EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part II

Sidhu, Paul S.; Brabrand, Knut; Cantisani, Vito; Corréas, Jean-Michel; Cui, Xin‐Wu; D’Onofrio, Mirko; Essig, M.; Freeman, Simon; Gilja, Odd Helge; Gritzmann, N.; Havre, Roald Flesland; Ignee, A.; Jenssen, Christian; Kabaalioğlu, Adnan; Lorentzen, T.; Mohaupt, Markus; Nicolau, Carlos; Nolsøe, Christian Pállson; Nürnberg, Dieter; Radziņa, Maija; Săftoiu, Adrian; Serra, Carla; Spârchez, Zeno; Sporea, Ioan; Dietrich, Christoph F.

doi:10.1055/s-0035-1554036

Cited by 89 publications

(54 citation statements)

References 247 publications

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“…There is a considerable amount of evidence to support the use of US by gastroenterologists [2, 4, 21, 44, 60], and an increasing number of statements and guidelines support this practice [2, 38, 43, 56-59, 62, 63, 66-69, 71, 75]. In spite of the recommendations in the Blue Book of the ESBGH regarding training in US, there is a heterogeneous distribution of the utilisation of this basic skill by European gastroenterologists.…”

Section: Resultsmentioning

confidence: 99%

“…These include, for example, screening for hepatocellular carcinoma in cirrhotic patients (diagnostic/descriptive) [45-48], monitoring of inflammatory bowel disease (IBD) activity (clinical monitoring) [49-55] or percutaneous therapy of hepatocellular carcinoma (interventional guidance) [56-58]. Regarding some of the abdominal and pelvic conditions that can be identified by digestive US, an abridged list is presented in Table 1 [2, 40, 43, 59, 60].…”

Section: The Role For Us In Gastroenterologymentioning

confidence: 99%

See 1 more Smart Citation

Ultrasonography in Gastroenterology: The Need for Training

Pinto¹,

Azevedo²,

Pereira³

et al. 2018

GE Port J Gastroenterol

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The use of ultrasonography (US) as an imaging modality in medicine has spread across almost every clinical specialty. This diffusion is based on the simplicity, accessibility, portability and affordability of the technique producing real-time high-resolution images using non-ionising radiation. On the other hand, this trend also extended the technique to settings other than healthcare, such as public facilities, private houses or remote sites. This tendency can be observed worldwide, from developing countries to prestigious medical schools and tertiary referral hospitals. Furthermore, point-of-care US (POCUS), i.e., US executed at the patient’s bedside to obtain real-time objective information with diagnostic and clinical monitoring purposes or to guide invasive procedures, has been incorporated in many specialties. In gastroenterology, despite the essential role of endoscopy, clinical practice is highly dependent on non-endoscopic imaging techniques. However, as in other specialties, the indications of US in gastroenterology have been increasing steadily, covering a broad range of conditions. In response to the generalised employment of US by non-radiologists, institutions such as the European Federation of Societies for Ultrasound in Medicine and Biology and the Royal College of Radiologists issued recommendations to ensure high-quality practice. These theoretical and practical requisites include performing a certain number of examinations and mandatory skills in order to achieve certification to execute unsupervised US. Therefore, there is a need for modern gastroenterology to include US as a basic skill in its clinical practice. To ensure the provision of high-quality US, adequate instruction of future specialists should be guaranteed by the gastroenterology departments and required in the residency training programme.

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Section: Resultsmentioning

confidence: 99%

Section: The Role For Us In Gastroenterologymentioning

confidence: 99%

Ultrasonography in Gastroenterology: The Need for Training

Pinto¹,

Azevedo²,

Pereira³

et al. 2018

GE Port J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…Practitioners need to be competent in the intravenous administration of contrast agents, be familiar with contraindications and be able to manage any possible adverse effects within the medical and legal framework of their country [4,38]. We refer to the educational activities of the collaborating societies of this paper, the World Federation of Ultrasound in Medicine and Biology (WFUMB) [9,23,[93][94][95][96][97][98][99][100][101][102], the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) [1,3,4,11,37,38,49,50,74,79,[103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119] and the CEUS LI-RADS Working Group for Liver Imaging Reporting and Data System (LI-RADS®) [34][35][36][120]…”

Section: Education Qualificationmentioning

confidence: 99%

Untitled

2018

Ultrasound Int Open

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“…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 [2–5]. 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]. An ultrasound retroperitoneal core biopsy is more accurate than fine needle aspiration and should be performed whenever possible (LoE 3b, GoR C, and broad agreement 84%) [3].…”

Section: Introductionmentioning

confidence: 99%

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

Mao

et al. 2017

BioMed Research International

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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 (n = 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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EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part II

Cited by 89 publications

References 247 publications

Ultrasonography in Gastroenterology: The Need for Training

Ultrasonography in Gastroenterology: The Need for Training

Untitled

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

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