Contrast-enhanced ultrasound imaging of active bleeding associated with hepatic and splenic trauma

Lv, Faqin; Tang, Jie; Luo, Yukun; Li, Z.; Meng, Xunwu; Zhu, Zhihong; Li, T.

doi:10.1007/s11547-011-0680-y

Cited by 46 publications

(42 citation statements)

References 27 publications

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“…The first, as has also been demonstrated by previous studies, is that CEUS is a potential new modality for the evaluation of abdominal parenchymal organ trauma [28,29]. The sensitivity and specificity of CEUS were comparable to those on CT [15].…”

Section: Discussionsupporting

confidence: 59%

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Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma

Ning

Zhou

et al. 2014

Eur Radiol

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Section: Discussionsupporting

confidence: 59%

“…Secondly, it is time-saving. A series of CEUS examinations for kidney, liver and spleen takes only 5-8 minutes to complete [28]. Moreover, CEUS is often performed simultaneously with nearly all kinds of trauma management, such as physical examination, resuscitation, and so on.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma

Ning

Zhou

et al. 2014

Eur Radiol

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“…One study included pediatric patients 26 , and two studies included both adult and pediatric patients 14, 15 . Three studies did not report summary statistics for the age 28–30 . Timing of CEUS was reported in two studies 14, 27 , and the remaining studies did not explicitly report the timing of CEUS.…”

Section: Resultsmentioning

confidence: 99%

Diagnostic accuracy of contrast enhanced ultrasound in patients with blunt abdominal trauma presenting to the emergency department: a systematic review and meta-analysis

Zhang

Hong

Liu

et al. 2017

Sci Rep

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We aimed to investigate the diagnostic accuracy of contrast-enhanced ultrasound (CEUS) in evaluating blunt abdominal trauma for patients presenting to the emergency department. Electronic search of Scopus and Pubmed was performed from inception to September 2016. Human studies investigating the diagnostic accuracy of CEUS in identifying abdominal solid organ injuries were included. Risk of bias was assessed using the QUADAS tool. A total of 10 studies were included in the study and 9 of them were included for meta-analysis. The log(DOR) values ranged from 3.80 (95% CI: 2.81–4.79) to 8.52 (95% CI: 4.58–12.47) in component studies. The combined log(DOR) was 6.56 (95% CI: 5.66–7.45). The Cochran’s Q was 11.265 (p = 0.793 with 16 degrees of freedom), and the Higgins’ I2 was 0%. The CEUS had a sensitivity of 0.981 (95% CI: 0.868–0.950) and a false positive rate of 0.018 (95% CI: 0.010–0.032) for identifying parenchymal injuries, with an AUC of 0.984. CEUS performed at emergency department had good diagnostic accuracy in identifying abdominal solid organ injuries. CEUS can be recommended in monitoring solid organ injuries, especially for patients managed with non-operative strategy.

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“…CEUS is more sensitive than conventional US in identifying the characteristics of the injury, including the size and the tear thickness (20). In the present study, the sites of laceration often appeared with low enhancement.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of blunt pancreatic injury with contrast-enhanced ultrasonography in comparison with contrast-enhanced computed tomography

Song

Tang

et al. 2013

Experimental and Therapeutic Medicine

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The aim of the present study was to evaluate acute blunt pancreatic injury using contrast-enhanced ultrasonography (CEUS) in comparison with contrast-enhanced computed tomography (CECT). Superficial and deep lesions were established by blunt pancreatic injury in 40 Chinese Guangxi Bama miniature pigs. Conventional ultrasound (US), CEUS and CECT were performed to detect traumatic lesions in the pancreas. A total of 40 lesions were established, including 20 deep lesions and 20 superficial lesions. US identified 21 of the 40 lesions, including 7 of the 20 superficial and 14 of the 20 deep lesions. CEUS identified 34 of the 40 lesions, including 14 of the 20 superficial and 20 of the 20 deep lesions. CECT identified 33 of the 40 lesions, including 13 of the 20 superficial and 20 of the 20 deep lesions. The detection rate of acute blunt pancreatic injury using CEUS was significantly higher compared with that using US (85 vs. 52.5%, P<0.05), however there was no significant difference in the detection rate of pancreatic lesions between CEUS and CECT (85 vs. 82.5%, P>0.05). CEUS improves the diagnostic levels of conventional US and is comparable with CECT scans in the diagnosis of blunt pancreatic injury.

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Contrast-enhanced ultrasound imaging of active bleeding associated with hepatic and splenic trauma

Abstract: CEUS can show the active bleeding associated with hepatic and splenic trauma with various imaging characteristics, thus making it possible to diagnose active bleeding using CEUS.

Cited by 46 publications

References 27 publications

Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma

Effectiveness of contrast-enhanced ultrasound in the classification and emergency management of abdominal trauma

Diagnostic accuracy of contrast enhanced ultrasound in patients with blunt abdominal trauma presenting to the emergency department: a systematic review and meta-analysis

Evaluation of blunt pancreatic injury with contrast-enhanced ultrasonography in comparison with contrast-enhanced computed tomography

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