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CC BY-NC-ND 4.0 · Rofo 2024; 196(08): 807-818
DOI: 10.1055/a-2219-4726
Review

Kontrastmittelunterstützte Sonografie der Leber: Grundlagen und Interpretation häufiger fokaler Läsionen

Article in several languages: English | deutsch
Ehsan Safai Zadeh 
1   Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Wien, Austria
,
Helmut Prosch 
1   Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Wien, Austria
,
Ahmed Ba-Ssalamah
1   Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Wien, Austria
,
Hajo Findeisen
2   Department for Internal Medicine, Red Cross Hospital Bremen, Germany
,
Amjad Alhyari
3   Interdisciplinary Centre of Ultrasound Diagnostics, Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology, University Hospital of Gießen and Marburg Campus Marburg, Germany
,
Nils Raab
4   Department for Internal Medicine, West Mecklenburg Hospital Helene von Bülow, Ludwigslust, Germany
,
Christian Görg
3   Interdisciplinary Centre of Ultrasound Diagnostics, Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology, University Hospital of Gießen and Marburg Campus Marburg, Germany
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Zusammenfassung

Hintergrund

Die kontrastunterstützte Sonografie (CEUS) hat sich innerhalb der letzten 20 Jahren als ergänzendes Verfahren zur B-Bild-Sonografie und Farb-Doppler-Sonografie etabliert.

Methode

Ziel der vorliegenden Übersicht ist, das notwendige Grundwissen zur Untersuchung der Leber mit Ultraschallkontrastmittel zu ermitteln. Darüber hinaus werden die klassischen CEUS-Muster häufiger fokaler Leberläsionen beschrieben.

Ergebnisse und Schlussfolgerung

Unter Berücksichtigung der Limitationen des Ultraschalls ist die CEUS bei Beurteilung der fokalen Leberläsionen eine gleichwertige Alternative zu anderen bildgebenden Verfahren wie Computertomografie und Magnetresonanztomografie und sollte bei fehlender Strahlenbelastung und rascher Verfügbarkeit primär eingesetzt werden.

Kernaussagen

  • Bei der Detektion und Charakterisierung von zufällig entdeckten Leberherden spielt die CEUS eine bedeutende Rolle.

  • Unter Berücksichtigung der Limitationen des Ultraschalls ist die CEUS bei Beurteilung der fokalen Leberläsionen eine gleichwertige Alternative zu anderen bildgebenden Verfahren wie CT und MRT.

Zitierweise

  • Safai Zadeh E, Prosch H, Ba-Ssalamah A et al. Contrast-enhanced ultrasound of the liver: basics and interpretation of common focal lesions. Fortschr Röntgenstr 2024; 196: 807 – 818

Keywords

CEUS - ultrasound - liver - focal lesions - diagnostic imaging


Publication History

Received: 15 August 2023

Accepted: 24 October 2023

Article published online:
04 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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