This issue has a focus on contrast enhanced ultrasound (CEUS) which is rather timely
owing to the recent FDA approval of ultrasound contrast in the USA for general ultrasound
use. The first article concentrates on two areas where contrast ultrasound really
comes into its own particularly with paediatrics where although it is considered off-label
use, it is not the same as illegal, and the benefits to patients are significant.
The lack of radiation compared to CT and the ease of performing the study compared
with MRI are major benefits. In the setting of blunt abdominal trauma, CEUS can significantly
add to what may seem as apparently unremarkable B-mode scans, thereby altering the
management of the haemodynamically stable patient.
The third article demonstrates a new and under utilised technique of using CEUS to
grade and assess the degree of active inflammation in patients with inflammatory bowel
disease. The results appear promising and in certain circumstances can rival that
of DCE-MRI. The final article again highlights a novel use of CEUS in small part/high
frequency imaging and in this case, determining non-enhancing necrotic testicular
tissue in severe epididymo-orchitis.
On the theme of novel use of ultrasound, this has been shown to be effective in aiding
the diagnosis and management of obstructive sleep apnoea and not to be left out is
the superiority of fetal echocardiography which continues to increase in accuracy
with clever motion tracking software.
Overall, this is an excellent issue highlighting novel uses of ultrasound and the
benefits of contrast ultrasound. The articles are well written, beautifully illustrated
and a “cracking” read! We hope you enjoy the selection.
