Dtsch Med Wochenschr 2001; 126(Suppl. Gastroenterol. 1): S81-S86
DOI: 10.1055/s-2001-14499
Supplement Gastroenterologie (1)
© Georg Thieme Verlag Stuttgart · New York

Fortschritte in der Ultraschalldiagnostik bei Lebererkrankungen

Advances in the ultrasound diagnosis of liver diseaseJ. S. Bleck, M. Gebel, B. Boozari, M. P. Manns
  • Abteilung für Gastroenterologie und Hepatologie (Direktor: Prof. Dr. M.P.Manns), Zentrum für Innere Medizin, Medizinische Hochschule Hannover
Further Information

Publication History

Publication Date:
11 September 2002 (online)

In den letzten 10 Jahren hat die technologische Weiterentwicklung der Sonographie einen derartigen Innovationsschub verliehen, dass es immer schwerer wird, die neuen Methoden zu überschauen oder gar bezüglich ihrer klinischen Relevanz einzuordnen. Der Einsatz schneller Bildprozessoren hat die modernen Ultraschallgeräte in »High-Tech«- Maschinen verwandelt, die das technologische Niveau von CT und MRT erreicht oder sogar überschritten haben.

Hierbei kann man die verschiedenen Innovationsbereiche in Methoden zur verbesserten visuellen Darstellung des Grauwertbildes, Methoden zur Verbesserung der Datenpräsentation, Echokontrastmittel-Anwendungen sowie Methoden des Parametrischen Ultraschalls unterteilen. Die Leber, als größtes abdominelles Organ, nahm dabei von Anfang an einen großen Anteil an der Erprobung dieser neuen Technologien ein.

