Application of ultrasound contrast medium to traditional medical sonography is known as Contrast-enhanced ultrasound (CEUS) that enhances contrast during ultrasnography by increasing ultrasound backscatter (reflection) of the ultrasound waves. Contrast-enhanced ultrasound can be used in diagnostic imaging, organ edge delineation, echocardiography, blood volume perfusion, lesion characterization, drug or gene delivery, molecular imaging etc. Different types of contrast media used in ultrasonography are agitated saline, microbubbles, nanobubbles etc. Adverse reactions of contrast agent include headache, hypersensitivity abdominal pain, diarrhoea, dyspepsia, hypertension, leg cramps etc. Although CEUS is popular now a days but with certain limitations such as more heat production with increase in frequency, short life of microbubbles, continuous monitoring, occasional microvasculature rupture and haemolysis. In conclusion, CEUS is an advanced technique for absolute quantification of tissue perfusion, drugs and genes delivery, differential diagnosis and monitoring therapy response.
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