Current consensus and guidelines of contrast enhanced ultrasound for the characterization of focal liver lesions

被引:62
作者
Jang, Jae Young [1 ,10 ]
Kim, Moon Young [2 ,10 ]
Jeong, Soung Won [1 ,10 ]
Kim, Tae Yeob [3 ,10 ]
Kim, Seung Up [4 ,10 ]
Lee, Sae Hwan [5 ,10 ]
Suk, Ki Tae [6 ,10 ]
Park, Soo Young [7 ,10 ]
Woo, Hyun Young [8 ,10 ]
Kim, Sang Gyune [9 ,10 ]
Heo, Jeong [8 ,10 ]
Baik, Soon Koo [2 ,10 ]
Kim, Hong Soo [5 ,10 ]
Tak, Won Young [7 ,10 ]
机构
[1] Soonchunhyang Univ, Coll Med, Ctr Digest Dis, Inst Digest Res,Dept Internal Med, Seoul, South Korea
[2] Yonsei Univ, Wonju Coll Med, Dept Internal Med, Wonju, South Korea
[3] Hanyang Univ, Coll Med, Hanyang Univ Guri Hosp, Dept Internal Med, Guri, South Korea
[4] Yonsei Univ, Coll Med, Inst Gastroenterol, Dept Internal Med, Seoul, South Korea
[5] Soonchunhyang Univ, Coll Med, Dept Internal Med, Cheonan, South Korea
[6] Hallym Univ, Coll Med, Hallym Univ Chuncheon Sacred Heart Hosp, Dept Internal Med, Chunchon, South Korea
[7] Kyungpook Natl Univ, Sch Med, Dept Internal Med, Daegu, South Korea
[8] Pusan Natl Univ, Sch Med, Dept Internal Med, Busan, South Korea
[9] Soonchunhyang Univ, Coll Med, Dept Internal Med, Bucheon, South Korea
[10] KASCU, Seoul, South Korea
关键词
Guidelines; Contrast enhanced Ultrasonography (CEUS); Focal liver lesions (FLLs);
D O I
10.3350/cmh.2013.19.1.1
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The application of ultrasound contrast agents (UCAs) is considered essential when evaluating focal liver lesions (FLLs) using ultrasonography (US). Microbubble UCAs are easy to use and robust; their use poses no risk of nephrotoxicity and requires no ionizing radiation. The unique features of contrast enhanced US (CEUS) are not only noninvasiveness but also real-time assessing of liver perfusion throughout the vascular phases. The later feature has led to dramatic improvement in the diagnostic accuracy of US for detection and characterization of FLLs as well as the guidance to therapeutic procedures and evaluation of response to treatment. This article describes the current consensus and guidelines for the use of UCAs for the FLLs that are commonly encountered in US. After a brief description of the bases of different CEUS techniques, contrast-enhancement patterns of different types of benign and malignant FLLs and other clinical applications are described and discussed on the basis of our experience and the literature data.
引用
收藏
页码:1 / 16
页数:16
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