CEUS in abdominal trauma: multi-center study

Abstract

The objective of this study was to evaluate the concordance of US and contrast-enhanced US (CEUS) with CT in the assessment of solid organ injury following blunt trauma. Patients underwent complete US examination, including free fluid search and solid organ analysis. CEUS followed, using low-mechanical index techniques and SonoVue. CT was performed within 1 h. Among 156 enrolled patients, 91 had one or more abnormalities (n = 107) at CT: 26 renal, 38 liver, 43 spleen. Sensitivity, specificity, and accuracy for renal trauma at baseline US were 36%, 98%, and 88%, respectively, after CEUS values increased to 69%, 99%, and 94%. For liver baseline US values were 68%, 97%, and 90%; after CEUS were 84%, 99%, and 96%. For spleen, results were 77%, 96%, and 91% at baseline US and 93%, 99%, and 97% after CEUS. Per patient evaluation gave the following results in terms of sensitivity, specificity and accuracy: 79%, 82%, 80% at baseline US; 94%, 89%, and 92% following CEUS. CEUS is more sensitive than US in the detection of solid organ injury, potentially reducing the need for further imaging. False negatives from CEUS are due to minor injuries, without relevant consequences for patient management and prognosis.

Contrast-enhanced ultrasound in testicular trauma: role in directing exploration, debridement and organ salvage

“…The improvement in enhancement is 300-fold, coupled with the newer techniques of harmonic imaging and ''pulse-inversion'' techniques that will suppress normal tissue and enhance the returning echoes of the microbubble, resulting in a purely vascular perfusion image; an asset in the depiction of viable vascularised tissue. CEUS has also an established role in the assessment of solid organ injury in blunt abdominal trauma, where fractures, lacerations and haematomas are accurately Case report: CEUS in testicular trauma demonstrated, with a sensitivity and specificity approaching that of contrast-enhanced CT imaging [11]. The extension of the use into the testis has been possible with the development of transducer technology, which enables microbubble visualisation at higher frequencies than previously [12].…”

Spontaneous retroperitoneal and subcapsular liver hematoma. The diagnostic contribution of CT, US and CEUS. Case report

“…The method is very sensitive in detecting active bleeding by visualizing the echoes inside the collection as well as in detecting possible vessels malformations that can cause the bleeding [17]. CEUS is a "real-time", non-invasive, bedside investigation that does not require radiation exposure and is an adequate choice for the evaluation of abdominal solid organs in patients that have contraindications for CT contrast media administration or are hemodynamically unstable [18].…”

The use of ultrasound contrast to evaluation the effectiveness of superselective embolization of arteries prostate of benign hyperplasia

“…Ультразвуковое исследование (УЗИ) с контрастированием может применяться для характе-ристики локальных неопухолевых поражений печени. У пациентов с болевым синдромом или нечеткой тек-стурой паренхимы твердые и жидкостные очаговые образования (отек, ушиб или разрыв ткани), а также геморрагии могут быть верифицированы с высокой степенью чувствительности [22][23][24]. Аналогичные се-миотические признаки выявлены при исследовании профиля накопления и вымывания ультразвукового контрастного вещества, которое позволяет получить дополнительную клиническую информацию, необхо-димую для уточнения характера образования в молоч-ной железе [25,26].…”