Dig Dis Interv 2017; 01(S 04): S1-S20
DOI: 10.1055/s-0038-1641648
Poster Presentations
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA

Ultrasound Contrast-Enhanced Sinogram

Lisa Walker
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Divya Kumari
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Teodora Bochnakova
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Henry Chen
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Indravadan Patel
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Dean Nakamoto
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
,
Nami Azar
1  Department of Radiology, Center for Interventional Radiology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

Publication Date:
22 March 2018 (online)

 

Introduction Contrast-enhanced ultrasound (CEUS) uses microbubble contrast agents to improve visualization of anatomic structures. Essentially, the contrast agents are tiny bubbles of gas stabilized by a shell, which are very small and, hence, remain in the vascular space. The shell material determines time in circulation and mechanical elasticity, and the gas core determines echogenicity. Using these principles, real-time imaging and subsequent intervention is made easier without the increased risk of radiation. In this exhibit, we discuss the background of CEUS, protocol with ultrasound settings, as well as case examples of its utility in hepatobiliary interventions.

Content Organization

  1. Theory behind CEUS

  2. Guidelines and current indications and contraindications

  3. Review strengths and weakness

  4. Types of contrast agents

  5. Proper contrast enhanced ultrasound settings

  6. Clinical application of CEUS in hepatobiliary interventions

Learning Points CEUS is a safe way to image organs and different targets without the downsides of ionizing radiation or risk of nephrotoxicity. The possible indications are broad with new applications arising as awareness increases.