Contrast‐enhanced ultrasound of embolic consolidations in patients with pulmonary embolism: A pilot study

Bartelt, S.; Trenker, Corinna; Görg, Christian; Neeße, Albrecht

doi:10.1002/jcu.22313

Cited by 46 publications

(68 citation statements)

References 17 publications

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“…Contrast enhancement was documented and differentiated between inhomogeneous and absent enhancement. The inhomogeneous “patchy” pattern was characterized as a vascularized lesion with coexisting pleural wedge‐shaped avascular areas of various extent …”

Section: Methodsmentioning

confidence: 99%

“…Inflammatory lung tissue and pleural lesions are characterized by a homogeneous vascular supply and a marked enhancement on CEUS . Our group recently described CEUS patterns of embolic consolidations (EC) in patients with PE confirmed by CTA or lung scintigraphy . We defined absent or inhomogeneous contrast enhancement of pleural lesions on CEUS as characteristic patterns for EC .…”

Section: Introductionmentioning

confidence: 99%

“…Our group recently described CEUS patterns of embolic consolidations (EC) in patients with PE confirmed by CTA or lung scintigraphy . We defined absent or inhomogeneous contrast enhancement of pleural lesions on CEUS as characteristic patterns for EC . The aim of this study was to evaluate the ability of B‐mode ultrasonography and CEUS to identify patterns of EC in patients with a risk profile for PE according to the Wells' score, but no evidence of central PE on CTA.…”

Section: Introductionmentioning

confidence: 99%

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Detection of peripheral embolic consolidations using contrast‐enhanced ultrasonography in patients with no evidence of pulmonary embolism on computed tomography: A pilot study

Trenker

Apitzsch²,

Pastor

et al. 2017

J of Clinical Ultrasound

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Despite the lack of definite confirmation of peripheral and central PE on CT, peripheral pleural consolidations with no or inhomogeneous enhancement on CEUS, in combination with the risk profile for a PE, are highly suggestive of EC. If there is still some doubt, histologic confirmation is important to confirm EC and exclude malignancy. Thus, CEUS may close a potential diagnostic gap of small peripheral PE on CT. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:575-579, 2017.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Detection of peripheral embolic consolidations using contrast‐enhanced ultrasonography in patients with no evidence of pulmonary embolism on computed tomography: A pilot study

Trenker

Apitzsch²,

Pastor

et al. 2017

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…These results indicate that contrast-enhanced ultrasonography on lungs may improve the diagnostic specificity of PE. [8] If the diagnosis of PE is made solely under the guidance of lung and pleural ultrasonography, there are a few things to be noted: susceptible lobe or segment of pulmonary infarction; effects of ribs on transthoracic ultrasonography implementation; without consideration of central PE; spontaneous thrombolysis, and revascularization, which may change transthoracic ultrasonography images.…”

Section: Indirect Ultrasound Signs Of Pe In Lungs and Pleuramentioning

confidence: 99%

Clinical value of ultrasonography in diagnosis of pulmonary embolism in critically ill patients

Zhu

2017

Journal of Translational Internal Medicine

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Pulmonary embolism (PE) is a clinical emergency that will increase the mortality if complicated with unstable hemodynamics. Because of its nonspecific clinical symptoms, it's a great challenge to make a PE diagnosis. The golden standard to diagnose PE is computed tomography of pulmonary artery (CTPA), but a diagnosis of PE also composed of evaluation of PE risk factors, possibilities, and risk stratification. Ultrasonography may detect right ventricle strain related to hemodynamic change, intravascular thrombosis, thrombosis in right heart or pulmonary arteries, pulmonary infarction, and local pleural effusion. Combination of ultrasound and traditional PE possibility evaluation score may further improve the pretest probability of CTPA. A comprehensive ultrasonography may sometimes rule out PE and may disclose other causes for the clinical situations. A heart-lung-vessel-integrated multiorgan ultrasonography can help with the diagnosis of PE and so should be a necessary weapon for the physicians.

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“…In pneumonia there is early and intense arterial enhancement (<10 sec); "wash-out" is mild and late [186,188]. In embolic pulmonary infarcts, the CEUS enhancement is minimal or absent in 80% of cases [186,189]. In atelectasis, similar to pneumonia, the enhancement is early and intense (<10 s), followed by a plateau [186,190].…”

Section: Other Ceus Applicationsmentioning

confidence: 99%

Romanian National Guidelines on Contrast Enhanced Ultrasound in clinical practice

et al. 2017

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Contrast-enhanced ultrasound (CEUS) allows a real-time assessment of the vascular pattern of different types of lesions, as it has no renal or liver toxicity, it lacks radiation exposure and it is also cheaper than other imaging methods, having a diagnostic capability that matches contrast-enhanced CT or MRI. In Romania CEUS is used more and more, especially by clinicians, and since some centres have extensive experience in this domain, we felt the need to disseminate our expertise in order to implement this method in as many centres as possible. These Guidelines present the clinical applications of CEUS in the liver, spleen, pancreas, kidney, testis, bowel, intra-cavitary and endoscopic ultrasound, as well as other applications.

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Contrast‐enhanced ultrasound of embolic consolidations in patients with pulmonary embolism: A pilot study

Abstract: Peripheral lung lesions in patients with confirmed PE show a CEUS pattern of absent or nonhomogeneous contrast enhancement for suspicious EC. Further prospective studies are required to verify the diagnostic accuracy of CEUS for EC.

Cited by 46 publications

References 17 publications

Detection of peripheral embolic consolidations using contrast‐enhanced ultrasonography in patients with no evidence of pulmonary embolism on computed tomography: A pilot study

Detection of peripheral embolic consolidations using contrast‐enhanced ultrasonography in patients with no evidence of pulmonary embolism on computed tomography: A pilot study

Clinical value of ultrasonography in diagnosis of pulmonary embolism in critically ill patients

Romanian National Guidelines on Contrast Enhanced Ultrasound in clinical practice

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