Analysis of ultrasound and magnetic resonance imaging characteristics of kaposiform hemangioen dothelioma.

Autor: Li C; Department of Ultrasound, Henan Provincial People's Hospital, No. 7 Weiwu Road, Zhengzhou City, 450000, Henan Province, China., Shen Z; Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China., Sun Q; Department of Pathology, Henan Provincial People's Hospital, Zhengzhou, China., Wu G; Department of Ultrasound, Henan Provincial People's Hospital, No. 7 Weiwu Road, Zhengzhou City, 450000, Henan Province, China. wugang3298@163.com.
Jazyk: angličtina
Zdroj: Cancer imaging : the official publication of the International Cancer Imaging Society [Cancer Imaging] 2024 Nov 07; Vol. 24 (1), pp. 150. Date of Electronic Publication: 2024 Nov 07.
DOI: 10.1186/s40644-024-00801-9
Abstrakt: Objective: The present study aims to investigate the ultrasound and magnetic resonance imaging (MRI) characteristics of kaposiform hemangioen dothelioma (KHE).
Methods: A retrospective analysis was conducted on the clinical data of children diagnosed with KHE through postoperative pathology. Patients were divided into two groups: the KHE group and the KHE with Kasabach-Merritt Phenomenon (KMP) group (KMP group). Laboratory indicators, ultrasound, and MRI data were collected and analyzed statistically to summarize the imaging characteristics of the disease.
Results: The levels of platelets and fibrinogen in the KHE group were significantly higher than those in the KMP group, while D-dimer levels, prothrombin time, and activated partial thromboplastin time were lower (P < 0.05). Ultrasound characteristics comparison revealed that lesions extending to the fat layer (42.47% vs. 54.24%) and invading the muscle layer (38.36% vs. 69.49%) were less common in the KHE group compared to the KMP group, with the lesion diameter being smaller in the KHE group (P < 0.05). The Adler grading predominantly showed Grade II (45.21%) in the KHE group, whereas Grade III (93.22%) was more prevalent in the KMP group (P < 0.05). MRI analysis indicated that the incidence of lesions invading the muscle layer and the presence of flow voids were lower in the KHE group compared to the KMP group (P < 0.05).
Conclusion: KHE patients with KMP exhibit lesions that are more prone to extending into the fat layer and invading the muscle layer, with larger diameters and abundant blood flow. Additionally, the MRI images of the lesions may exhibit flow voids.
(© 2024. The Author(s).)
Databáze: MEDLINE
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