Abdominelle Sonografie bei Patienten mit Diabetes mellitus. Teil 1: Leber

Jenssen, Christian; Pietsch, C.; Gottschalk, U; Barreiros, Ana Paula; Teufel, Andreas; Cui, Xin-Wu; Dietrich, Christoph F.

doi:10.1055/s-0034-1398949

Cited by 4 publications

(3 citation statements)

References 183 publications

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“…The following abdominal organs were evaluated and listed on-site findings as previously described [2]: 1) liver: focal liver lesion detection [44][45][46][47] including focal fatty sparing [48,49]; portal vein (flow direction)…”

Section: Data Acquisition and Analysismentioning

confidence: 99%

EchoScopy in scanning abdominal diseases; a prospective single center study

et al. 2019

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Background and aims:The introduction of a new type of small handheld ultrasound device brings greater portability and affordability in a different setting. The basic ultrasound approach with these handheld devices has been defined by European Federation of Societies of Ultrasound in Medicine and Biology (EFSUMB) as "EchoScopy". The current study aimed to assess the image quality, indications and limitations of a portable pocket "EchoScopy" performed first compared with a high-end ultrasound system (second) in abdominal diseases.Material and methods: Three hundred consecutive patients (158 males and 142 females, age 55±19 [18-96]) years) were included. The ultrasound examinations were performed firstly by an EchoScope (Vscan™ Dual Probe) and secondly with a high-end ultrasound system (HEUS, GE Logiq E9). Compared with the always excellent image quality using HEUS, the image quality of the EchoScope was graded as good, sufficient or non-sufficient. Results: Out of all 300 patients, 221 had focal lesions, 31 patients were found with diffuse pathological findings, 20 with ascites, 25 after liver puncture and 45 without any pathological findings. The image quality of the pocket device was considered as being good or sufficient to delineate the pathology in 265/300 (88%). The detection rate of the EchoScope for abdominal focal lesion was 172/221 (78%). The higher frequency of the Dual Probe was helpful in 35/300 (12%). Conclusions: EchoScopy has proven to display sufficient image quality to answer specific questions, e.g., detection of ascites, splenomegaly, bile duct enlargement, hydronephrosis and other pathological findings which can be judged by "yes/no".

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Section: Data Acquisition and Analysismentioning

confidence: 99%

EchoScopy in scanning abdominal diseases; a prospective single center study

et al. 2019

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“…It has been shown that the presence of NAFLD diagnosed by US is independently associated with an increased prevalence of ischemic heart disease [118,119]. The SHIP study, a large population-based study in Northern Germany, showed in a 5-and 10year follow-up that patients with a fatty liver had significantly higher morbidity and mortality than patients without this condition [120,121,122].…”

Section: Us Detection Of Nafld As a High-risk Constellation For Ather...mentioning

confidence: 99%

Conventional ultrasound for diagnosis of hepatic steatosis is better than believed

et al. 2021

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Background Hepatic steatosis is a condition frequently encountered in clinical practice, with potential progression towards fibrosis, cirrhosis, and hepatocellular carcinoma. Detection and staging of hepatic steatosis are of most importance in nonalcoholic fatty liver disease (NAFLD), a disease with a high prevalence of more than 1 billion individuals affected. Ultrasound (US) is one of the most used noninvasive imaging techniques used in the diagnosis of hepatic steatosis. Detection of hepatic steatosis with US relies on several conventional US parameters, which will be described. US is the first-choice imaging in adults at risk for hepatic steatosis. The use of some scoring systems may add additional accuracy especially in assessing the severity of hepatic steatosis. Summary In the presented paper, we discuss screening and risk stratification, ultrasound features for diagnosing hepatic steatosis, B-mode criteria, focal fatty patterns and Doppler features of the hepatic vessels, and the value of the different US signs for the diagnosis of liver steatosis including classifying the severity of steatosis using different US scores. Limitations of conventional B-mode and Doppler features in the evaluation of hepatic steatosis are also discussed, including those in grading and assessing the complications of steatosis, namely fibrosis and nonalcoholic steatohepatitis. Key Messages Ultrasound is the first-line imaging examination for the screening and follow-up of patients with liver steatosis. The use of some scoring systems may add additional accuracy in assessing the severity of steatosis. Conventional B-mode and Doppler ultrasound have limitations in grading and assessing the complications of steatosis.

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“…5], bestimmten Krankheiten (z. B. Diabetes mellitus)[57], Point-of-care-Ultraschall (sei es innerhalb oder außerhalb des Krankenhauses)[3, 4, 58 -60] und vieles andere mehr. Dank technischem Fortschritt und Kostenreduktion der Ultraschallgeräte ermöglicht die Nutzung kleiner, tragbarer Ultraschallgeräte dem Arzt, den Patienten im häuslichen Umfeld zu untersuchen und gegebenenfalls weitere diagnostische und therapeutische Schritte in die Wege zu leiten.…”

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