Contrast-enhanced ultrasound (CEUS) for characterisation of focal liver lesions

被引:1
|
作者
Kallenbach, Michael [1 ,2 ]
Qvartskhava, Natalia [1 ,2 ]
Weigel, Christian [1 ,2 ]
Doerffel, Yvonne [3 ]
Berger, Jens [4 ]
Kunze, Georg [5 ]
Luedde, Tom [1 ,2 ]
机构
[1] Univ Hosp Dusseldorf, Dept Gastroenterol Hepatol & Infect Dis, Dusseldorf, Germany
[2] Ctr Integrated Oncol Aachen Bonn Cologne Dusseldor, Dusseldorf, Germany
[3] Charite Univ Med Berlin, Med Outpatient Dept, Berlin, Germany
[4] Ernst Bergmann Klinikum, Dept Gastroenterol Hepatol Infect Dis & Rheumatol, Potsdam, Germany
[5] Schwarzwald Baar Klinikum Villingen Schwenningen G, Villingen Schwenningen, Germany
来源
ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2024年 / 62卷 / 06期
关键词
kontrastverstarkte Sonografie; Leberlasionen; Hamangiom; Adenom; FNH; HCC; cholangiozellulares Karzinom; Bildgebung; CEUS; liver lesion; hemangioma; adenoma; iCCA; ultrasound; imaging; COLOR DOPPLER US; NODULAR HYPERPLASIA; HEPATOCELLULAR-CARCINOMA; DIAGNOSTIC PERFORMANCE; DIFFERENTIAL-DIAGNOSIS; LI-RADS; ADENOMA; PATTERNS; CLASSIFICATION; MULTICENTER;
D O I
10.1055/a-2145-7461
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Due to the trend towards increased use of imaging and rising awareness among high-risk patients, gastroenterologists and hepatologists are more frequently confronted with patients with focal liver lesions. In the differentiation of these lesions, CT and MRI have increasingly found their way into primary diagnostic steps in everyday clinical practice. Contrast-enhanced sonography, on the other hand, is a very effective and cost-efficient method for assessing focal liver lesions. The success of the method is not only based on the visualisation of microvascularisation in real time. If sonography is performed by the treating physician, he can use the exact knowledge of history and clinical findings to specifically adapt the examination procedure and to interpret the sonographic findings with greater accuracy ("clinical sonography"). At the same time, the method enables the practitioner to combine diagnostics and management decisions in his or her own hands. To achieve excellent results with contrast-enhanced sonography-as with any other imaging method-it is necessary that the examiner is sufficiently qualified.This article systematically presents the sonographic characteristics of the most common liver lesions and clearly shows their contrast patterns using videos (available via QR code). The article illustrates that CEUS could-and from the authors' point of view, should-have an even greater significance in the future.
引用
收藏
页码:952 / 970
页数:19
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