Ultraschall in Med 2013; 34(3): 238-253
DOI: 10.1055/s-0033-1335375
© Georg Thieme Verlag KG Stuttgart · New York

EFSUMB Guidelines and Recommendations on the Clinical Use of Ultrasound Elastography.Part 2: Clinical Applications

D. Cosgrove1, F. Piscaglia2, J. Bamber3, J. Bojunga4, J.-M. Correas5, O. H. Gilja6, A. S. Klauser7, I. Sporea8, F. Calliada9 , V. Cantisani10 , M. D’Onofrio11, E. E. Drakonaki12, M. Fink13 , M. Friedrich-Rust14 , J. Fromageau3, R. F. Havre15 , C. Jenssen16, R. Ohlinger17 , A. Săftoiu18, F. Schaefer19 , C. F. Dietrich20
  • 1Div. of Radiology, Imperial and Kings Colleges, London, UK
  • 2Div. Internal Medicine, University of Bologna, Bologna Italy
  • 3The Joint Department of Physics, Division of Radiotherapy and Imaging, Institute of Cancer Research and Royal Marsden Hospital, NHS Foundation Trust, London, United Kingdom
  • 4Department of Internal Medicine I, Endocrinology and Diabetology, Goethe-University, Frankfurt, Germany
  • 5Adult Radiology, Paris Descartes University & Necker University Hospital, France, Institut Langevin – Ondes et Images ESPCI Paris Tech, CNRS UMR 7587 INSERM U 979
  • 6National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway and Department of Clinical Medicine, University of Bergen, Norway
  • 7Department of Radiology, Innsbruck Medical University, Austria
  • 8Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy “Victor Babeş” Timişoara, Romania
  • 9 Div. of Radiology, University of Pavia, Policlinico San Matteo, Italy
  • 10 Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Univ. Sapienza, Rome, Italy
  • 11Department of Radiology, GB Rossi University Hospital, University of Verona, Italy
  • 12Div. of Radiology, University Hospital Heraklion, Crete, Greece
  • 13 Ecole Supérieure de Physique et de Chimie de la Ville de Paris, France
  • 14 Department of Internal Medicine I, Gastroenterology and Hepatology, Goethe-University, Frankfurt, Germany
  • 15 National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway
  • 16Div. Gastroenterology, Department of Internal Medicine, Krankenhaus Märkisch Oderland, Strausberg, Germany
  • 17 Department of Obstetrics and Gynecology, Breast unit, University Greifswald, Germany
  • 18Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy, Craiova, Romania
  • 19 Unit of Breast Imaging and Interventions, University Hospital Schleswig-Holsten Campus Kiel, Germany
  • 20 Div. Gastroenterology & Oncology, Caritas Krankenhaus, Bad Mergentheim, Germany
Further Information

Publication History

Publication Date:
19 April 2013 (eFirst)


The clinical part of these Guidelines and Recommendations produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology EFSUMB assesses the clinically used applications of all forms of elastography, stressing the evidence from meta-analyses and giving practical advice for their uses and interpretation. Diffuse liver disease forms the largest section, reflecting the wide experience with transient and shear wave elastography . Then follow the breast, thyroid, gastro-intestinal tract, endoscopic elastography, the prostate and the musculo-skeletal system using strain and shear wave elastography as appropriate. The document is intended to form a reference and to guide clinical users in a practical way.


Der klinische Teil dieser unter der Schirmherrschaft der EFSUMB erstellten Richtlinien und Empfehlungen beurteilt die klinisch genutzten Anwendungen aller Formen der Elastografie, betont die Evidenz von Meta-Analysen und gibt praktische Hinweise in Bezug auf Einsatz und Interpretation der Elastografie. Die diffusen Lebererkrankungen nehmen den größten Teil ein und spiegeln somit die umfangreiche Erfahrung in der transienten und der ShearWave-Elastografie wider. Es folgen Brust, Schilddrüse, Gastrointestinaltrakt, endoskopische Elastografie, Prostata und Muskel-Skelett-System unter Verwendung von Strain und gegebenenfalls ShearWave-Elastografie. Diese Publikation soll als Empfehlung dienen und klinische Anwender auf praktische Art anleiten.