Contrast-enhanced ultrasonography in blunt abdominal trauma: considerations after 5 years of experience

Valentino, Massimo; Ansaloni, Luca; Catena, Fausto; Pavlica, Pietro; Pinna, A.D.; Barozzi, Libero

doi:10.1007/s11547-009-0444-0

Cited by 63 publications

(36 citation statements)

References 31 publications

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“…In several cases, such as localized injuries, CEUS can be of great value, revealing abdominal solid organ lesions not visible on baseline US [14]. On CEUS examination, traumatic renal and perirenal lacerations and haematomas appear as non-enhancing areas ( fig 4) [13].…”

Section: Renal Traumamentioning

confidence: 99%

Contrast enhanced ultrasound of renal masses. A reappraisal of EFSUMB recommendations and possible emerging applications.

et al. 2015

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The main imagistic method for characterization of renal lesions is contrast enhanced computed tomography (CECT). Disadvantages of CECT are a contrast-induced nephropathy in patients with renal impairment, allergic reactions and high costs. Contrast-enhanced ultrasound (CEUS) evaluation of hepatic and non-hepatic lesions is a relatively new, but increasingly utilised, diagnostic method. In 2011 the European Federation of Societies of Ultrasound in Medicine and Biology (EFSUMB) updated the Guidelines and Recommendations on the Clinical Practice of CEUS and included in the recommendation the renal pathology. However, there are several possible new indications that have not been discussed (pyelocaliceal masses and renal vein thrombosis) and several issues that remain controversial such as the differentiation of benign and malignant tumours or the differentiation of lymphoma and metastasis.This study aims to review literature data, as well as reveal the latest findings in the field of renal CEUS.

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Section: Renal Traumamentioning

confidence: 99%

Contrast enhanced ultrasound of renal masses. A reappraisal of EFSUMB recommendations and possible emerging applications.

et al. 2015

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“…Un altro limite principale è il relativo numero limitato di casi studiati. Ulteriore limite del nostro studio è di non aver considerato il ruolo dell'ecografi a con MdC (CEUS), che, in base a recenti studi [27], si è dimostrata molto effi cace nel riconoscimento e nella stadiazione delle lesioni traumatiche degli organi solidi addominali, all'ammissione, nel monitoraggio e nel follow-up dei pazienti da noi trattati.…”

Section: Discussionunclassified

“…Another main limitation was the relatively small number of cases studied. Additionally, we did not consider the role of contrast-enhanced sonography during admission, monitoring or follow-up, which, according to recent studies [27], has proved very effective in identifying and staging abdominal solid-organ injuries.…”

Section: Discussionmentioning

confidence: 99%

The role of arterial embolization in blunt splenic injury

et al. 2011

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“…Since UCA can be used as a tracer of blood flow, CEUS is able to detect bleeding sites and hematomas in patients with abdominal trauma [52] . During 5 years of experience in using CEUS to identify traumatic abdominal lesions, the sensitivity, specificity and positive and negative predictive values of US were 70.2%, 59.2%, 74.7% and 53.7%, respectively, whereas those of CEUS were 96.4%, 98%, 98.8% and 94.1%, respectively.…”

Section: Blunt Abdominal Traumamentioning

confidence: 99%

Contrast-enhanced ultrasound: The evolving applications

Xu¹

2009

WJR

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Contrast-enhanced ultrasound (CEUS) is a major breakthrough for ultrasound imaging in recent years. By using a microbubble contrast agent and contrast-specific imaging software, CEUS is able to depict the microand macro-circulation of the targeted organ, which in turn leads to improved performance in diagnosis. Due to the special dual blood supply system in the liver, CEUS is particularly suitable for liver imaging. It is evident that CEUS facilitates improvement for characterization of focal liver lesions (FLLs), detection of liver malignancy, guidance for interventional procedures, and evaluation of treatment response after local therapies. CEUS has been demonstrated to be equal to contrast-enhanced computed tomography or magnetic resonance imaging for the characterization of FLLs. In addition, the applicability of CEUS has expanded to non-liver structures such as gallbladder, bile duct, pancreas, kidney, spleen, breast, thyroid, and prostate. The usefulness of CEUS in these applications is confirmed by extensive literature production. Novel applications include detecting bleeding sites and hematomas in patients with abdominal trauma, guiding percutaneous injection therapy and therefore achieving the goal of using interventional ultrasonography in managing splenic trauma, assessing the activity of Crohn's disease, and detecting suspected endoleaks after endovascular abdominal aneurysm repair. Contrast-enhanced intraoperative ultrasound (US) and intracavitary use of CEUS have been developed and clinically studied. The potential use of CEUS involves sentinel lymph node detection, drug or gene delivery, and molecular imaging. In conclusion, the advent of CEUS has greatly enhanced the usefulness of US and even changed the status of US in clinical practice. The application of CEUS in the clinic is continuously evolving and it is expected that its use will be expanded further in the future.

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Contrast-enhanced ultrasonography in blunt abdominal trauma: considerations after 5 years of experience

Cited by 63 publications

References 31 publications

Contrast enhanced ultrasound of renal masses. A reappraisal of EFSUMB recommendations and possible emerging applications.

Contrast enhanced ultrasound of renal masses. A reappraisal of EFSUMB recommendations and possible emerging applications.

The role of arterial embolization in blunt splenic injury

Contrast-enhanced ultrasound: The evolving applications

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