彩色多普勒血流成像在眼部疾病诊断应用的专家共识(2024)

Expert consensus on the application of color Doppler flow imaging in the diagnosis of ocular diseases(2024)

脉冲多普勒可以定量测量动脉血管相关的血流参数,以了解眼部血管的血流动力学基本情况。彩色多普勒血流成像(CDFI)不仅可以清晰地显示眼动脉、视网膜中央动脉、睫状后短动脉及视网膜中央静脉等血管的走行、分布,还可以探查球内、眶内病变内的血流情况,根据其血流特征为疾病的诊断和鉴别诊断提供更丰富的信息。CDFI在眼部的应用历史已经超过35年,但国内不同地区、不同医院、不同专业之间CDFI检查的适应证、检查方法和注意事项、图像存储依据、检查报告书写规范等尚未形成统一的标准,为疾病的诊断带来困难。本共识对CDFI检查适应证的相关性和特异性给出相应的推荐,建立CDFI检查的标准化流程及操作规范,旨在更好地发挥CDFI在眼部疾病诊断中的优势,规范并提升CDFI诊断的整体水平,为更广泛地推广眼部CDFI的应用提供帮助。

Pulse Doppler can quantitatively measures blood flow parameters related to artery vessels to understand the basic hemodynamics of ocular vessels.Color Doppler flow imaging(CDFI)can not only clearly show the course and distribution of arteries such as ophthalmic artery,central retinal artery,short posterior ciliary artery,and central retinal vein,it also can investigate blood flow within intraocular and orbital lesions,providing richer information for disease diagnosis and differentiation based on blood flow characteristics.Although CDFI has been applied in the ophthalmology for over 35 years,there are still no unified standards for the indications,methods,precautions,criteria for image storage,and reporting guidelines of CDFI examinations across different regions,hospitals,and specialties in China.This can pose difficulties in disease diagnosis.This consensus provides corresponding recommendations on the relevance and specificity of CDFI examination indications and aims to establish standardized procedures and operational norms for CDFI exams.The goal is to better leverage the advantages of CDFI in diagnosing ocular diseases,standardize and improve the overall level of ocular ultrasound diagnostics,and facilitate the wider application of ocular CDFI.