Contrast-enhanced ultrasound (CEUS) in an interdisciplinary intensive care unit (ICU): Diagnostic efficacy in the assessment of post-operative complications compared to contrast-enhanced computed tomography (CECT): First results

被引:6
作者
Georgieva, M. [1 ]
Beyer, L. [1 ]
Goecze, I. [2 ]
Stroszczynski, C. [1 ]
Wiggermann, P. [1 ]
Jung, E. M. [1 ]
机构
[1] Univ Klinikum Regensburg, Inst Rontgendiagnost, Regensburg, Germany
[2] Univ Regensburg, Klin & Poliklin Chirurg, Regensburg, Germany
关键词
CEUS; ultrasound; intensive care unit;
D O I
10.3233/CH-179101
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To evaluate the effectiveness of high-resolution contrast-enhanced ultrasound (CEUS) to diagnose early postoperative complications in an interdisciplinary intensive care unit. In 50 patients (male 32; female 18) 64 CEUS examinations were performed in an intensive care unit (ICU) setting to detect post-operative complications. Multi-frequency transducer (1-5 and/or 6-9 MHz) were used. All 64 examinations were performed by one experienced examiner. CEUS findings were compared with contrast-enhanced computed tomography (CECT) findings. CECT images were acquired within 1-24 hours after CEUS examination in arterial and portal-venous phases of the abdomen using either a 16-slice computed tomography scanner or a 128-dual slice computed tomography scanner. In 56 out of 64 cases (88%) the CEUS-based diagnosis corresponded with the CECT diagnosis. Vascular stenosis in hepatic arteries and portal veins were recognised in both imaging modalities but were evaluated differently [5 cases]. In 3 cases (5%) small peripheral splenic infarction, retroperitoneal hematoma and fluid collection around the liver were not diagnosed by CEUS. CONCLUSION: CEUS in an ICU setting enables a reliable detection of postoperative abdominal complications as compared to CECT.
引用
收藏
页码:277 / 282
页数:6
相关论文
共 20 条
[1]   Continuous Dynamic Registration of Microvascularization of Liver Tumors with Contrast-Enhanced Ultrasound [J].
Beyer, Lukas Philipp ;
Pregler, Benedikt ;
Wiesinger, Isabel ;
Stroszczynski, Christian ;
Wiggermann, Philipp ;
Jung, Ernst-Michael .
RADIOLOGY RESEARCH AND PRACTICE, 2014, 2014
[2]   Contrast-enhanced ultrasound performed under urgent conditions. Indications, review of the technique, clinical examples and limitations [J].
Cokkinos D.D. ;
Antypa E. ;
Kalogeropoulos I. ;
Tomais D. ;
Ismailos E. ;
Matsiras I. ;
Benakis S. ;
Piperopoulos P.N. .
Insights into Imaging, 2013, 4 (2) :185-198
[3]   Assessment of renal perfusion with contrast-enhanced ultrasound: Preliminary results in early diabetic nephropathies [J].
Dong, Yi ;
Wang, Wen-Ping ;
Lin, Pan ;
Fan, Peili ;
Mao, Feng .
CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 2016, 62 (03) :229-238
[4]  
Echtenacher B., 2015, ULTRASCHALL MED
[5]  
Gocze I., 2013, CRIT CARE S2, V17, pP185
[6]   Contrast-enhanced ultrasonography for bedside imaging in subclinical acute kidney injury [J].
Goecze, I. ;
Wohlgemuth, W. A. ;
Schlitt, H. J. ;
Jung, E. M. .
INTENSIVE CARE MEDICINE, 2014, 40 (03) :431-431
[7]   Contrast-enhanced ultrasound (CEUS) in nephrology: Has the time come for its widespread use? [J].
Granata, Antonio ;
Zanoli, Luca ;
Insalaco, Monica ;
Valentino, Massimo ;
Pavlica, Pietro ;
Di Nicolo, Pier Paolo ;
Scuderi, Mario ;
Fiorini, Fulvio ;
Fatuzzo, Pasquale ;
Bertolotto, Michele .
CLINICAL AND EXPERIMENTAL NEPHROLOGY, 2015, 19 (04) :606-615
[8]   Technical aspects of contrast-enhanced ultrasound (CEUS) examinations: Tips and tricks [J].
Greis, C. .
CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 2014, 58 (01) :89-95
[9]   A comparison between contrast-enhanced ultrasound imaging and multislice computed tomography in detecting and classifying endoleaks in the follow-up after endovascular aneurysm repair [J].
Guertler, Verena M. ;
Sommer, Wieland H. ;
Meimarakis, Georgios ;
Kopp, Reinhard ;
Weidenhagen, Rolf ;
Reiser, Maximilian F. ;
Clevert, Dirk-Andre .
JOURNAL OF VASCULAR SURGERY, 2013, 58 (02) :340-345
[10]   Contrast-enhanced ultrasound: a new vision of microcirculation in the intensive care unit [J].
Harrois, Anatole ;
Duranteau, Jacques .
CRITICAL CARE, 2013, 17 (04)