PMID- 27340932 OWN - NLM STAT- MEDLINE DCOM- 20170130 LR - 20191210 IS - 1748-880X (Electronic) IS - 0007-1285 (Print) IS - 0007-1285 (Linking) VI - 89 IP - 1065 DP - 2016 Sep TI - Contrast-enhanced ultrasonography of cervical carcinoma: perfusion pattern and relationship with tumour angiogenesis. PG - 20150887 LID - 10.1259/bjr.20150887 [doi] LID - 20150887 AB - OBJECTIVE: This study aimed to investigate the use of contrast-enhanced ultrasonography (CEUS) and time-intensity curves to assess angiogenesis in cervical cancer. METHODS: 60 patients who were scheduled to undergo radical surgery for biopsy-proven cervical cancers underwent CEUS. Surgical tissue sections from 32 patients who did not receive neoadjuvant chemotherapy were analyzed with CD34 staining to estimate intratumoral microvessel density (MVD). CEUS images were analyzed for maximum intensity (IMAX), rise time (RT), time to peak (TTP) and mean transit time. RESULTS: Cervical lesions had a higher IMAX and shorter RT and TTP (p < 0.001) than reference regions. There was a linear association between the IMAX of the cervical lesion and the mean intratumoral MVD (r = 0.624, p < 0.001). There were no significant differences in CEUS variables according to histological type, grade and stage. CONCLUSION: Quantitative CEUS variables have potential use for monitoring perfusion changes in tumours after non-surgical therapy for advanced cervical cancer. ADVANCES IN KNOWLEDGE: The article demonstrates the capability and value of quantitative CEUS as a non-invasive strategy for detecting the perfusion and angiogenic status of cervical cancer. Quantitative CEUS variables have potential use for monitoring tumour response to non-surgical therapy. FAU - Zheng, Wei AU - Zheng W AD - 1 Department of Ultrasound, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. FAU - Xiong, Yong-Hong AU - Xiong YH AD - 1 Department of Ultrasound, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. FAU - Han, Jing AU - Han J AD - 1 Department of Ultrasound, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. FAU - Guo, Zhi-Xing AU - Guo ZX AD - 1 Department of Ultrasound, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. FAU - Li, Yu-Hong AU - Li YH AD - 2 Department of Ultrasound, The First Affiliated Hospital of Nanhua University, Hengyang, China. FAU - Li, An-Hua AU - Li AH AD - 1 Department of Ultrasound, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. FAU - Pei, Xiao-Qing AU - Pei XQ AD - 1 Department of Ultrasound, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20160624 PL - England TA - Br J Radiol JT - The British journal of radiology JID - 0373125 RN - 0 (Contrast Media) RN - 0 (Phospholipids) RN - 0 (contrast agent BR1) RN - WS7LR3I1D6 (Sulfur Hexafluoride) SB - IM MH - Adult MH - Aged MH - Contrast Media MH - Female MH - Humans MH - Image Enhancement/methods MH - Microbubbles MH - Microvessels/diagnostic imaging/pathology MH - Middle Aged MH - Neovascularization, Pathologic/*diagnostic imaging MH - Phospholipids MH - Sulfur Hexafluoride MH - Ultrasonography/methods MH - Uterine Cervical Neoplasms/*blood supply/diagnostic imaging/pathology PMC - PMC5124911 EDAT- 2016/06/25 06:00 MHDA- 2017/01/31 06:00 PMCR- 2017/09/01 CRDT- 2016/06/25 06:00 PHST- 2016/06/25 06:00 [entrez] PHST- 2016/06/25 06:00 [pubmed] PHST- 2017/01/31 06:00 [medline] PHST- 2017/09/01 00:00 [pmc-release] AID - 10.1259/bjr.20150887 [doi] PST - ppublish SO - Br J Radiol. 2016 Sep;89(1065):20150887. doi: 10.1259/bjr.20150887. Epub 2016 Jun 24.