Contrast-enhanced US-guided Interventions: Improving Success Rate and Avoiding Complications Using US Contrast Agents1

被引:45
作者
Huang, Dean Y. [1 ]
Yusuf, Gibran T. [1 ]
Daneshi, Mohammad [1 ]
Husainy, Mohammad Ali [1 ]
Ramnarine, Raymond [1 ]
Sellars, Maria E. K. [1 ]
Sidhu, Paul S. [1 ]
机构
[1] Kings Coll Hosp London, Dept Radiol, Denmark Hill, London SE5 9RS, England
关键词
FOCAL LIVER-LESIONS; PERCUTANEOUS RADIOFREQUENCY ABLATION; ABDOMINAL AORTIC-ANEURYSM; B-MODE ULTRASOUND; HEPATOCELLULAR-CARCINOMA; DIAGNOSIS; REPAIR; TIME; MULTICENTER; SONOGRAPHY;
D O I
10.1148/rg.2017160123
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Ultrasonography (US) is an established modality for intervention. The introduction of microbubble US contrast agents (UCAs) has the potential to further improve US imaging for intervention. According to licensing, UCAs are currently approved for clinical use in restricted situations, but many additional indications have become accepted as having clinical value. The use of UCAs has been shown to be safe, and there is no risk of renal toxic effects, unlike with iodinated or gadolinium contrast medium. Broadly speaking, UCAs can be injected into the bloodstream (intravascular use) or instilled into almost any accessible body cavity (endocavitary use), either in isolation or synchronously. In microvascular applications, contrast-enhanced US (CEUS) enhances delineation of necrotic areas and the vascularized target to improve real-time targeting. The ability of CEUS to allow true assessment of vascularity has also been used in follow-up of devascularizing intervention. In macrovascular applications, real-time angiographic images can be obtained with CEUS without nephrotoxic effects or radiation. In endocavitary applications, CEUS can achieve imaging similar to that of iodinated contrast medium-based fluoroscopy; followup to intervention (eg, tubography and nephrostography) can be performed at the bedside, which may be advantageous. The use of UCAs is a natural progression in US-guided intervention. The aim of this article is to describe the indications, contraindications, and techniques of using UCAs as an adjunctive tool for US-guided interventional procedures to facilitate effective treatment, improve complication management, and increase the overall success of interventional procedures. Online supplemental material is available for this article. (C) RSNA, 2016 center dot radiographics. rsna. org
引用
收藏
页码:652 / 664
页数:13
相关论文
共 38 条
[1]   Duplex-guided balloon angioplasty of failing or nonmaturing arterio-venous fistulae for hemodialysis: A new office-based procedure [J].
Ascher, Enrico ;
Hingorani, Anil ;
Marks, Natalie .
JOURNAL OF VASCULAR SURGERY, 2009, 50 (03) :594-599
[2]   Clinical report: Contrast enhancement of tumor perfusion as a guidance for biopsy [J].
Bang, Nanna ;
Nielsen, Michael Bachmann ;
Vejborg, Ilse ;
Mogensen, Anne Mellon .
European Journal of Ultrasound, 2000, 12 (02) :159-161
[3]  
Barr RG, 2013, J ULTRAS MED, V32, P7
[4]   New aspects of diagnosis and therapy of hepatocellular carcinoma [J].
Bruix, J ;
Hessheimer, AJ ;
Forner, A ;
Boix, L ;
Vilana, R ;
Llovet, JM .
ONCOGENE, 2006, 25 (27) :3848-3856
[5]   Prospective Comparative Analysis of Colour-Doppler Ultrasound, Contrast-enhanced Ultrasound, Computed Tomography and Magnetic Resonance in Detecting Endoleak after Endovascular Abdominal Aortic Aneurysm Repair [J].
Cantisani, V. ;
Ricci, P. ;
Grazhdani, H. ;
Napoli, A. ;
Fanelli, F. ;
Catalano, C. ;
Galati, G. ;
D'Andrea, V. ;
Biancari, F. ;
Passariello, R. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2011, 41 (02) :186-192
[6]   Active abdominal bleeding: contrast-enhanced sonography [J].
Catalano, O ;
Cusati, B ;
Nunziata, A ;
Siani, A .
ABDOMINAL IMAGING, 2006, 31 (01) :9-16
[7]   Ultrasound contrast agents: An overview [J].
Cosgrove, David .
EUROPEAN JOURNAL OF RADIOLOGY, 2006, 60 (03) :324-330
[8]   Demonstration of an Occult Biliary-Arterial Fistula Using Percutaneous Contrast-Enhanced Ultrasound Cholangiography in a Transplanted Liver [J].
Daneshi, Mohammad ;
Rajayogeswaran, Brathaban ;
Peddu, Praveen ;
Sidhu, Paul S. .
JOURNAL OF CLINICAL ULTRASOUND, 2014, 42 (02) :108-111
[9]   Voiding urosonography with ultrasound contrast agents for the diagnosis of vesicoureteric reflux in children [J].
Darge, Kassa .
PEDIATRIC RADIOLOGY, 2008, 38 (01) :40-53
[10]  
Ellis PK, 2003, CARDIOVASC INTER RAD, V26, P482