AIUM Practice Parameter for the Performance of Contrast‐Enhanced Ultrasound

Abstract

IntroductionT he American Institute of Ultrasound in Medicine (AIUM) is a multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through professional and public education, research, development of clinical practice parameters, and accreditation of practices performing ultrasound examinations.The AIUM Practice Parameter for the Performance of Contrast-Enhanced Ultrasound (CEUS) was revised by the AIUM in collaboration with other organizations whose members use ultrasound for performing this examination(s) (see "Acknowledgments"). Recommendations for personnel requirements, the request for the examination, documentation, quality assurance, and safety may vary among the organizations and may be addressed by each separately.This Practice Parameter is intended to provide the medical ultrasound community with recommendations for the performance and recording of high-quality ultrasound examinations. The parameters reflect what the AIUM considers the appropriate criteria for this type of ultrasound examination but are not intended to establish a legal standard of care. Examinations performed in this specialty area are expected to follow the Parameter with recognition that deviations may occur depending on the clinical situation. IndicationsIndications for CEUS are based on the current literature recommendations and clinical practice standards.Ultrasound (US) contrast agents and contrast-specific scanning techniques have extended the diagnostic capabilities of US. CEUS should be considered as a useful problem-solving tool and as an indicated first-line imaging modality in select settings as indicated below.Ultrasound contrast has no renal toxicity or clearance; therefore, CEUS may be used at any level of renal function. CEUS is often safe for patients with contraindications to computed