Artigo Acesso aberto Revisado por pares

Contrast-Enhanced Ultrasonography for Assessment of Tumor Vascularity in Hepatocellular Carcinoma

2007; Wiley; Volume: 26; Issue: 6 Linguagem: Inglês

10.7863/jum.2007.26.6.757

ISSN

1550-9613

Autores

Zhili Wang, Jie Tang, Lichun An, Wei Wang, Yukun Luo, Junlai Li, Jianhong Xu,

Tópico(s)

Ultrasound and Hyperthermia Applications

Resumo

Journal of Ultrasound in MedicineVolume 26, Issue 6 p. 757-762 Article Contrast-Enhanced Ultrasonography for Assessment of Tumor Vascularity in Hepatocellular Carcinoma Zhili Wang MD, Corresponding Author Zhili Wang MD [email protected] Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Address correspondence to Zhili Wang, MD, Department of Ultrasound, Chinese People's Liberation Army General Hospital, 28 Fuxing Rd, 100853 Beijing, China.Search for more papers by this authorJie Tang MD, Jie Tang MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorLichun An MD, Lichun An MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorWei Wang MD, Wei Wang MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorYukun Luo MD, Yukun Luo MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorJunlai Li MD, Junlai Li MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorJianhong Xu MD, Jianhong Xu MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this author Zhili Wang MD, Corresponding Author Zhili Wang MD [email protected] Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Address correspondence to Zhili Wang, MD, Department of Ultrasound, Chinese People's Liberation Army General Hospital, 28 Fuxing Rd, 100853 Beijing, China.Search for more papers by this authorJie Tang MD, Jie Tang MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorLichun An MD, Lichun An MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorWei Wang MD, Wei Wang MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorYukun Luo MD, Yukun Luo MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorJunlai Li MD, Junlai Li MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this authorJianhong Xu MD, Jianhong Xu MD Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, China.Search for more papers by this author First published: 01 June 2007 https://doi.org/10.7863/jum.2007.26.6.757Citations: 48Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Objective Studies have shown that angiogenesis is a critical factor for tumor growth and metastasis in a variety of human tumors. Although various methods have been tried to assess vessels in tumors, including microvessel density (MVD), assessment of tumor vessels by radiologic techniques is not well established. The aim of this study was to investigate the efficacy of contrast-enhanced ultrasonography (CEUS) in determining the tumor vascularity of hepatocellular carcinoma (HCC). Methods Contrast-enhanced ultrasonography was done in 50 patients with HCC, which was shown histopathologically through subsequent hepatic resection. A contrast pulse sequencing technique and quantitative auto-tracking contrast quantification software were used to analyze the peak intensity (PI) of HCC. Immunohistochemistry was performed to evaluate the level of MVD in HCC. Then the relationship between PI and the level of MVD was analyzed. Results The mean PIs of HCC and peripheral tissue ± SD were 135. 19 ± 28.16 and 72.91 ± 19.22 dB, respectively. The MVDs of HCC and peripheral tissue were 43.44 ± 12.22 and 17.14 ± 9.18, respectively. The values of PI and MVD of HCC were significantly higher than those of peripheral tissue. A significant correlation was found between PI and MVD in HCC tissues (P < .05). Conclusions The PI in CEUS could reflect the MVD in HCC. Therefore, quantification of CEUS seems to be helpful for assessment of tumor vascularity in HCC. References 1Jaeger TM, Weider N, Chew K, et al. Tumor angiogenesis correlates with lymph node metastasis in invasive bladder cancer. J Urol 1995; 154: 69–71. 2Brown LF, Berse B, Welch WR, et al. Expression of vascular permeability factor (vascular endothelial growth factor) and its receptors in breast cancer. Hum Pathol 1995; 26: 86–91. 