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DOI: 10.1055/a-2275-2972
Contrast-enhanced ultrasound of the liver: Vascular pathologies and interventions
Artikel in mehreren Sprachen: English | deutsch
Abstract
Background
Over the past two decades, contrast-enhanced ultrasound (CEUS) has been established as a method complementary to B-mode ultrasound and color Doppler sonography for diagnosing vascular liver pathologies and interventions.
Method
The objective of this review is to elucidate the application of CEUS in diagnosing vascular pathologies and interventional procedures.
Results and Conclusion
Considering the limitations of ultrasound, CEUS presents a similar alternative to other imaging modalities, such as computed tomography and magnetic resonance imaging, for evaluating vascular pathologies, guiding interventions, identifying complications, and assessing outcomes post intervention. Due to its widespread availability and the absence of radiation exposure, CEUS should be employed as a primary modality.
Key Points
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CEUS plays an important role in the detection of vascular liver pathologies.
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CEUS is helpful in characterizing vascular pathologies.
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CEUS is helpful in guiding interventions and identifying complications.
Publikationsverlauf
Eingereicht: 20. Dezember 2023
Angenommen nach Revision: 13. Februar 2024
Artikel online veröffentlicht:
18. April 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References
- 1 Dietrich CF, Nolsøe CP, Barr RG. et al. Guidelines and Good Clinical Practice Recommendations for Contrast Enhanced Ultrasound (CEUS) in the Liver – Update 2020 – WFUMB in Cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Ultraschall Med 2020; 41: 562-585 DOI: 10.1055/a-1177-0530.
- 2 Wiest I, Safai Zadeh E, Görg C. et al. Value of contrast-enhanced ultrasound for vascular diseases of the liver – current indications and open questions. Z Gastroenterol 2022; DOI: 10.1055/a-1973-5731.
- 3 Dietrich CF, Averkiou M, Nielsen MB. et al. How to perform Contrast-Enhanced Ultrasound (CEUS). Ultrasound Int Open 2018; 4: E2-e15 DOI: 10.1055/s-0043-123931. (PMID: 29423461)
- 4 Claudon M, Dietrich C, Choi B. et al. Guidelines and Good Clinical Practice Recommendations for Contrast Enhanced Ultrasound (CEUS) in the Liver – Update 2012. Ultraschall in der Medizin – European Journal of Ultrasound 2012; 34: 11-29 DOI: 10.1055/s-0032-1325499. (PMID: 23129518)
- 5 Teichgräber U, Fischer T, Clevert DA. Praxisbuch Kontrastmittelsonografie. Heidelberg, Berlin: Springer; 2022. DOI: 10.1007/978-3-662-61686-4
- 6 Tantrige P, Ballal K, Kelly M. et al. The Use of Ultrasound Contrast in Interventional Radiology. The Arab Journal of Interventional Radiology 2023; 07: 012-021 DOI: 10.1055/s-0043-1764437.
- 7 Eipel C, Abshagen K, Vollmar B. Regulation of hepatic blood flow: the hepatic arterial buffer response revisited. World J Gastroenterol 2010; 16: 6046-6057 DOI: 10.3748/wjg.v16.i48.6046. (PMID: 21182219)
- 8 Wang FH, Yang NN, Liu F. et al. Unexplained huge liver infarction presenting as a tumor with bleeding: A case report. World J Clin Cases 2020; 8: 2016-2022 DOI: 10.12998/wjcc.v8.i10.2016.
- 9 Trebicka J, Strassburg CP. Etiology and Complications of Portal Vein Thrombosis. Viszeralmedizin 2014; 30: 375-380 DOI: 10.1159/000369987. (PMID: 26288604)
- 10 Dietrich CF, Nolsøe CP, Barr RG. et al. Guidelines and Good Clinical Practice Recommendations for Contrast-Enhanced Ultrasound (CEUS) in the Liver-Update 2020 WFUMB in Cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Ultrasound Med Biol 2020; 46: 2579-2604 DOI: 10.1016/j.ultrasmedbio.2020.04.030.
- 11 Chen J, Zhu J, Zhang C. et al. Contrast-enhanced ultrasound for the characterization of portal vein thrombosis vs tumor-in-vein in HCC patients: a systematic review and meta-analysis. Eur Radiol 2020; 30: 2871-2880 DOI: 10.1007/s00330-019-06649-z. (PMID: 32020403)
- 12 Aydinli M, Bayraktar Y. Budd-Chiari syndrome: etiology, pathogenesis and diagnosis. World J Gastroenterol 2007; 13: 2693-2696 DOI: 10.3748/wjg.v13.i19.2693. (PMID: 17569137)
- 13 Trenker C, Burchert A, Schumacher C. et al. Pathologic Hepatic Contrast-Enhanced Ultrasound Pattern in Patients Undergoing Allogeneic Stem Cell Transplantation. Ultrasound Med Biol 2020; 46: 1865-1871 DOI: 10.1016/j.ultrasmedbio.2020.03.001. (PMID: 32499194)
- 14 Wu W, Chen MH, Yin SS. et al. The role of contrast-enhanced sonography of focal liver lesions before percutaneous biopsy. AJR Am J Roentgenol 2006; 187: 752-761 DOI: 10.2214/ajr.05.0535.
- 15 Lorentzen T, Nolsoe CP. The Role of US Contrast Agents in US-Guided Biopsy of Focal Liver Lesions: A Pictorial Review. Ultrasound Int Open 2019; 5: e11-e19 DOI: 10.1055/a-0770-4237. (PMID: 30599041)
- 16 Yoon SH, Lee KH, Kim SY. et al. Real-time contrast-enhanced ultrasound-guided biopsy of focal hepatic lesions not localised on B-mode ultrasound. Eur Radiol 2010; 20: 2047-2056 DOI: 10.1007/s00330-010-1757-z. (PMID: 20309559)
- 17 Huang DY, Yusuf GT, Daneshi M. et al. Contrast-enhanced ultrasound (CEUS) in abdominal intervention. Abdom Radiol (NY) 2018; 43: 960-976 DOI: 10.1007/s00261-018-1473-8. (PMID: 29450615)
- 18 Wobser H, Wiest R, Salzberger B. et al. Evaluation of treatment response after chemoembolisation (TACE) in hepatocellular carcinoma using real time image fusion of contrast-enhanced ultrasound (CEUS) and computed tomography (CT)--preliminary results. Clin Hemorheol Microcirc 2014; 57: 191-201 DOI: 10.3233/ch-141830. (PMID: 24577382)