EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Short Version)

Dietrich, Christoph F.; Lorentzen, T.; Appelbaum, Liat; Buscarini, Elisabetta; Cantisani, Vito; Corréas, Jean-Michel; Cui, Xin‐Wu; D’Onofrio, Mirko; Gilja, Odd Helge; Hocke, M.; Ignee, A.; Jenssen, Christian; Kabaalioğlu, Adnan; Leen, Edward; Nicolau, Carlos; Nolsøe, Christian Pállson; Radziņa, Maija; Serra, Carla; Sidhu, Paul S.; Spârchez, Zeno; Piscaglia, Fabio

doi:10.1055/s-0035-1553965

Cited by 92 publications

(52 citation statements)

References 465 publications

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“…According to recently published EFSUMB guidelines on INVUS, CEUS can be helpful to avoid necrotic areas in percutaneous biopsy of intra-abdominal tumors. (LoE 3b, GoR C, and strong consensus (100%)) [4,5]. In our current study, comparing to the conventional US guidance, CEUS enabled the delimitation of more (88.3% versus 41.3%) and larger (14.1 ± 10.7 mm versus 32.3 ± 18.5 mm) nonenhanced necrotic areas from viable vascularized areas inner lesions during different phases of CEUS.…”

Section: Discussionsupporting

confidence: 50%

“…Up to now, percutaneous US guided biopsy is a minimally invasive approach often required for large abdominal tumors, when cross-sectional imaging results are nondiagnostic in clinical practice [4][5][6]. Its major advantages over CT guidance include being flexible choice of puncture route, allowing realtime visualization of the biopsy needle and its tip, being less expensive, and not using ionizing radiation as in CT-guided interventions [7,12].…”

Section: Discussionmentioning

confidence: 99%

“…Imaging guided core needle biopsy of suspected abdominal lesions is popular because it can have a major effect on patient management; diagnostic surgical procedures can be avoided, and planning for therapy can be accelerated [2][3][4][5]. Diagnostic interventional ultrasound (INVUS) procedures are efficient, minimally invasive techniques.…”

Section: Introductionmentioning

confidence: 99%

“…Diagnostic interventional ultrasound (INVUS) procedures are efficient, minimally invasive techniques. Ultrasound (US) is the ideal imaging modality to guide interventional procedures with several advantages: the absence of radiation and lack of potentially nephrogenic contrast agents; US is inexpensive and real-time imaging ensures the visualization of needles, to guide a needle in real-time into organs, masses, and lymph nodes [6], thus improving diagnostic accuracy with a reduction of complications [2][3][4][5]. The current EFSUMB guideline of IVUS procedures recommends that in the case of indeterminate retroperitoneal masses (e.g., sarcoma), the indication for biopsy versus primary resection should be individually assessed (LoE 4, GoR C, and strong consensus 100%) [3].…”

Section: Introductionmentioning

confidence: 99%

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Contrast-Enhanced Ultrasound Guided Biopsy of Undetermined Abdominal Lesions: A Multidisciplinary Decision Making Approach

Mao

Dong

Cao

et al. 2017

Ultrasound in Medicine & Biology

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Aim. To investigate the value of contrast-enhanced ultrasound (CEUS) guided biopsy of undetermined abdominal lesions in multidisciplinary treatment (MDT) decision-making approach. Methods. Between Jan 2012 and Dec 2015, 60 consecutive patients (male, 37; female, 23; mean age, 51.3 years ± 14.6) who presented with undetermined abdominal lesions were included. CEUS and core needle percutaneous biopsy was performed under real-time CEUS guidance in all lesions. Data were recorded and compared with conventional ultrasound (US) guidance group ( = 75). All CEUS findings and clinical data were evaluated in MDT. Results. CEUS enabled the delimitation of more (88.3% versus 41.3%) and larger (14.1 ± 10.7 mm versus 32.3 ± 18.5 mm) nonenhanced necrotic areas. More inner (20.0% versus 6.7%) and surrounding (18.3% versus 2.7%) major vessels were visualized and avoided during biopsies. CEUS-guided biopsy increased the diagnostic accuracy from 93.3% to 98.3%, with correct diagnosis in 57 of 60 lesions (95.0%). The therapeutic plan was influenced by CEUS guided biopsies findings in the majority of patients (98.3%). Conclusion. The combination of CEUS guided biopsy and MDT decision-making approach is useful in the diagnostic work-up and therapeutic management.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Contrast-Enhanced Ultrasound Guided Biopsy of Undetermined Abdominal Lesions: A Multidisciplinary Decision Making Approach

