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Ultraschall Med 2013; 34(3): 238-253
DOI: 10.1055/s-0033-1335375
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

EFSUMB Guidelines and Recommendations on the Clinical Use of Ultrasound Elastography.Part 2: Clinical Applications

D. Cosgrove
1   Div. of Radiology, Imperial and Kings Colleges, London, UK
,
F. Piscaglia
2   Div. Internal Medicine, University of Bologna, Bologna Italy
,
J. Bamber
3   The Joint Department of Physics, Division of Radiotherapy and Imaging, Institute of Cancer Research and Royal Marsden Hospital, NHS Foundation Trust, London, United Kingdom
,
J. Bojunga
4   Department of Internal Medicine I, Endocrinology and Diabetology, Goethe-University, Frankfurt, Germany
,
J.-M. Correas
5   Adult Radiology, Paris Descartes University & Necker University Hospital, France, Institut Langevin – Ondes et Images ESPCI Paris Tech, CNRS UMR 7587 INSERM U 979
,
O. H. Gilja
6   National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway and Department of Clinical Medicine, University of Bergen, Norway
,
A. S. Klauser
7   Department of Radiology, Innsbruck Medical University, Austria
,
I. Sporea
8   Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy “Victor Babeş” Timişoara, Romania
,
F. Calliada
9   Div. of Radiology, University of Pavia, Policlinico San Matteo, Italy
,
V. Cantisani
10   Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Univ. Sapienza, Rome, Italy
,
M. D’Onofrio
11   Department of Radiology, GB Rossi University Hospital, University of Verona, Italy
,
E. E. Drakonaki
12   Div. of Radiology, University Hospital Heraklion, Crete, Greece
,
M. Fink
13   Ecole Supérieure de Physique et de Chimie de la Ville de Paris, France
,
M. Friedrich-Rust
14   Department of Internal Medicine I, Gastroenterology and Hepatology, Goethe-University, Frankfurt, Germany
,
J. Fromageau
3   The Joint Department of Physics, Division of Radiotherapy and Imaging, Institute of Cancer Research and Royal Marsden Hospital, NHS Foundation Trust, London, United Kingdom
,
R. F. Havre
15   National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway
,
C. Jenssen
16   Div. Gastroenterology, Department of Internal Medicine, Krankenhaus Märkisch Oderland, Strausberg, Germany
,
R. Ohlinger
17   Department of Obstetrics and Gynecology, Breast unit, University Greifswald, Germany
,
A. Săftoiu
18   Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy, Craiova, Romania
,
F. Schaefer
19   Unit of Breast Imaging and Interventions, University Hospital Schleswig-Holsten Campus Kiel, Germany
,
C. F. Dietrich
20   Div. Gastroenterology & Oncology, Caritas Krankenhaus, Bad Mergentheim, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
19 April 2013 (online)

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Abstract

The clinical part of these Guidelines and Recommendations produced under the auspices of the European Federation of Societies for Ultrasound in Medicine and Biology EFSUMB assesses the clinically used applications of all forms of elastography, stressing the evidence from meta-analyses and giving practical advice for their uses and interpretation. Diffuse liver disease forms the largest section, reflecting the wide experience with transient and shear wave elastography . Then follow the breast, thyroid, gastro-intestinal tract, endoscopic elastography, the prostate and the musculo-skeletal system using strain and shear wave elastography as appropriate. The document is intended to form a reference and to guide clinical users in a practical way.

Zusammenfassung

Der klinische Teil dieser unter der Schirmherrschaft der EFSUMB erstellten Richtlinien und Empfehlungen beurteilt die klinisch genutzten Anwendungen aller Formen der Elastografie, betont die Evidenz von Meta-Analysen und gibt praktische Hinweise in Bezug auf Einsatz und Interpretation der Elastografie. Die diffusen Lebererkrankungen nehmen den größten Teil ein und spiegeln somit die umfangreiche Erfahrung in der transienten und der ShearWave-Elastografie wider. Es folgen Brust, Schilddrüse, Gastrointestinaltrakt, endoskopische Elastografie, Prostata und Muskel-Skelett-System unter Verwendung von Strain und gegebenenfalls ShearWave-Elastografie. Diese Publikation soll als Empfehlung dienen und klinische Anwender auf praktische Art anleiten.

Key Words

breast - elastography - liver - strain - shear waves - stiffness - thyroid - ultrasound
 

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