Contrast enhancement ultrasound application in focal liver lesions characterization: a retrospective study about guidelines application (SOCEUS–CEUS survey)

D’Onofrio, Mirko; Romanini, Laura; Serra, Carla; Magnolfi, Fabrizio; Bertolotto, Michele; Quaia, Emilio; Puntel, Gino; Colleoni, Alessandro; Fiorini, E; Cenci, Cristina; Ciaravino, Valentina; Laffranchi, Francesco; Catalano, Orlando; Cantisani, Vito; Calliada, Fabrizio; Derchi, Lorenzo E.

doi:10.1007/s40477-015-0185-y

Cited by 20 publications

(17 citation statements)

References 27 publications

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“…[1][2][3][4] Doppler and contrast-enhanced ultrasound help in the characterisation of FLL. [5][6][7][8][9] Nonetheless, a proportion of up to 30%-40% remain undetermined, so requiring cross-sectional imaging assessment and/or biopsy. Therefore, simple methods allowing to refine FLL characterisation in real-time on US are needed.…”

Section: Introductionmentioning

confidence: 99%

Liver elastography malignancy prediction score for noninvasive characterization of focal liver lesions

Grgurević

Bokun

Salkić

et al. 2017

Liver International

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Section: Introductionmentioning

confidence: 99%

Liver elastography malignancy prediction score for noninvasive characterization of focal liver lesions

Grgurević

Bokun

Salkić

et al. 2017

Liver International

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“…However, for small hepatocellular carcinoma, alpha-fetoprotein (AFP) is the most sensitive indicator[ 1 , 2 ]. Although CEUS is a mature examination method, its diagnostic accuracy may be affected by lesion depth, blood flow velocity and respiratory movement, which makes it not suitable for some lesions and patients[ 3 - 9 ]. ARFI imaging is simple and highly accepted by patients, and it can quantitatively assess the change in tissue hardness.…”

Section: Introductionmentioning

confidence: 99%

Combination of acoustic radiation force impulse imaging, serological indexes and contrast-enhanced ultrasound for diagnosis of liver lesions

Sun¹,

Yao²,

Men³

et al. 2017

WJG

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AIMTo assess the value of combined acoustic radiation force impulse (ARFI) imaging, serological indexes and contrast-enhanced ultrasound (CEUS) in distinguishing between benign and malignant liver lesions.METHODSPatients with liver lesions treated at our hospital were included in this study. The lesions were divided into either a malignant tumor group or a benign tumor group according to pathological or radiological findings. ARFI quantitative detection, serological testing and CEUS quantitative detection were performed and compared. A comparative analysis of the measured indexes was performed between these groups. Receiver operating characteristic (ROC) curves were constructed to compare the diagnostic accuracy of ARFI imaging, serological indexes and CEUS, alone or in different combinations, in identifying benign and malignant liver lesions.RESULTSA total of 112 liver lesions in 43 patients were included, of which 78 were malignant and 34 were benign. Shear wave velocity (SWV) value, serum alpha-fetoprotein (AFP) content and enhancement rate were significantly higher in the malignant tumor group than in the benign tumor group (2.39 ± 1.20 m/s vs 1.50 ± 0.49 m/s, 18.02 ± 5.01 ng/mL vs 15.96 ± 4.33 ng/mL, 2.14 ± 0.21 dB/s vs 2.01 ± 0.31 dB/s; P < 0.05). The ROC curve analysis revealed that the areas under the curves (AUCs) of SWV value alone, AFP content alone, enhancement rate alone, SWV value + AFP content, SWV value + enhancement rate, AFP content + enhancement rate and SWV value + AFP content + enhancement rate were 85.1%, 72.1%, 74.5%, 88.3%, 90.4%, 82.0% and 92.3%, respectively. The AUC of SWV value + AFP content + enhancement rate was higher than those of SWV value + AFP content and SWV value + enhancement rate, and significantly higher than those of any single parameter or the combination of any two of parameters.CONCLUSIONThe combination of SWV, AFP and enhancement rate had better diagnostic performance in distinguishing between benign and malignant liver lesions than the use of any single parameter or the combination of any two of parameters. It is expected that this would provide a tool for the differential diagnosis of benign and malignant liver lesions.

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“…CEUS has previously been proven effective for several organs [20][21][22][23][24]. However, to the best of our knowledge, this is the first report of the use of CEUS in the diagnosis of DF.…”

Section: Discussionmentioning

confidence: 82%

Diagnostic imaging and CEUS findings in a rare case of Desmoid-type fibromatosis. A case report

Valentino¹,

Liberatore

Maghella

et al. 2018

J Ultrasound

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Desmoid-type fibromatosis (DF), also known as aggressive fibromatosis, is a locally aggressive benign fibroblastic neoplasm that can infiltrate or recur but cannot metastasize. It is rare, with an estimated annual incidence of two to four new cases per million people. Most DFs occur sporadically, but it may also be associated with the hereditary syndrome familial adenomatous polyposis. Treatment is necessary when the disease is symptomatic, especially in case of compression of critical structures. When possible, surgical resection is the treatment of choice; however, recurrence is common. Due to the high rate of recurrence, imaging plays an important role not only in diagnosis, but also in the management of DF. Although there are a number of studies describing CT and MRI findings of DF, there is no description of contrast-enhanced ultrasound findings.

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Contrast enhancement ultrasound application in focal liver lesions characterization: a retrospective study about guidelines application (SOCEUS–CEUS survey)

Abstract: This study proves contrast-enhanced ultrasound correct application in the involved centers.

Cited by 20 publications

References 27 publications

Liver elastography malignancy prediction score for noninvasive characterization of focal liver lesions

Liver elastography malignancy prediction score for noninvasive characterization of focal liver lesions

Combination of acoustic radiation force impulse imaging, serological indexes and contrast-enhanced ultrasound for diagnosis of liver lesions

Diagnostic imaging and CEUS findings in a rare case of Desmoid-type fibromatosis. A case report

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