3Boocock CA, Charnock-Jones DS, Sharkey AM, et al. Expression of vascular endothelial growth factor and its receptors flt and KDR in ovarian cancer. J Natl Cancer Inst 1995; 87: 506–516. 4Suzuki K, Hayashi N, Miyamoto Y, et al. Expression of vascular permeability factor/vascular endothelial growth factor in human hepatocellular carcinoma. Cancer Res 1996; 56: 3004–3009. 5Weidner N, Semple JP, Welch WR, Folkman J. Tumor angiogenesis and metastasis: correlation in invasive breast carcinoma. N Engl J Med 1991; 324: 1–8. 6Poon RT, Ng IO, Lau C, et al. Tumor microvessel density as a predictor of recurrence after resection of hepatocellular carcinoma: a prospective study. J Clin Oncol 2002; 20: 1775–1785. 7Ng IO, Poon RT, Lee JM, Fan ST, Ng M, Tso WK. Microvessel density, vascular endothelial growth factor and its receptors Flt-1 and Flk-1/KDR in hepatocellular carcinoma. Am J Clin Pathol 2001; 116: 838–845. 8Meyerowitz CB, Fleischer C, Pickens DR, et al. Quantification of tumor vascularity and flow with amplitude color Doppler sonography in an experimental model: preliminary results. J Ultrasound Med 1996; 15: 827–833. 9Fleischer AC, Wojcicki WE, Donnelly EF, et al. Quantified color Doppler sonography of tumor vascularity in an animal model. J Ultrasound Med 1999; 18: 547–551. 10Wang B, Gao ZQ, Yan X. Correlative study of angiogenesis and dynamic contrast-enhanced magnetic resonance imaging features of hepatocellular carcinoma. Acta Radiol 2005; 46: 353–358. 11Schlemmer HP, Merkle J, Grobholz R, et al. Can contrast-enhanced dynamic MR imaging for prostate cancer predict microvessel density in prostatectomy specimens? Eur Radiol 2004; 14: 309–317. 12Hayashi K, Tozaki M, Sugisaki M, Yoshida N, Fukuda K, Tanabe H. Dynamic multislice helical CT of ameloblastoma and odontogenic keratocyst: correlation between contrast enhancement and angiogenesis. J Comput Assist Tomogr 2002; 26: 922–926. 13Li WW. Tumor angiogenesis: molecular pathology, therapeutic targeting, and imaging. Acad Radiol 2000; 7: 800–811. 14Delorme S, Knopp MV. Noninvasive vascular imaging: assessing tumor vascularity. Eur Radiol 1998; 8: 517–527. 15Wilson SR, Burns PN, Muradali D, Wilson JA, Lai X. Harmonic hepatic US with microbubble contrast agent: initial experience showing improved characterization of hemangioma, hepatocellular carcinoma, and metastasis. Radiology 2000; 215: 153–161. 16Masaki T, Ohkawa S, Amano A, Ueno M, Miyakawa K, Tarao K. Noninvasive assessment of tumor vascularity by contrast-enhanced ultrasonography and the prognosis of patients with nonresectable pancreatic carcinoma. Cancer 2005; 103: 1026–1035. 17Fleischer AC. Sonographic depiction of tumor vascularity and flow: from in vivo models to clinical applications. J Ultrasound Med 2000; 19: 55–61. 18Strobel D, Kleinecke C, Hansler J, et al. Contrast-enhanced sonography for the characterization of hepatocellular carcinomas: correlation with histological differentiation. Ultraschall Med 2005; 26: 270–276. 19Nicolau C, Catala V, Vilana R, et al. Evaluation of hepatocellular carcinoma using SonoVue, a second generation ultrasound contrast agent: correlation with cellular differentiation. Eur Radiol 2004; 14: 1092–1099. 20Chen MH, Dai Y, Yan K, et al. The role of contrast-enhanced ultrasound on the diagnosis of small hepatocellular carcinoma (</=3 cm) in patients with cirrhosis. Hepatol Res 2006; 35: 281–288. 21Oshikawa O, Tanaka S, Ioka T, Nakaizumi A, Hamada Y, Mitani T. Dynamic sonography of pancreatic tumors: comparison with dynamic CT. AJR Am J Roentgenol 2002; 178: 1133–1137. 22Sedelaar JP, Geert JLH, Christian A, et al. Microvessel density: correlation between contrast ultrasonography and histology of prostate cancer. Eur Urol 2001; 40: 285–293. 23D'Onofrio M, Malago R, Zamboni G, et al. Contrast-enhanced ultrasonography better identified pancreatic tumor vascularization than helical CT. Pancreatology 2005; 5: 398–402. 24Kabakci N, Igci E, Secil M, et al. Echo contrast-enhanced power Doppler ultrasonography for assessment of angiogenesis in renal cell carcinoma. J Ultrasound Med 2005; 24: 747–753. Citing Literature Volume26, Issue6June 2007Pages 757-762 ReferencesRelatedInformation

Referência(s)