAdieasehasabroadspetrumofsonographicapperance,variousdieaseshavecommonsonographicapperance3、Contrast-EnhancedUltrasoundOvariancysticmassOvariancysticmassTheprincipleofconventionalultrasound
2D:acousticimpedanceacousticattenuation
CDFI:DopplershiftTheprincipleofconventionalIntravenousContrastUltrasoundDifferenceofmicrocirculationchangesincreasetheechogenicityofthebloodEnhancethedifferenceoftissueperfusionIntravenousContrastUltrasounWhatisulrasoundcontrastagent?Sizesufficientlysmall(lessthanredbloodcell)Strongsignals(morethanredbloodcell)PassthroughoutthebodyEliminateviatherespiratorysystemWhatisulrasoundcontrastageHowmicrobubbleswork?RapidlycontractingandexpandingtothepressurechangesofthesoundmakemicrobubblesseveralthousandtimesmorereflectivethannormalbodytissueThenon-linearoscillationofmicrobubblesgenerateharmonicTheacousticresultmicrobubblesburstHowmicrobubbleswork?Rapidly---定性:心脏、腹部、高频和腔内应用领域的实时造影技术
CnTI™-ContrastTunedImaging---定量:声学时间强度曲线分析
Wash-in/Wash-out™---创新:微血管灌注成像
CMI™-ContrastMicro-Imaging---定性:心脏、腹部、高频和腔内应用领域的实时造影技术Inertgas-filledmicrobubblescontrastagentSafetynon-toxicityUniformsize,lessthan10μmPassthroughthecapillariesGenerateharmonicGoodstabilityInertgas-filledmicrobubblesmicrobubblesBloodcirculationPassthroughthecapillariesthedifferenceoftissueperfusionReflectBloodsupplyoflesionsThedetectionrateofMicrovesselsincreasedTheechogenicofdifferenttissueweredifferentRealtimecontrastenhanceultrasoundmicrobubblesBloodcirculationPCEUSCEUS局灶性不典型增生FocalnodularhyperplasiaFNH局灶性不典型增生FocalnodularhyperplaTime-intensitycurves(OrdènetalRadiology2003;206:405-10)Time-intensitycurves(OrdènetPostoperative
CervicalcancerPostoperative
CervicalcancerBorderlineserouscystadenomaBorderlineserouscystadenomaMalignantmesotheliomaMalignantmesotheliomaDeepmyometrialinvasioninendomentrialcancerDeepmyometrialinvasioninenPelvicrecurrenceofendometrialcancerPelvicrecurrenceofendometri4、Three-dimensionalUltrasonography4、Three-dimensionalUltrasonoModernobstetricsandGynecologycategorygynaecologyobstetricsFemalepelvicmedicine;UrogynecologyfamilyplanningModernobstetricsandGynecoloThreedimensionalobstetrics
ultrasoundThreedimensionalgynaecologyultrasoundThreedimensionalobstetricsu3D,Anewfieldofvision3D,AnewfieldofvisionDynamicthree-dimensionalimaging,4DDynamicthree-dimensionalimagImagingmode:surfacemodetransparentmodecolordopplerflowimagingmodemultipleplanemodeNichemode超声在妇科应用进展(英文)课件surfacemodesurfacemodetransparentmodetransparentmodecolordopplerflowimagingmodecolordopplerflowmultipleplanemodemultipleplanemodeNichemodeNichemodeTwodimensionalultrasoundcannotget;Theimageiseasytounderstand;Makeacomprehensiveanalysisoftheinterestingzone。Closetotheactualanatomy,easyforcliniciansandnonmedicalstaffunderstanding,bettercommunicationbetweenultrasounddoctors,cliniciansandpatient超声在妇科应用进展(英文)课件indicationCongenitaluterineanomaliesIntrauterinedeviceintrauterinediseaseectopicpregnancyAdnexalmasses,follicledetection,ovarianvolumemeasurementindicationCongenitaluterineaAssessmentofovarianresponseThediagnosisofPCOSEvaluatetheuterinemorphologyandendometrialvolumePredicttheoutcomeofIVF-ETThreedimensionalultrasoundguidedpunctureAssessmentofovarianresponsetestingtimetestingtimeAFS(美国生殖协会),1988yAFS(美国生殖协会),1988y