Mao

Dong

Cao

et al. 2017

Ultrasound in Medicine & Biology

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“…Patients with biliary atresia, which is the most common cause of neonatal obstructive jaundice, would also benefit from non-invasive follow-up assessment after the Kasai portoenterostomy to determine the best timing for liver transplantation [29,32]. Regarding the indications, contraindications and the technique used, we refer to the published literature [33][34][35][36][37][38][39][40][41].…”

Section: Possible Indications For Shear Wave Elastography (Swe) Measumentioning

confidence: 99%

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

et al. 2018

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Featured Application: In this review we present and discuss the published literature on the use of ultrasound-based liver elastography in children. The published data show that all the available shear wave elastography techniques are feasible and accurate for the assessment of liver fibrosis in children with diffuse liver disease due to several etiologies. For the assessment of focal liver lesions evidences are limited and no conclusion can be drawn so far.Abstract: Studies performed using transient elastography (TE), point shear wave elastography (pSWE) and two-dimensional shear wave elastography (2D-SWE) have shown that these techniques are all feasible and accurate in children for the evaluation of liver fibrosis due to several etiologies. However, for some specific pediatric pathologies, such as biliary atresia, the evidence is still limited. As shown in adults, inflammation is a confounding factor when assessing fibrosis severity and care should be taken when interpreting the results. Due to the scarce comparative data between serological tests and elastography techniques in children, a definite conclusion regarding which is the best cannot be drawn. Neither non-invasive elastographic techniques nor laboratory scores allow determination of the presence and the degree of inflammation, necrosis, iron or copper deposits.

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Role of Sonazoid enhanced ultrasound assistant laparoscopic radiofrequency ablation in treating liver malignancy—A single‐center retrospective cohort study

Liu

et al. 2023

Cancer Medicine

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Aim To evaluate the role of Sonazoid enhanced ultrasound assistant laparoscopic radiofrequency ablation in treating liver malignancy. Methods Consecutive patients are recruited. Rates of complication and postoperative length of stay are compared between the study and control groups. Progression‐free survival (PFS) of colorectal liver metastasis (CRLM) after ablation are compared. Complete ablation rates are compared and optimal tumor size is calculated by ROC curve analysis. Risk factors of incomplete ablation are determined by logistic regression analysis. Results Totally 73 patients with 153 lesions were included. No significant differences in the rate of complication were found between the study and control groups. PFS of CRLM in laparoscopic, intraoperative CEUS, and laparoscopic CEUS groups are all longer than their control groups. Complete ablation rates of laparoscopic, intraoperative CEUS, and laparoscopic CEUS groups are all higher than in their control groups with statistical significance. A tumor size of 2.15 cm is determined to be the optimal cut‐off with the area under the ROC curve of 0.854, 95% CI (0.764, 0.944), p = 0.001. In logistic regression analysis, tumor size [OR 20.425, 95% CI (3.136, 133.045), p = 0.002] and location of segments VII and VIII [OR 9.433, 95% CI (1.364, 65.223), p = 0.023] are calculated to be the risk factors of incomplete ablation, meanwhile, intraoperative CEUS shows to be a protective factor in univariate analysis [OR 0.110, 95% CI (0.013, 0.915), p = 0.041]. Conclusion Sonazoid‐enhanced ultrasound assistant laparoscopic radiofrequency ablation is safe and effective to treat liver malignancy. We should pay attention to the ablation planning of larger tumors and tumors in special locations.

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EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part III – Abdominal Treatment Procedures (Short Version)

Cited by 92 publications

References 465 publications

Contrast-Enhanced Ultrasound Guided Biopsy of Undetermined Abdominal Lesions: A Multidisciplinary Decision Making Approach

Contrast-Enhanced Ultrasound Guided Biopsy of Undetermined Abdominal Lesions: A Multidisciplinary Decision Making Approach

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

Role of Sonazoid enhanced ultrasound assistant laparoscopic radiofrequency ablation in treating liver malignancy—A single‐center retrospective cohort study

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