EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part I

Abstract

This is the first part of the Guidelines on Interventional Ultrasound of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) and covers all general aspects of ultrasound-guided procedures (long version).

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“…Practitioners need to be competent in the intravenous administration of contrast agents, be familiar with contraindications and be able to manage any possible adverse effects within the medical and legal framework of their country [4,38]. We refer to the educational activities of the collaborating societies of this paper, the World Federation of Ultrasound in Medicine and Biology (WFUMB) [9,23,[93][94][95][96][97][98][99][100][101][102], the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) [1,3,4,11,37,38,49,50,74,79,[103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119] and the CEUS LI-RADS Working Group for Liver Imaging Reporting and Data System (LI-RADS®) [34][35][36][120]…”

EFSUMB guidelines 2015 on interventional ultrasound

“…The guidelines consist of six main parts that are published in Ultraschall in der Medizin / European Journal of Ultrasound [12,[68][69][70][71][72] tions. Furthermore, some chapters and multimedia material are also intended only for the EFSUMB website.…”

“…This part deals with generalities that are important and relevant for all kind of INVUS procedures, diagnostic as well as therapeutic: B-mode imaging and the use of CEUS in INVUS procedures, guiding techniques including fusion imaging, patient information, informed consent, and patient preparation, local anesthesia and sedation, hygiene management, puncture routes and accessing techniques, how to reduce and/or eliminate complications, and finally, how INVUS is organized locally [69].…”

Contrast-Enhanced Ultrasound Guided Biopsy of Undetermined Abdominal Lesions: A Multidisciplinary Decision Making Approach

“…Imaging guided core needle biopsy of suspected abdominal lesions is popular because it can have a major effect on patient management; diagnostic surgical procedures can be avoided, and planning for therapy can be accelerated [2][3][4][5]. Diagnostic interventional ultrasound (INVUS) procedures are efficient, minimally invasive techniques.…”

“…Diagnostic interventional ultrasound (INVUS) procedures are efficient, minimally invasive techniques. Ultrasound (US) is the ideal imaging modality to guide interventional procedures with several advantages: the absence of radiation and lack of potentially nephrogenic contrast agents; US is inexpensive and real-time imaging ensures the visualization of needles, to guide a needle in real-time into organs, masses, and lymph nodes [6], thus improving diagnostic accuracy with a reduction of complications [2][3][4][5]. The current EFSUMB guideline of IVUS procedures recommends that in the case of indeterminate retroperitoneal masses (e.g., sarcoma), the indication for biopsy versus primary resection should be individually assessed (LoE 4, GoR C, and strong consensus 100%) [3].…”