To illustrate the spectrum of novel clinical applications of contrast-enhanced ultrasound (CEUS) in both non-vascular and vascular radiological interventional procedures. To outline the advantages and techniques of CEUS guided intervention Through a problem-orientated approach,
we aim to demonstrate that CEUS not only can be utilised safely and effectively in radiological intervention,
but could also provide unique solutions to complex clinical problems.
‘Interventional Ultrasonography’ – Why? One of the proven technology in imaging-guided,
minimally invasive procedures is with ultrasound. Ultrasound-guided intervention: Eliminates the need for iodinated contrast agents. This is especially important for patients with renal insufficiency not yet on dialysis in whom iodinated contrast or gadolinium-based MRI contrast exposure could be detrimental,
or those with severe allergy to iodinated contrast medium, It avoids the problems associated with...
Imaging findings OR Procedure details
Extravascular (Intracavitary) CEUS Intervention Applications General Principles: Ultrasound contrast agentscan be instilled into any physiological or pathological body cavity to assess morphology of the cavity and potential communications with adjacent structures or organs. Artefacts have to be avoided: This can be achieved by using low concentration of contrast agent with adequate dilution (e.g.0.1 – 0.5 mL SonoVue® in 100 - 500 mL 0.9% saline). Novel Clinical Applications: CEUS Guided...
Novel application of CEUS in interventional radiology is frequently performed on demand,
to address specific cllinical questions raised in the individual patient. Use of CEUS must be decided on a case-by-case basis,
usually resorting to CEUS because of inconclusive standard diagnostic techniques or when patients are not suitable for these or because they have higher risks (for instance,
use of ionising radiation on sensitive organs,
or moving the patient out of intensive care units) or more...
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The EFSUMB Guidelines and Recommendations on the Clinical Practice of Contrast Enhanced Ultrasound (CEUS): Update 2011 on non-hepatic applications.
Ultraschall in Med 2012; 33: 33 – 59 Ignee A.
Contrast-enhanced ultrasound-guided percutaneous cholangiography and cholangiodrainage (CEUS- PTCD).
Endoscopy 2009; 41: 725–726 Mao R.
Usefulness of contrast-enhanced ultrasound in the diagnosis of biliary leakage following T-tube removal.
J Clin Ultra- sound 2009; 38:...
Dean Huang BMedSci BMBS MRCPCH FRCR EBIR Consultant Radiologist King'sCollegeHospital Denmark Hill London SE5 9RS Tel: 0203 2994599/4164 Fax: 0203 2993157 email: email@example.com