CEUS – Diagnostik zystischer Nierenläsionen

Rübenthaler, Johannes; Müller-Peltzer, Katharina; Figueiredo, Giovanna Negrão de; Gresser, Eva; Clevert, D.‐A.

doi:10.1007/s00117-018-0394-4

Cited by 8 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For the characterization of complicated cystic kidney lesions (Bosniak IIF and III) CEUS as an additional imaging method for CT or MRI is increasingly used [ 18 ].…”

Section: Kidney Lesionsmentioning

confidence: 99%

Contrast-enhanced ultrasound perfusion imaging of organs

2021

View full text Add to dashboard Cite

In multimodal radiologic imaging, contrast-enhanced ultrasound (CEUS) is increasingly used. One of the advantages of CEUS is the possibility of repeated application of contrast media without decreasing renal function or affecting the thyroid gland. Small solid liver lesions can be diagnosed and detected with high accuracy. Moreover, solid lesions in other abdominal organs can also be characterized. Frequent applications for solid lesions in the near field concern thyroid tumors and lymph nodes. For prostate diagnostics, CEUS can be used with an endorectal probe and perfusion imaging. This review explains how the additional (semi-)quantitative perfusion analysis, especially time–intensity curve (TIC) analyses, and wash-in/wash-out kinetics of integrated or external perfusion software programs facilitate new options in dynamic assessment of microvascularization during tumor follow-up care and even minimally invasive tumor therapy.

show abstract

“…For the characterization of complicated cystic kidney lesions (Bosniak IIF and III) CEUS as an additional imaging method for CT or MRI is increasingly used [ 18 ].…”

Section: Kidney Lesionsmentioning

confidence: 99%

Contrast-enhanced ultrasound perfusion imaging of organs

2021

View full text Add to dashboard Cite

show abstract

“…Both magnetic resonance imaging (MRI) and contrastenhanced ultrasound (CEUS) are valid imaging techniques for the evaluation of undetermined cystic renal lesions found on CT [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Since its approval by the FDA in 2016, CEUS has gained increasing recognition as an effective diagnostic imaging tool in multiple pathologies [12]. It is considered appropriate for renal cyst classification and the determination of the probability of malignancy [8,13]. Additionally, it is universally available and its costs are considerably lower than those of MRI.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Magnetic Resonance Imaging and Contrast-Enhanced Ultrasound as Diagnostic Options for Unclear Cystic Renal Lesions: A Cost-Effectiveness Analysis

et al. 2020

View full text Add to dashboard Cite

Purpose Correct differentiation between malignant and benign incidentally found cystic renal lesions has critical implications for patient management. In several studies contrast-enhanced ultrasound (CEUS) showed higher sensitivity with respect to the accurate characterization of these lesions compared to MRI, but the cost-effectiveness of CEUS has yet to be investigated. The aim of this study was to analyze the cost-effectiveness of CEUS as an alternative imaging method to MRI for the characterization of incidentally found cystic renal lesions. Materials and Methods A decision model including the diagnostic modalities MRI and CEUS was created based on Markov simulations estimating lifetime costs and quality-adjusted life years (QALYs). The recent literature was reviewed to obtain model input parameters. The deterministic sensitivity of diagnostic parameters and costs was determined and probabilistic sensitivity analysis using Monte-Carlo Modelling was applied. Willingness-to-pay (WTP) was assumed to be $ 100 000/QALY. Results In the base-case scenario, the total costs for CEUS were $9654.43, whereas the total costs for MRI were $9675.03. CEUS resulted in an expected effectiveness of 8.06 QALYs versus 8.06 QALYs for MRI. Therefore, from an economic point of view, CEUS was identified as an adequate diagnostic alternative to MRI. Sensitivity analysis showed that results may vary if CEUS costs increase or those of MRI decrease. Conclusion Based on the results of the analysis, the use of CEUS was identified as a cost-effective diagnostic strategy for the characterization of incidentally found cystic renal lesions.

show abstract

“…All examinations were initially performed in native B-mode ultrasound. Native B-mode ultrasonography is widely accepted as the standard examination in the diagnostic evaluation of the kidneys [8-12]. After the first round of B-mode ultrasonography, all cases of focal renal pathology were then examined with CEUS.…”

Section: Methodsmentioning

confidence: 99%

Multislice computed tomography/contrast-enhanced ultrasound image fusion as a tool for evaluating unclear renal cysts

2019

View full text Add to dashboard Cite

Ultrasonography is a generally accepted imaging technique for diagnosing and monitoring cystic renal lesions. The widely used Bosniak classification (I-IV) categorizes renal cystic lesions into five distinctive groups according to ultrasonography and computed tomography (CT) image criteria. For solid renal lesions, determination of vascularity is discriminatory for malignancy in most instances. In indeterminate cases, contrast-enhanced ultrasound (CEUS) and magnetic resonance imaging/CT-ultrasound image fusion are able to detect and characterize difficult pathologies, with superior performance to either technique alone. In contrast to multislice CT (MS-CT), ultrasound image fusion is a real-time imaging technique that can be used in combination with other cross-sectional imaging modalities. This technical note describes state-of-the-art image fusion of CEUS and MS-CT to detect and characterize unclear renal pathologies.

show abstract

CEUS – Diagnostik zystischer Nierenläsionen

Abstract: CEUS should always be performed in initially unclear cases and is a useful additional tool for the diagnosis and characterization of unclear cystic renal lesions.

Cited by 8 publications

References 32 publications

Contrast-enhanced ultrasound perfusion imaging of organs

Contrast-enhanced ultrasound perfusion imaging of organs

Comparison of Magnetic Resonance Imaging and Contrast-Enhanced Ultrasound as Diagnostic Options for Unclear Cystic Renal Lesions: A Cost-Effectiveness Analysis

Multislice computed tomography/contrast-enhanced ultrasound image fusion as a tool for evaluating unclear renal cysts

Contact Info

Product

Resources

About