Ultraschall in Med 2013; 34(2): 169-184
DOI: 10.1055/s-0033-1335205
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

EFSUMB Guidelines and Recommendations on the Clinical Use of Ultrasound Elastography. Part 1: Basic Principles and Technology

J. Bamber1, D. Cosgrove2, C. F. Dietrich3, J. Fromageau1, J. Bojunga4, F. Calliada5, V. Cantisani6, J.-M. Correas7, M. D’Onofrio8, E. E. Drakonaki9, M. Fink10, M. Friedrich-Rust11, O. H. Gilja12, R. F. Havre13, C. Jenssen14, A. S. Klauser15, R. Ohlinger16, A. Saftoiu17, F. Schaefer18, I. Sporea19, F. Piscaglia20
  • 1The Joint Department of Physics, Division of Radiotherapy and Imaging, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, Sutton, UK
  • 2Div. of Radiology, Imperial and Kings Colleges, London, UK
  • 3Div. Gastroenterology & Oncology, Caritas Krankenhaus, Bad Mergentheim, Germany
  • 4Department of Internal Medicine I, Endocrinology and Diabetology, Goethe-University, Frankfurt, Germany
  • 5Div. of Radiology, University of Pavia, Policlinico San Matteo, Italy
  • 6Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Univ. Sapienza, Rome, Italy
  • 7Adult Radiology, Paris Descartes University & Necker University Hospital, France, Institut Langevin – Ondes et Images ESPCI Paris Tech, CNRS UMR 7587 INSERM U 979
  • 8Department of Radiology, GB Rossi University Hospital, University of Verona, Italy
  • 9Radiologist, University Hospital Heraklion, Crete, Greece
  • 10Ecole Supérieure de Physique et de Chimie de la Ville de Paris, France
  • 11Department of Internal Medicine I, Gastroenterology and Hepatology, Goethe-University, Frankfurt, Germany
  • 12National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway and Department of Clinical Medicine, University of Bergen, Norway
  • 13National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway
  • 14Department of Internal Medicine, Krankenhaus Märkisch Oderland, Strassberg, Germany
  • 15Department of Radiology, Innsbruck Medical University, Austria
  • 16Department of Obstetrics and Gynecology, Breast unit, University Greifswald, Germany
  • 17Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania
  • 18Unit of Breast Imaging and Interventions, University Hospital Schleswig-Holstein Campus Kiel, Germany
  • 19Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy “Victor Babeş” Timişoara, Romania
  • 20Div. Internal Medicine, University of Bologna, Bologna Italy
Further Information

Publication History

Publication Date:
04 April 2013 (online)

Abstract

The technical part of these Guidelines and Recommendations, produced under the auspices of EFSUMB, provides an introduction to the physical principles and technology on which all forms of current commercially available ultrasound elastography are based. A difference in shear modulus is the common underlying physical mechanism that provides tissue contrast in all elastograms. The relationship between the alternative technologies is considered in terms of the method used to take advantage of this. The practical advantages and disadvantages associated with each of the techniques are described, and guidance is provided on optimisation of scanning technique, image display, image interpretation and some of the known image artefacts.

Zusammenfassung

Der technische Teil dieser Leitlinien und Empfehlungen, der unter der Federführung der EFSUMB entstanden ist, enthält eine Einleitung zu allen physikalischen Grundlagen und Methoden der aktuell kommerziell erhältlichen Ultraschall-Elastografie-Technologien. Unterschiede in der Schersteifigkeit sind der wesentliche physikalische Mechanismus, dem der Gewebekontrast in allen Elastogrammen zu Grunde liegt. Die Beziehung zu alternativen Technologien wird und die Vorteile der angewandten Methode herausgearbeitet. Die praktischen Vorteile und Nachteile jeder Technik werden beschrieben und Empfehlungen zur Optimierung der Scantechnik, der Bildqualität und der Bildinterpretation gegeben, ebenso werden einige der bekannten Artefakte dargestellt.

Appendix