超声弹性成像应用于移植肾的研究进展

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Abstract Ultrasonic elastography (UE) is an imaging technique sensitive to tissue elasticity. According to the principle, UE can be divided into two types of elastic imaging: strain-type and shear-wave. The strain-type elastography uses the probe to compress the tissue to make the tissue deform, and converts the degree of deformation into color image. The non-determinable factors of external force make the repeatability become worse and strain-type elastography is qualitative or semi-quantitative. The shear-wave elastography does not need to apply pressure to the tissue. The acoustic radiation force is used to propagate and deform the tissue, and then the shear wave velocity or young′s modulus of the corresponding tissue is calculated. The repeatability is good, realizing real-time visualization of dual-mode imaging and quantitative reaction of tissue hardness. With the development of ultrasound elastography in evaluating the postoperative status of renal transplantation, some achievements have been made in renal fibrosis, renal function and acute and chronic rejection. With fibrosis of renal parenchyma and renal function impairment, renal tissue elasticity index increased gradually, and studies have found that in transplant renal pathology reaction than conventional color doppler and renal function index sensitive, due to the complex structure of kidney, internal structure distribution. The application of ultrasound elastography to kidney transplantation is affected by many factors, and further research is needed to make it play a greater role in the clinical diagnosis and treatment of kidney transplantation.

Key words： Ultrasound Elastography Transplanted kidney Fibrosis Rejection reaction

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	LA Qiong YANG Jinru

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LA Qiong YANG Jinru. Research progress of the application of ultrasound elastography in transplanted kidney[J]. 中国医药导报, 2019, 16(36): 40-45.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I36/40

