Contrast-enhanced ultrasound for musculoskeletal indications in children

被引:20
作者
Ntoulia, Aikaterini [1 ]
Barnewolt, Carol E. [2 ]
Doria, Andrea S. [3 ]
Ho-Fung, Victor M. [1 ,4 ]
Lorenz, Norbert [5 ]
Mentzel, Hans-Joachim [6 ]
Back, Susan J. [1 ,4 ]
机构
[1] Childrens Hosp Philadelphia, Dept Radiol, 3401 Civ Ctr Blvd, Philadelphia, PA 19104 USA
[2] Harvard Univ, Boston Childrens Hosp, Dept Radiol, Boston, MA 02115 USA
[3] Univ Toronto, Hosp Sick Children, Dept Med Imaging, Toronto, ON, Canada
[4] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
[5] Teaching Hosp Tech Univ, Dresden Municipal Hosp, Childrens Hosp, Dresden, Germany
[6] Univ Hosp Jena, Inst Diagnost & Intervent Radiol, Sect Pediat Radiol, Jena, Germany
关键词
Children; Contrast-enhanced ultrasound; Inflammatory arthropathies; Joints; Muscle perfusion; Musculoskeletal; Soft-tissue masses; Tendon perfusion; Ultrasound; Ultrasound contrast agents;
D O I
10.1007/s00247-021-04964-6
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The increasing use of contrast-enhanced ultrasound (CEUS) has opened exciting new frontiers for musculoskeletal applications in adults and children. The most common musculoskeletal-related CEUS applications in adults are for detecting inflammatory joint diseases, imaging skeletal muscles and tendon perfusion, imaging postoperative viability of osseous and osseocutaneous tissue flaps, and evaluating the malignant potential of soft-tissue masses. Pediatric musculoskeletal-related CEUS has been applied for imaging juvenile idiopathic arthritis and Legg-Calve-Perthes disease and for evaluating femoral head perfusion following surgical hip reduction in children with developmental hip dysplasia. CEUS can improve visualization of the capillary network in superficial and deep tissues and also in states of slow- or low-volume blood flow. In addition, measurements of blood flow imaging parameters performed by quantitative CEUS are valuable when monitoring the outcome of treatment interventions. In this review article we present current experience regarding a wide range of CEUS applications in musculoskeletal conditions in adults and children, with emphasis on the latter, and discuss imaging techniques and CEUS findings in musculoskeletal applications.
引用
收藏
页码:2303 / 2323
页数:21
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