Superb Microvascular Imaging in Pediatric Focal Nodular Hyperplasia

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OBJECTIVE: To investigate superb microvascular imaging (SMI), a novel Doppler ultrasound technique that can visualize low-velocity microvascular flow, for assessing pediatric focal nodular hyperplasia (FNH).

PATIENTS AND METHODS: Nine FNH lesions in 6 patients were enrolled. On SMI and color Doppler imaging (CDI), intralesional vascularity was assessed visually and categorized as typical spoke-wheel pattern (central vessel radiating from the center to the periphery), multifocal spoke-wheel pattern, and nonspecific pattern. We compared the vascular features of the lesions between SMI and CDI and evaluated vascular patterns according to lesion size.

RESULTS: In terms of vascularity pattern, the typical spoke-wheel pattern of FNH was noted more frequently on SMI (67%) than on CDI (11%; P < 0.05). In addition, a multifocal spoke-wheel pattern was noted in all remaining lesions (33%) on SMI. On the contrary, a nonspecific vascular pattern was detected in the majority (78%) of CDI. Regarding the lesion size and vascularity on SMI, the typical spoke-wheel pattern was seen more frequently in the small FNH group than in the large FNH group. The intralesional vascular signal was detected more frequently on SMI (100%) than on CDI (89%).

CONCLUSION: SMI is feasible in evaluating FNH in children and has a greater ability to demonstrate the spoke-wheel pattern than CDI.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:46

Enthalten in:

Journal of pediatric hematology/oncology - 46(2024), 3 vom: 01. März, Seite e233-e240

Sprache:

Englisch

Beteiligte Personen:

Hwang, Sook Min [VerfasserIn]
Yoo, So-Young [VerfasserIn]
Jeong, Woo Kyoung [VerfasserIn]
Lee, Min Woo [VerfasserIn]
Jeon, Tae Yeon [VerfasserIn]
Kim, Ji Hye [VerfasserIn]

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Themen:

Contrast Media
Journal Article

Anmerkungen:

Date Completed 26.03.2024

Date Revised 26.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1097/MPH.0000000000002826

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368981029