Literatur

  • 1 Albrecht T, Blomley M J, Heckemann R A, Cosgrove D O, Jayaram V, Butler-Barnes J, Eckersley R J, Hoffmann C W, Bauer A. Stimulated acoustic emissions with the ultrasound contrast medium levovist: a clinically useful contrast effect with liver-specific properties.  Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 2000;  172 61-67
  • 2 Assy N, Kaita K, Mymin D, Levy C, Rosser B, Minuk G. Fatty infiltration of liver in hyperlipidemic patients.  Dig Dis Sci. 2000;  45 1929-1934
  • 3 Becker D, Strobel D, Hahn E G. Tissue harmonic imaging and contrast harmonic imaging. Improving the diagnosis of liver metastasis.  Internist (Berl). 2000;  41 17-23
  • 4 Bleck J S, Gebel M, Manns M P. Quantitative sonography. Clinical role and perspectives.  Internist. 2000;  41 10-16
  • 5 Bleck J S, Gebel M, Witt B, Schmitt K J, Breitkopf P, Westhoff-Bleck M, Wagner S, Goke M, Caselitz M, Schneider A, Strassburg C, Boozari B, Manns M. Sonography under Daylight Conditions.  Ultraschall Med. 1998;  19 259-264
  • 6 Bleck J S, Gebel M, Hebel R, Wagner S, Schmitt K, Kruip S, Westhoff-Bleck M, Wolf M, Thiesemann C, Manns M. Tissue characterisation using intelligent adaptive filter in the diagnosis of diffuse and focal liver disease.  Ultrasound in Med & Biol. 1994;  20 521-528
  • 7 Bleck J S, Ranft U, Gebel M, Hecker H, Westhoff-Bleck M, Thiesemann C, Wagner S, Manns M. Random Field Models in the Textural Analysis of Ultrasonic images of the Liver.  IEEE Transactions on Medical Imaging. 1996;  15 796-801
  • 8 Bodner G, Peer S, Fries D, Dessl A, Jaschke W. Color and pulsed doppler ultrasound findings in normally functioning transjugular intrahepatic portosystemic shunts.  Eur J Ultrasound. 2000;  12 131-136
  • 9 Chiaramonte M, Stroffolini T, Vian A, Stazi M A, Floreani A, Lorenzoni U, Lobello S, Farinati F, Naccarato R. Rate of incidence of hepatocellular carcinoma in patients with compensated viral cirrhosis.  Cancer. 1999;  85 2132-2137
  • 10 Chintapalli K N, Ghiatas A A, Chopra S, Escobar B, Esola C C, Dodd G D, III. Sonographic findings in cases of missed gallstones.  J Clin Ultrasound. 1999;  27 117-121
  • 11 Chong W K, Malisch T A, Mazer M J, Lind C D, Worell J A, Richards W O. Transjugular intrahepatic portosystemic shunt: US assessment with maximum flow velocity.  Radiology. 1993;  189 789-793
  • 12 De Gaetano A M, Cotroneo A R, Maresca G, Di Stasi C, Evangelisti R, Gui B, Agnes S. Color Doppler sonography in the diagnosis and monitoring of arterial complications after liver transplantation.  J Clin Ultrasound . 2000;  8 373-380
  • 13 Deprez P. Approach of suspected common bile duct stones: endoscopic ultrasonography.  Acta Gastroenterol Belg. 2000;  63 295-298
  • 14 Dietrich C F, Stryjek-Kaminska D, Teuber G, Lee J H, Caspary W F, Zeuzem S. Perihepatic lymph nodes as a marker of antiviral response in patients with chronic hepatitis C infection.  AJR Am J Roentgenol. 2000;  174 699-704
  • 15 Dinkel H P, Kraus S, Heimbucher J, Moll R, Knupffer J, Gassel H J, Freys S M, Fuchs K H, Schindler G. Sonography for selecting candidates for laparoscopic cholecystectomy: a prospective study.  AJR Am J Roentgenol. 2000;  174 1433-1439
  • 16 Feldstein V A, Patel M D, LaBerge J M. Transjugular intrahepatic portosystemic shunts: accuracy of Doppler US in determination of patency and detection of stenosis.  Radiology. 1996;  201 141-147
  • 17 Garcia-Criado A, Gilabert R, Nicolau C, Real I, Arguis P, Bianchi L, Vilana R, Salmeron J M, Garcia-Valdecasas J C, Bru C. Early detection of hepatic artery thrombosis after liver transplantation by Doppler ultrasonography: prognostic implications.  J Ultrasound Med. 2001;  20 51-58
  • 18 Graif M, Yanuka M, Baraz M, Blank A, Moshkovitz M, Kessler A, Gilat T, Weiss J, Walach E, Amazeen P, Irving C S. Quantitative estimation of attenuation in ultrasound video images: correlation with histology in diffuse liver disease.  Invest Radiol. 2000;  35 319-324
  • 19 Harvey C J, Blomley M J, Eckersley R J, Cosgrove D O, Patel N, Heckemann R A, Butler-Barnes J. Hepatic malignancies: improved detection with pulse-inversion US in late phase of enhancement with SH U 508A-early experience.  Radiology. 2000;  216 903-908
  • 20 Hidajat N, Vogl T, Stobbe H, Schmidt J, Wex C, Lenzen R, Berg< /SN> T, Neuhaus P, Felix R. Transjugular intrahepatic portosystemic shunt. Experiences at a liver transplantation center.  Acta Radiol. 2000;  41 474-478
  • 21 Hosten N, Puls R, Lemke A J, Steger W, Zendel W, Zwicker C, Felix R. Contrast- Enhanced Power Doppler Sonography: Improved detection of Characteristic Flow Pastterns in Focal Liver lesions.  J of Clinical Ultrasound. ;  27(3) 107-115
  • 22 Jang H J, Lim H K, Lee W J, Kim S H, Kim K A, Kim E Y. Ultrasonographic evaluation of focal hepatic lesions: comparison of pulse inversion harmonic, tissue harmonic, and conventional imaging techniques.  J Ultrasound Med. 2000;  19 293-299
  • 23 Kantermann R Y, Darcy M D, Middleton W D, Sterling K M, Teefey S A, Pilgram T K. Doppler sonography findings associated with transjugular intrahepatic portosystemic shunt malfunction.  AJR. 1997;  168 467-472
  • 24 Kerekes Z, Bleck J S, Schneider A, Gebel M, Boozari B, Ockenga J, Manns M. Einfluss verschiedener Hyperlipidämien auf das sonographische Lebermuster.  Ultraschall in Med. 1998;  19 103
  • 25 Kim T K, Choi B I, Han J K, Hong H S, Park S H, Moon S G. Hepatic tumors: contrast agent-enhancement patterns with pulse- inversion harmonic US.  Radiology. 2000;  216 411-417
