Iron Deficiency Anaemia over the Last Decades - Osler's Disease Diagnosed by Doppler and Contrast-Enhanced Ultrasound

Neye, Holger; Rauh, Peter; Ensberg, Daniel; Rickes, Steffen

doi:10.1055/s-0031-1273371

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…Interestingly, they found most shunts were located in the central hilum area of the liver, which was not previously possible to detect with ultrasound [64]. Neye et al published a case report of a woman with Osler's disease, further confirming the previous findings [65]. Recently, Schelker et al were able to rank patients with hemorrhagic telangiectasia in patients at high risk and low risk for symptoms by means of CEUS [61].…”

Section: Hemorrhagic Telangiectasia Of the Livermentioning

confidence: 78%

Value of contrast-enhanced ultrasound for vascular diseases of the liver – current indications and open questions

et al. 2022

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Contrast-enhanced ultrasonography (CEUS) is a widely available and well-tolerated technique that can expand the diagnosis of a variety of vascular liver diseases. This paper presents an overview of the current possibilities of the use of CEUS in vascular liver diseases. Particularly where Doppler sonography has technical limitations, CEUS provides additional opportunities to visualize vascular thrombosis and other obstructions restricting blood flow. When CT or MRI contrast agents cannot be used because of severe allergy or renal insufficiency, CEUS can be a valuable diagnostic alternative and has demonstrated comparable diagnostic performance in at least some vascular liver diseases, such as portal vein thrombosis. In addition, CEUS works without radiation and, therefore, might be particularly suitable for young patients and children. This may be useful, for example, in congenital disorders such as persistent umbilical vein or preduodenal portal vein. Vascular liver disease is rare and comprehensive data are still lacking, but the available literature provides promising insights into potential new ways to study vascular liver disease. Although most studies are based on small sample sizes or even case reports, the high diagnostic utility is undisputed.

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Section: Hemorrhagic Telangiectasia Of the Livermentioning

confidence: 78%

Value of contrast-enhanced ultrasound for vascular diseases of the liver – current indications and open questions

et al. 2022

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“…Until now, only one case report by Neye et al[ 16 ] handled with CEUS in HHT patients. However, in this paper only macrocirculation patterns were considered and described very rudimentary, without making reference to TIC analysis or reference imaging methods.…”

Section: Discussionmentioning

confidence: 99%

“…The advent of contrast-enhanced ultrasound (CEUS) has greatly ameliorated the aptitude to illustrate macro- and microcirculation in focal hepatic lesions[ 9 - 15 ], yet, so far only one case report delineated the use of CEUS in HHT associated HVaMs[ 16 ]. To better understand US characteristics of HHT hepatic involvement we analyzed for the first time HVaMs in a group of patients ( n = 18) using CEUS and supplemented qualitative data with quantitative perfusion time intensity curve (TIC) analysis.…”

Section: Introductionmentioning

confidence: 99%

Macro- and microcirculation patterns of intrahepatic blood flow changes in patients with hereditary hemorrhagic telangiectasia

Schelker

Barreiros

Hart

et al. 2017

WJG

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AIMTo evaluated vascular dynamic processes in the liver of hereditary hemorrhagic telangiectasia (HHT) patients by ultrasound (US) considering quantitative analytic methods.METHODSThe imaging features on US and contrast-enhanced ultrasound (CEUS) in 18 patients diagnosed with HHT were retrospectively analyzed. Regarding CEUS, real-time contrast harmonic imaging and sulfur hexafluoride-filled microbubbles were used.RESULTSHVaMs were identified in all 18 patients. By US, the two major Caselitz criteria could be detected in 55.6% patients. "Color spots" were detected in 72.2% of the cases. Respecting sonographic grading criteria by Buscarini, grade 3 could be demonstrated most frequent (40%). By CEUS, all the patients showed quick and early hyperenhancement during the arterial phase. Significant lowest time to peak (TTP) and highest area under the curve (AUC) values were identified in the hepatic artery (TTP: 69.8%; AUC: 100%) and highest TTP and lowest AUC in the hepatic parenchyma and the portal vein.CONCLUSIONFor the first time we analyzed CEUS findings of a group of HHT patients regarding macro- and microcirculation. Our data demonstrate significant differences in TTP and AUC values in the four selected regions: hepatic artery, shunt region, portal vein and hepatic parenchyma.

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Iron Deficiency Anaemia over the Last Decades - Osler's Disease Diagnosed by Doppler and Contrast-Enhanced Ultrasound

Cited by 3 publications

References 5 publications

Value of contrast-enhanced ultrasound for vascular diseases of the liver – current indications and open questions

Value of contrast-enhanced ultrasound for vascular diseases of the liver – current indications and open questions

Macro- and microcirculation patterns of intrahepatic blood flow changes in patients with hereditary hemorrhagic telangiectasia

Insights into contrast-enhanced ultrasound features of non-tumorous hepatic vascular malformations

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