Study On Diagnosis Between Hepatic Carcinoma And Hepatic Hemangioma With SonoCT And Xres

Hepatic carcinoma (HCC) and hepatic hemangioma (HHE) arethe common hepatic space-occupying lesions. But their nature isdifferent. HCC has high rate in degistive systematic malignant tumorin our country, it also has high case fatalty rate and the prognosis of itis bad .So giving diagnosis earlier and therapy earlier is the key ofimproving prognosis and raising survival rate. But as we all know thatHCC is benigh tumor of liver and the growth of it is slow, it does harmto health little. Therefore, the identification of HCC and HHE is veryimport. It has vital clinical significance for treatment and prognosis. The recent coming years, with the development of ultrasonicmedical technology, especially, the applications of new outcomes ofcomputer technology, it improves the accuracy of diagnosis obviously.And it offers valuable diagnosis evidence. SonoCT and Xres are twoquantum jumps in two dimensional imaging. Compared with commonultrasound, SonoCT can gain 9 more times picture information thancommon ultrasonic scanning. So it improves the quality of ultrasonicpicture. Such as speckle, multiple reflection, noise, flare, attenuation,refraction shadowing and so on, those artificial imaging are cancelled.Xres technology improves picture quality by carrying out real-timeanalysis of pixel geometry in a mess disposed. It displays tissuetexture of human body extreme excellent and raises detecting rategreatly. This research is about application of SonoCT and Xrestechnologies in identifications between hepatic carcinomas andhepatic hemangimoas. It makes border and internal structure displaymore clearly, and it strengthens minute resolution in tumor, it gainsvarious tissue information that can't obtain in common ultrasound. Soit can provide more reliable evidence for diagnosis and raisediagnostic accuracy.Imaging characteristics of hepatic carcinoma and hepatichemangioma in SonoCT and Xres:1 hemangioma imagingcharacteristics: the border strong echo band is typical. Especially, thespecificity of hypo echo small hemangioma is high. The diagnosticvalue is similar to acoustic halo in hepatic carcinoma. Circumferentiafissure signe is the characteristic appearance to HHE. The twocharacter play an important role in diagnosis of hemangimoa.Posterior enhancement effect much more displayed in irradiation. Inaddition, blood sinus echo displayed clearly, the number is much more.While,we can see fiber interval, small vessels, and strip shape hypoecho so on images. 2. imaging characteristics of hepatic carcinoma:the acoustic halo was the typical performence in hepatic carcinoma. Inmy research, the halo can appear sentus, serration or wave changes.And we can see, the outside of halo had strong echo zone surroundingdiscontinuous or continual. Posterior enhancement effect much moredisplayed in endoduction. There were some signs in hepatic carcinoma,such as strip shape, small fiber zone, blood vessel desected and so on.The contrast of SonoCT,Xres images between hepatic carcinoma andhepatic hemangioma: 1.the ring of strong echo at the hemangioma'sborder;2.the halo:the characteristic appearance of hepatic carcinoma.3.Strip shape hypo echo was confirmed vessel structure intratumoral.Hepatic carcinomas mostly show off courser twisted and irregularstrip shape hypo echo. Because of local small vascular engorgement,stasis, expansion, hepatic hemangiomas almost show normal vesselecho of courser straight. 4. Hepatic carcinoma and hemangioma allcan be seen posterior enhancement effect. Hepatic carcinoma almostshowed off adduction, but hemangioma mostly showed off irradiationor verticality.Compared with the image of common ultrasound, the result ofSonoCT,Xres in hepatic carcinoma and hepatic hemangioma asfollowing: 1. The comparison between common ultrasound andSonoCT,Xres images in hepatic hemangioma: â‘ the images ofSonoCT,Xres displayed more clearly than common ultrasoundimages, and SonoCT,Xres showed off the numbers of Circumferentiafissure signe more than common ultrasound. The difference issignificant in two sets. P 0.05.â‘¡the images of SonoCT,Xresdisplayed more information than common ultrasound in hemangioma.2. The comparison between common ultrasound and SonoCT,Xresimages in hepatic carcinoma:â‘ the images of SonoCT,Xres was moreclearly than common ultrasound towardsing the halo and the strongecho zone outside. The difference is significant in two sets. P 0.05.â‘¡the images of SonoCT,Xres displayed more information thancommon ultrasound in hepatic carcinoma.Three-dimensional color power angiography (3D-CPA) imagingcharacteristics: According to the numbers vessels in tumor, theaffection was divided into hypo-vessel and hyper-vessel. Hepaticcarcinomas always showed off hyper-vessel. It's appearance of3D-CPA was complicated and various. It displayed such as branchshape, reticulate, radiate and so on. Hemangiomas always showed offhypo-vessel.SonoCT combined with Xres are superior to the commonultrasound in the two dimensional ultrasonic diagnosis betweenhepatic carcinoma and hemangioma. They can not only gain morevarious tissue information than common ultrasound, but also cancancel artifacts such as speckle noise, echo attenuation and so on.They provide reliable evidence and raised accuracy of diagnosis. Theyare safe, convenient, reproducibale and so on, at the same time theyavoid unnecessary wound and medical cost.