Future Perspective in Abdominal Ultrasound

  • Junji MachiEmail author
  • Fuminori Moriyasu
  • Shigeki Arii
  • Masahiko Yano
  • Emi Saegusa-Beecroft


Abdominal ultrasound is one of the most commonly used imaging methods currently. It is different from other imaging such as computed tomography because surgeons (especially abdominal surgeons, hepatobiliary pancreatic surgeons, surgical oncologists, and minimally invasive surgeons) can and should perform ultrasound examination by themselves.

Abdominal ultrasound, including transabdominal ultrasound, intraoperative ultrasound, laparoscopic ultrasound, and endoscopic ultrasound, can provide various types of diagnostic information which are otherwise not easily or practically available. In addition, ultrasound can guide or assist various surgical procedures such as needle biopsy and ablation of lesions in real time much easier than other imaging methods. Advantages of transabdominal, intraoperative, and laparoscopic ultrasound include high accuracy, safety, and speed, with comprehensive anatomical information, dynamic blood flow information, and real-time guidance capability, and these outweigh its disadvantages such as specific instrumentation requirement and slow learning curve.

History of the use of ultrasound by surgeons, future perspective of surgeon-performed ultrasound, learning of abdominal ultrasound in future, and new and promising technology in abdominal ultrasound (including video clips) are described in this chapter.

The use of abdominal ultrasound by surgeons is expected to increase along with more formal training in ultrasound for surgeons. New ultrasound technologies such as ultrasound contrast enhancement, 3/4-dimensional ultrasound, fusion technique, elastic imaging, and quantitative ultrasound will be employed more during future abdominal ultrasound and will facilitate interventional procedures. Being like the surgeon’s stethoscope and versatile transabdominally and intraoperatively, ultrasound is a valuable technique which is recommended to master for surgeons in various fields to improve surgical decision-making and surgical outcomes.


Abdominal Ultrasound Fusion Technique Quantitative Ultrasound Shear Wave Elastography Ultrasound Technology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 23.1

IOUS image of multinodular HCC (hepatoma) and a section of corresponding area of a resected specimen (AVI 2,953 kb)

Video 23.2

IOUS image showing thread and streak sign in vascular MFI (micro-flow imaging) (AVI 3,365 kb)

Video 23.3

Three planes of 3D and MPR (multi-planar reconstruction) display method in CEUS (AVI 3,030 kb)

Video 23.4

Multiview method (example of A-plane display): many slice images. Videos shows A-plane (AVI 5,526 kb)

Video 23.5

Multiview method (example of A-plane display): many slice images. Videos shows B-plane (AVI 3,559 kb)

Video 23.6

Multiview method (example of A-plane display): many slice images. Videos shows C-plane (AVI 2,921 kb)

Video 23.7

Cavity display in IOUS Kupffer imaging of metastases (AVI 421 kb)

Video 23.8

HV FlyThru display of HCC and portal and hepatic veins (AVI 4,637 kb)

Video 23.9

PV FlyThru display of HCC and portal and hepatic veins (AVI 6,723 kb)

Video 23.10

Fusion. CTA vs. CEUS (Sonazoid®) (AVI 39,146 kb)

Video 23.11

Fusion. CTA vs. RFA (RITATM) puncture (AVI 45,,995 kb)


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Junji Machi
    • 1
    • 2
    Email author
  • Fuminori Moriyasu
    • 3
  • Shigeki Arii
    • 4
  • Masahiko Yano
    • 5
  • Emi Saegusa-Beecroft
    • 6
  1. 1.Department of Surgery, John A. Burns School of MedicineUniversity of Hawaii and Kuakini Medical CenterHonoluluUSA
  2. 2.Noguchi Medical Research Institute, JADECOM-NKP GME Center Tokyo Bay, Urayasu-Ichikawa Medical Center, (Noguchi Hideyo Memorial International Hospital)Urayasu, ChibaJapan
  3. 3.Department of Gastroenterology and HepatologyTokyo Medical UniversityShinjuku-ku, TokyoJapan
  4. 4.Department of Hepato-Biliary-Pancreatic SurgeryTokyo Medical and Dental UniversityBunkyo-ku, TokyoJapan
  5. 5.Ultrasound Systems Division, Ultrasound Systems Development DepartmentTokyo Medical Systems CorporationOtawara-Shi, TochigiJapan
  6. 6.Department of Surgery, JABSOMUniversity of Hawaii and Kuakini Medical CenterHonoluluUSA

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