classⅠ:Uterinehypoplasia/dysplasiaclassⅠ:UterinehypoplasiaclassⅡ:
unicornousuterus
(rudimentaryhornofuterus)classⅡ:
unicornousuterus(ru超声在妇科应用进展(英文)课件classⅢ:
didelphicuterusclassⅢ:
didelphicuterusdidelphicuterusdidelphicuterusclassⅣ:
bicornuateuterusclassⅣ:
bicornuateuterusIncompletebicornuateuterusIncompletebicornuateuteruscompletebicornuateuterus(doublecervix)
completebicornuateuterus(doucompletebicornuateuterus(doublecervix)completebicornuateuterus(dou
classⅤ
septateuterusclassⅤ
septateuterus超声在妇科应用进展(英文)课件Incompleteseptate
uterusSideintrauterinepregnancyIncompleteseptateuteruscompleteseptate
uteruscompleteseptateuterusclassⅥ
arcuateuterusclassⅥ
arcuateuterusclassⅦ:
diethystilbestrol(DES)exposureclassⅦ:
diethystilbestrol(DES
lengthdepthanglelength超声在妇科应用进展(英文)课件Incompleteseptate
uterus
Comparisonofpreoperativeandpostoperative
before
after
内膜Incompleteseptateuterus
Comp3D-PDA3D-PDAVOCALhistogramThreevascularindex:VI-VascularindexFI-flowindexVFI-VesselsflowindexVOCALhistogramThreevascular743D:Applicationinassistedreproductivetechnology1、Toobservethesituationofendometrial,ovarian,ovarianfollicle。2、Evaluationofendometrialreceptivity。3、Toevaluatethereactivityofovary。4、Toguidetheembryoimplantation。743D:Applicationinassistedr3DUltrasoundangiographyof
fallopiantubecoded
contrast
imaging
CCIThreedimensionalimagingfunctionstereoimageryoftubalmorphologyanddistribution3DUltrasoundangiographyof
fSonoAVC
AutomaticmeasurementvolumeoffolliclesandfolliclecounSonoAVC
AutomaticmeasurementdiagnosticcriteriaofPCOSdiagnosticcriteria1990NIH
2003Rotterdam
2006AndrogenExcessSocietyUltrasonicPCOcriteria:1990NIH
Theovarianperiphery≥10smallfollicles,andeachdiameter<1cm2003Rotterdamunilateralorbilateralovarianfolliclesmorethan12,1~9mmindiameter,andorovarianvolumegreaterthan10mldiagnosticcriteriaofPCOSdia78endometrialreceptivityEndometrialreceptivityisoneofthemainfactorsaffectingembryoimplantationAlthoughvariousendocrinefactorsmayinfluencetheendometrialreceptivity,butendometrialitselfenvironmentisaveryimportantreasonTVUScanbeusedtoevaluateendometrialthickness,echoandbloodflow,butmorethan10yearsofresearchshowsthelowsensitivity78endometrialreceptivityEndom793DandnormalendometriumNormalmenstrualcycleEndometrialvolume:Endometrialvascular:Somestudiesshowthatcomparedwiththeproliferativephase,secretoryphase(thelutealphase)vascularsurfacearea,diameter,capillarynumber
significantlyincreased793DandnormalendometriumNorThenewdisciplineofultrasoundUrogynecology;
pelvicfloorfunctionevaluationThenewdisciplineofultrasouThepelvicdiaphragmhiatus3Dimaging:Thepelvicdiaphragmhiatus3DPelvicfloormusclePelvicfloormuscle
urethrovaginalseptum
rectovaginalseptum超声在妇科应用进展(英文)课件22/49/6322/49/63超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件thankyou!thankyou!