[1] Kaplan B，Meier-Kriesche HU. Renal transplantation：a half century of success and the long road ahead [J]. J Am Soc Nephrol，2004，15（12）：3270-3271.
[2] Zhang Q，Yu Z，Xu Y，et al. Use of Contrast-Enhanced Ultrasonography to Evaluate Chronic Allograft Nephropathy in Rats and Correlations between Time-Intensity Curve Parameters and Allograft Fibrosis [J]. Ultrasound Med Biol，2016，42（7）：1574-1583.
[3] Nakao T，Ushigome H，Nakamura T，et al. Evaluation of renal allograft fibrosis by transient elastography（Fibro Scan） [J]. Transplant Proc，2015，47（3）：640-643.
[4] Laute M，Vanholder R，Voet D，et al. Safety and sample adequacy of renal transplant surveillance biopsies [J]. Acta Clin Belg，2013，68（3）：161-165.
[5] Severova-Andreevska G，Grcevska L，Petrushevska G，et al. The Spectrum of Histopathological Changes in the Renal Allograft-a 12 Months Protocol Biopsy Study [J]. Open Access Maced J Med Sci，2018，6（4）：606-612.
[6] Gennisson JL，Deffieux T，Fink M，et al. Ultrasound elastography：principles and techniques [J]. Diagn Interv Imaging，2013，94（5）：487-495.
[7] Dietrich CF，Bamber J，Berzigotti A，et al. EFSUMB Guidelines and Recommendations on the Clinical Use of Liver Ultrasound Elastography，Update 2017（Long Version） [J]. Ultraschall Med，2017，38（4）：e16-e47.
[8] Choi YJ，Lee JH，Baek JH. Ultrasound elastography for evaluation of cervical lymph nodes [J]. Ultrasonography，2015，34（3）：157-164.
[9] 李凤，关义满，张巍巍，等.超声弹性成像技术及其应用进展[J].临床荟萃，2016，31（7）：800-804.
[10] Cheng R，Li J，Ji L，et al. Comparison of the diagnostic efficacy between ultrasound elastography and magnetic resonance imaging for breast masses [J]. Exp Ther Med，2018，15（3）：2519-2524.
[11] Morikawa H，Fukuda K，Kobayashi S，et al. Real-time tissue elastography as a tool for the noninvasive assessment of liver stiffness in patients with chronic hepatitis C [J]. J Gastroenterol，2011，46（3）：350-358.
[12] Shan R，Yin H，Yang W，et al. Influencing factors of transient elastography in detecting liver stiffness [J]. Exp Ther Med，2016，12（4）：2302-2306.
[13] Jens M，Arianeb M，Mohammadreza H，et al. ARFI shear-wave elastography with simulation of acute urinary tract obstruction in an ex vivo porcine kidney model [J]. Diag Interv Radiol，2018，24（5）：308-315.
[14] Durmaz MS，Sivri M，Sekmenli T，et al. Experience of Using Shear Wave Elastography Imaging in Evaluation of Undescended Testes in Children [J]. Ultrasound Q，2018， 34（4）：206-212.
[15] Johannes K，Torsten S，Anke T，et al. TSI ultrasound elastography for the diagnosis of chronic allograft nephropathy in kidney transplanted patients [J]. J Ultrason，2013， 13（54）：253-262.
[16] Orlacchio A，Chegai F，Giudice CD，et al. Kidney Transplant：Usefulness of Real-Time Elastography（RTE） in the Diagnosis of Graft Interstitial Fibrosis [J]. Ultrasound Med Biol，2014，40（11）：2564-2572.
[17] 李嫚，刘好田，柳澄，等.基于超声弹性成像技术诊断移植肾慢性排斥反应的探索[J].临床影像技术，2012，27（10）：162-165.
[18] 牛宁宁，唐缨，武红涛，等.慢性移植肾损伤的组织弥散定量分析与血肌酐水平的相关性研究[J].中华超声影像学杂志，2014，23（10）：875-878.
[19] 祝志敏，柳建华，陈菲，等.超声弹性成像在诊断移植肾急性排斥中的应用[J].中国医学影像技术，2012，28（12）：2216-2219.
[20] 祝志敏，柳建华，邱少东，等.超声弹性成像5分法诊断移植肾急性排斥的应用探讨[J].实用医学杂志，2012， 28 （20）：3385-3387.
[21] Arndt R，Schmidt S，Loddenkemper C，et al. Noninvasive evaluation of renal allograft fibrosis by transient elastography-a pilot study [J]. Transpl Int，2010，23（9）： 871-877.
[22] Lukenda V，Mikolasevic I，Racki S，et al. Transient elastography：a new noninvasive diagnostic tool for assessment of chronic allograft nephropathy [J]. Int Urol Nephrol，2014，46（7）：1435-1440.
[23] Nakao T，Ushigome H，Nakamura T，et al. Evaluation of Renal Allograft Fibrosis by Transient Elastography（Fibro Scan） [J]. Transpl P，2015，47（3）：640-643.
[24] Stock KF，Klein BS，Vo Cong MT，et al. ARFI-based tissue elasticity quantification in comparison to histology for the diagnosis of renal transplant fibrosis [J]. Clin Hemorheology Micro，2010，46（2/3）：139-148.
[25] 戴茜，刘明辉，郭勇，等.移植肾纤维化的声触诊评估[J].中南大学学报：医学版，2014，39（2）：173-177.
[26] Syversveen T，Brabrand K，Midtvedt K，et al. Assessment of renal allograft fibrosis by acoustic radiation forceimpulse quanti cation-a pilot study [J]. Transpl Int，2011， 24（1）：100-105.
[27] Stock KF，Klein BS，Cong MT，et al. ARFI-based tissue elasticity quantification and kidney graft dysfunction：First clinical experiences [J]. Clin Hemorheol Microcirc，2011，49（1/4）：527-535.
[28] Marticorena Garcia SR，Guo J，Dürr M，et al. Comparison of ultrasound shear wave elastography with magnetic resonance elastography and renal microvascular flow in the assessment of chronic renal allograft dysfunction [J]. Acta Radiol，2018，59（9）：1139-1145.
[29] He WY，Jin YJ，Wang WP，et al. Tissue Elasticity Quantification by Acoustic Radiation Force Impulse for the Assessment of Renal Allograft Function [J]. Ultrasound Med Biol，2014，40（2）：322-329.
[30] Yang C，Jin Y，Wu S，et al. Prediction of Renal Allograft Acute Rejection Using a Novel Non-Invasive Model Based on Acoustic Radiation Force Impulse [J]. Ultrasound Med Biol，2016，42（9）：2167-2179.
[31] Ma MK，Law HK，Tse KS，et al. Non-invasive assessment of kidney allograft fibrosis with shear wave elastography： A radiological-pathological correlation analysis [J]. Int J Urol，2018，25（5）：450-455.
[32] Grenier N，Poulain S，Lepreux S，et al. Quantitative elastography of renal transplants using supersonic shear imaging：a pilot study [J]. Eur Radiol，2012，22（10）：2138-2146.
[33] Early HM，Cheang EC，Aguilera JM，et al. Utility of Shear Wave Elastography for Assessing Allograft Fibrosis in Renal Transplant Recipients：A Pilot Study [J]. J Ultras Med，2018，37（6）：1455-1465.
[34] Warner L，Yin M，Glaser KJ，et al. Noninvasive in vivo assessment ofrenal tissue elasticity during graded renal ischemia using MＲ elas-tography [J]. Invest Ｒadiol，2011， 46（8）：509-514.
[35] Gennisson JL，Grenier N，Combe C，et al. Supersonic shear waveelastography of in vivo pig kidney：influence of blood pressure，uri-narypressureandtissueanisotropy [J]. Ultrasound Med Biol，2012，38（9）：1559-1567.
[36] Tatar IG，Teber MA，Ogur T，et al. Real time sonoelastographic evaluation of renal allografts in correlation with clinical prognostic parameters：comparison of linear and convex transducers according to segmental anatomy [J]. Med Ultraso，2014，16（16）：229-235.
[37] Early H，Aguilera J，Cheang E，et al. Challenges and Considerations When Using Shear Wave Elastography to Evaluate the Transplanted Kidney，With Pictorial Review [J]. J Ultrasound Med，2017，36（9）：1771-1782.