  • 26 Kliewer M A, Hertzberg B S, Heneghan J P, Suhocki P V, Sheafor D H, Gannon P A, Paulson E K. Transjugular intrahepatic portosystemic shunts (TIPS): effects of respiratory state and patient position on the measurement of Doppler velocities.  AJR Am J Roentgenol. 2000;  175 149-152
  • 27 Leen E, Goldberg J A, Angerson W J, McArdle C S. Potential role of doppler perfusion index in selection of patients with colorectal cancer for adjuvant chemotherapy.  Lancet. 2000;  355 34-37
  • 28 Leifer D M, Middleton W D, Teefey S A, Menias C O, Leahy J R. Follow-up of patients at low risk for hepatic malignancy with a characteristic hemangioma at US.  Radiology. 2000;  214 167-172
  • 29 Leutloff U C, Richter G M, Libicher M, Schenk J P, Stegen P, Scharf J, Kauffmann G W. Follow-up of TIPSS by color-coded duplex sonography using an ultrasonic signal enhancer. First results.  Radiologe. 1999;  39 1072-1077
  • 30 Majeed A W, Ross B, Johnson A G, Reed M W. Common duct diameter as an independent predictor of choledocholithiasis: is it useful?.  Clin Radiol. 1999;  54 170-172
  • 31 Okamoto M, Okamoto H, Kitahara F, Kobayashi K, Karikome K, Miura K, Matsumoto Y, Fujino M A. Ultrasonographic evidence of association of polyps and stones with gallbladder cancer.  Am J Gastroenterol. 1999;  94 446-450
  • 32 Onoyama H, Yamamoto M, Takada M, Urakawa T, Ajiki T, Yamada I, Fujita T, Saitoh Y. Diagnostic imaging of early gallbladder cancer: retrospective study of 53 cases.  World J Surg. 1999;  23 708-712
  • 33 Osawa H, Mori Y. Sonographic diagnosis of fatty liver using a histogram technique that compares liver and renal cortical echo amplitudes.  J Clin Ultrasound. 1996;  24 25-29
  • 34 Pennisi F, Farina R, Ponzio R, Fragione D, Lombardo R, Azzarello G, Puleo S. Role of color Doppler ultrasonography with contrast media in the monitoring of hepatocarcinoma after intralesional treatment.  Radiol Med (Torino). 1999;  97 144-147
  • 35 Piscaglia F, Zironi G, Gaiani S, Mazziotti A, Cavallari A, Gramantieri L, Valgimigli M, Bolondi L. Systemic and splanchnic hemodynamic changes after liver transplantation for cirrhosis: a long-term prospective study.  Hepatology. 1999;  30 58-64
  • 36 Puttemans T, Van Beers B E, Goffette P, Dardenne A N, Pringot J. Follow-up of TIPS: evaluation of signs of dysfunction with Doppler Ultrasonography.  J Radiol. 1996;  77 1201-1206
  • 37 Ricci P, Cantisani V, Biancari F, Drud F M, Coniglio M, Di Filippo A, Fasoli F, Passariello R. Contrast-enhanced color Doppler US in malignant portal vein thrombosis.  Acta Radiol. 2000;  41 470-473
  • 38 Saverymuttu S H, Joseph A E, Maxwell J D. Ultrasound scanning in the detection of hepatic fibrosis and steatosis.  Br Med J (Clin Res Ed). 1986;  292 13-15
  • 39 Seemann M D, Bonel H, Wintersperger B, Herrmann K, Sittek H, Reiser M F. Comparison of a high-end ultrasound system with a spiral CT scanner in screening for liver metastases.  Ultraschall Med. 1998;  19 164-167
  • 40 Sidhu P S, Marshall M M, Ryan S M, Ellis S M. Clinical use of Levovist, an ultrasound contrast agent, in the imaging of liver transplantation: assessment of the pre- and post-transplant patient.  Eur Radiol. 2000;  10 1114-1126
  • 41 Simonovsky V. The diagnosis of cirrhosis by high resolution ultrasound of the liver surface.  Br J Radiol. 1999;  72 29-34
  • 42 Spuhler A, Posl H, Sander R, Gotz U. Ultrasonography in the diagnosis of fatty liver.  Leber Magen Darm. 1981;  11 15-20
  • 43 Strobel D, Krodel U, Martus P, Hahn E G, Becker D. Clinical evaluation of contrast-enhanced color Doppler sonography in the differential diagnosis of liver tumors.  J Clin Ultrasound. 2000;  28 1-13
  • 44 Sumi S, Yamashita Y, Mitsuzaki K, Yamamoto H, Urata J, Nishiharu T, Takahashi M. Power Doppler sonography assessment of tumor recurrence after chemoembolization therapy for hepatocellular carcinoma.  AJR Am J Roentgenol. 1999;  172 67-71
  • 45 Tanaka Y, Sasaki Y, Katayama K, Hiramatsu N, Ito A, Murata H, Enomoto N, Oshita M, Mochizuki K, Tsujii M, Tsuji S, Kasahara A, Tomoda K, Nakamura H, Hayashi N, Hori M. Probability of hepatocellular carcinoma of small hepatocellular nodules undetectable by computed tomography during arterial portography.  Hepatology. 2000;  31 890-898
  • 46 Thijssen J M, Oosterveld B J, Hartman P C, Rosenbusch G J. Correlations between acoustic and texture parameters from RF and B-mode liver echograms.  Ultrasound-Med-Biol. 1993;  19 13-20
  • 47 Ullerich H, Menzel J, Kucharzik T, Reimer P, Vestring T, Domschke. Kann die Funktion des transjugulären intrahepatischen portosystemischen Shunts nichtinvasiv durch Doppler-Sonographie vorhergesagt werden?.  Z Gastroenterol. 1999;  37 771-778
  • 48 Yerdel M A, Gunson B, Mirza D, Karayalcin K, Olliff S, Buckels J, Mayer D, McMaster P, Pirenne J. Portal vein thrombosis in adults undergoing liver transplantation: risk factors, screening, management, and outcome.  Transplantation. 2000;  69 1873-81
  • 49 Zizka J, Elias P, Krajina A, Michl A, Lojik M, Ryska P, Maskova J, Hulek P, Safka V, Vanasek T, Bukac J. Value of Doppler sonography in revealing transjugular intrahepatic portosystemic shunt malfunction: a 5-year experience in 216 patients.  AJR Am J Roentgenol. 2000;  175 141-148 (1)

Korrespondenz

Priv.-Doz. Dr. med. Jörg Bleck

Abt. für Gastroenterologie und Hepatologie Medizinische Hochschule Hannover

Carl- Neuberg-Str.1

30625 Hannover

Phone: 0511/532-3415/3302

Fax: 0511/532-4896

Email: 0511561994-0001@T-online.de

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