progress
on
the
applicationof
ultrasound
ingynecology
progress
on
the
applicationo超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件endo-luminalultrasound(腔内超声)Real-TimeTissueElastography(弹性成像)Contrastenhancedultrasound(超声造影)Three-dimensionalUltrasonography(3D三维超声)endo-luminalultrasound(腔内超声)uterine
cavityultrasonographyIndicationscontraindicationuterine
cavityultrasonographyTransvaginalUltrasounduterine
cavityultrasonographypathologyIA022IB256IC143ambiguity800TransvaginalUltrasounduterineacoustic
penetrationdepth
isinverselyproportionaltotheprobefrequency。Resolution
isproportionaltotheprobe
frequencyacoustic
penetrationdepth
isAdvantagesandlimitationsHigh-frequency,highresolution,clearimageSmallscanningradiusAdvantagesandlimitationsHigh妇科腔内超声适应症和禁忌症适应症禁忌症:1)未婚无性生活史;2)阴道出血;3)阴道炎;4)老年性或放射性阴道萎缩;4)先天性阴道闭锁。相对禁忌症:1)患者不同意阴道超声检查;2)超出阴道探头探查范围的盆腔肿块;3)中、晚期妊娠有阴道出血原因不明者。---临床技术操作规范超声医学分册妇科腔内超声适应症和禁忌症适应症
2、实时组织弹性成像
(Real-TimeTissueElastography)
2、实时组织弹性成像
(Real-Ti[Elastography]
The
hardnessoforganizationis
closerelativetohistopathology
.
Grayscaleorcolorcodedimagingsoftsofthardexternalforcesofthard[Elastography]
ThehardnessElastographyElastography
1points:deformation,green;
2points:largelydeformation,Greenandbluemosaic;
3points:Boundarydeformation-green,centerpartundeformed,blue
4points:tumorundeformed-blue;
5points:tumorandperienchymaundeformed,
tumorandperienchyma-blue1points:deformation,greequantitativeanalysis--qualitativeanalysis1pointsbenign2~3pointsBenignmaybe4pointsPayattentiontothedifferentialdiagnosis5pointsmalignancymaybequantitativeanalysis--qualita
strainratio------quantitativeanalysissoftwarestrainratio(应变率)strainratio------quantitativStrainratio=B/A=FLR=tumor/fattytissue(referencevalue4.3)Strainratio=B/A=tumor/referencetissue
(referencevalue3.08)Strainratio=B/A=FLR=tumor/fa超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件超声在妇科应用进展(英文)课件clinicalapplicationTheearlydiagnosisofcancer
・Benign,malignantjudgement
・Diffusionregion
・ToconfirmthetherapeuticeffecclinicalstagingofvenousthrombosisHepaticfibrosisThecorrespondingclinicalfield:Thyroid,breast,prostate,skin,liver,pancreas,uterus/ovary,lymphnode,vascular,rectum,testis……clinicalapplication3、Contrast-EnhancedUltrasoundTheshortageofconventionalultrasound
differentialdiagnosisofbenignandmalignantdiseasesLowspecificityLowsensitivityAdieasehasabroadspetrumofsonographicapperance,variousdieaseshavecommonsonographicapperance3、Contrast-EnhancedUltrasoundOvariancysticmassOvariancysticmassTheprincipleofconventionalultrasound
2D:acousticimpedanceacousticattenuation
CDFI:DopplershiftTheprincipleofconventionalIntravenousContrastUltrasoundDifferenceofmicrocirculationchangesincreasetheechogenicityofthebloodEnhancethedifferenceoftissueperfusionIntravenousContrastUltrasounWhatisulrasoundcontrastagent?Sizesufficientlysmall(lessthanredbloodcell)Strongsignals(morethanredbloodcell)PassthroughoutthebodyEliminateviatherespiratorysystemWhatisulrasoundcontrastageHowmicrobubbleswork?RapidlycontractingandexpandingtothepressurechangesofthesoundmakemicrobubblesseveralthousandtimesmorereflectivethannormalbodytissueThenon-linearoscillationofmicrobubblesgenerateharmonicTheacousticresultmicrobubblesburstHowmicrobubbleswork?Rapidly---定性:心脏、腹部、高频和腔内应用领域的实时造影技术
CnTI™-ContrastTunedImaging---定量:声学时间强度曲线分析
Wash-in/Wash-out™---创新:微血管灌注成像
