Can Contrast-Enhanced Ultrasound Evaluate the Severity of Acute Pancreatitis?

Abstract

CEUS has shown to be of clinical value in the assessment of pancreatic necrosis as well as peripancreatic complications in AP and has a high diagnostic accuracy in the evaluation of the severity of pancreatitis. Further studies are needed to add it to the diagnostic algorithm for acute pancreatitis.

Accuracy of contrast-enhanced ultrasound compared with conventional ultrasound in acute pancreatitis: Diagnosis and complication monitoring

“…This demonstrates that CEUS is a more convincing method than US for AP and SAP diagnosis. The results conformed with those reported in previous studies, that CEUS produces excellent results in the staging of acute pancreatitis severity (10,12,14–16). …”

“…The diagnostic accuracy rates of US and CEUS for SAP in the present study were 47.7% (63/132) and 78.0% (103/132), respectively. As demonstrated in previous studies, in terms of the assessment of pancreatic size and PPFC, the diagnostic accuracy rate for splenic vessel complications, and statistical results, CEUS was superior to US in the diagnosis of SAP (10,14,22). Significant differences were observed between the results for CEUS and CUS.…”

“…CECT is the gold standard imaging modality for the diagnosis of AP (12), particularly for SAP, but some research studies have found that SAP can be successfully diagnosed using CEUS (13). A previous study reported that a diagnosis of SAP made using CEUS was strongly correlated with that made using CECT (14). It has been demonstrated that CEUS has a higher diagnostic value than CUS for AP or SAP (15,16).…”

Prognostic value of acute fluid collections diagnosed by ultrasound in the early assessment of severity of acute pancreatitis

“…Contrast‐enhanced ultrasound (CEUS) has the potential to become a reliable alternative to contrast‐enhanced CT for assessing the severity of acute pancreatitis and predicting its outcome 20–23. CEUS is based on an ultrasound contrast agent that consists of microbubbles stabilized by a highly flexible phospholipid shell and containing the inert gas, sulfur hexafluoride (SF6).…”

Ist die Kontrastmittelsonographie im klinischen Alltag eine robuste Methode? Eine retrospektive Analyse über 6 Monate

“…[5,6,13]. Bei Milz und Niere finden sich neben einer Mehrzahl positiver Studien [3,11,16,22] einzelne mit schlechterem Abschneiden im Vergleich zu CT und MRT bzw.…”