CMI™-ContrastMicro-Imaging---定性:心脏、腹部、高频和腔内应用领域的实时造影技术Inertgas-filledmicrobubblescontrastagentSafetynon-toxicityUniformsize,lessthan10μmPassthroughthecapillariesGenerateharmonicGoodstabilityInertgas-filledmicrobubblesmicrobubblesBloodcirculationPassthroughthecapillariesthedifferenceoftissueperfusionReflectBloodsupplyoflesionsThedetectionrateofMicrovesselsincreasedTheechogenicofdifferenttissueweredifferentRealtimecontrastenhanceultrasoundmicrobubblesBloodcirculationPCEUSCEUS局灶性不典型增生FocalnodularhyperplasiaFNH局灶性不典型增生FocalnodularhyperplaTime-intensitycurves(OrdènetalRadiology2003;206:405-10)Time-intensitycurves(OrdènetPostoperative
CervicalcancerPostoperative
CervicalcancerBorderlineserouscystadenomaBorderlineserouscystadenomaMalignantmesotheliomaMalignantmesotheliomaDeepmyometrialinvasioninendomentrialcancerDeepmyometrialinvasioninenPelvicrecurrenceofendometrialcancerPelvicrecurrenceofendometri4、Three-dimensionalUltrasonography4、Three-dimensionalUltrasonoModernobstetricsandGynecologycategorygynaecologyobstetricsFemalepelvicmedicine;UrogynecologyfamilyplanningModernobstetricsandGynecoloThreedimensionalobstetrics
ultrasoundThreedimensionalgynaecologyultrasoundThreedimensionalobstetricsu3D,Anewfieldofvision3D,AnewfieldofvisionDynamicthree-dimensionalimaging,4DDynamicthree-dimensionalimagImagingmode:surfacemodetransparentmodecolordopplerflowimagingmodemultipleplanemodeNichemode超声在妇科应用进展(英文)课件surfacemodesurfacemodetransparentmodetransparentmodecolordopplerflowimagingmodecolordopplerflowmultipleplanemodemultipleplanemodeNichemodeNichemodeTwodimensionalultrasoundcannotget;Theimageiseasytounderstand;Makeacomprehensiveanalysisoftheinterestingzone。Closetotheactualanatomy,easyforcliniciansandnonmedicalstaffunderstanding,bettercommunicationbetweenultrasounddoctors,cliniciansandpatient超声在妇科应用进展(英文)课件indicationCongenitaluterineanomaliesIntrauterinedeviceintrauterinediseaseectopicpregnancyAdnexalmasses,follicledetection,ovarianvolumemeasurementindicationCongenitaluterineaAssessmentofovarianresponseThediagnosisofPCOSEvaluatetheuterinemorphologyandendometrialvolumePredicttheoutcomeofIVF-ETThreedimensionalultrasoundguidedpunctureAssessmentofovarianresponsetestingtimetestingtimeAFS(美国生殖协会),1988yAFS(美国生殖协会),1988y
classⅠ:Uterinehypoplasia/dysplasiaclassⅠ:UterinehypoplasiaclassⅡ:
unicornousuterus
(rudimentaryhornofuterus)classⅡ:
unicornousuterus(ru超声在妇科应用进展(英文)课件classⅢ:
didelphicuterusclassⅢ:
didelphicuterusdidelphicuterusdidelphicuterusclassⅣ:
bicornuateuterusclassⅣ:
bicornuateuterusIncompletebicornuateuterusIncompletebicornuateuteruscompletebicornuateuterus(doublecervix)
completebicornuateuterus(doucompletebicornuateuterus(doublecervix)completebicornuateuterus(dou
classⅤ
septateuterusclassⅤ
septateuterus超声在妇科应用进展(英文)课件Incompleteseptate
uterusSideintrauterinepregnancyIncompleteseptateuteruscompleteseptate
uteruscompleteseptateuterusclassⅥ
arcuateuterusclassⅥ
arcuateuterusclassⅦ:
diethystilbestrol(DES)exposureclassⅦ:
diethystilbestrol(DES
lengthdepthanglelength超声在妇科应用进展(英文)课件Incompleteseptate
uterus
Comparisonofpreoperativeandpostoperative
before
after
内膜Incompleteseptateuterus
Comp3D-PDA3D-PDAVOCALhistogramThreevascularindex:VI-VascularindexFI-flowindexVFI-VesselsflowindexVOCALhistogramThreevascular1633D:Applicationinassistedreproductivetechnology1、Toobservethesituationofendometr
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