Abstract
Contrast enhanced ultrasound (CEUS) has improved detection and characterization of hepatocellular carcinoma (HCC). Homogeneous hyperenhancement during the arterial phase and mild washout are indicative of HCC in liver cirrhosis. Furthermore, the ability of CEUS performed by high-frequency linear transducer and intraoperative contrast enhanced ultrasound (CE-IOUS) in detection of small hepatic lesions are superior to that of trans-abdominal CEUS and contrast-enhanced CT/MRI. Therefore, CEUS is an effective supplement of contrast-enhanced CT/MRI to detect small HCCs and liver metastases.
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Abbreviations
- CEUS:
-
Contrast enhanced ultrasound
- CT:
-
Computed tomography
- FLL:
-
Focal liver lesion
- HCC:
-
Hepatocellular carcinoma
- IOUS:
-
Intraoperative ultrasonography
- IO-CEUS:
-
Intraoperative contrast-enhanced ultrasound
- MRI:
-
Magnetic resonance image
References
Cantisani V, Ricci P, Erturk M, Pagliara E, Drudi F, Calliada F, Mortele K, et al. Detection of hepatic metastases from colorectal cancer: prospective evaluation of gray scale US versus SonoVue(R) low mechanical index real time-enhanced US as compared with multidetector-CT or Gd-BOPTA-MRI. Ultraschall Med. 2010;31:500–5.
Dong Y, Wang WP, Mao F, Dietrich C. Contrast-enhanced ultrasound features of hepatocellular carcinoma not detected during the screening procedure. Z Gastroenterol. 2017;55:748–53.
Wang WP, Dong Y, Cao J, Mao F, Xu Y, Si Q, Dietrich CF. Detection and characterization of small superficially located focal liver lesions by contrast-enhanced ultrasound with high frequency transducers. Med Ultrason. 2017;19:349–56.
Dong Y, Wang WP, Gan YH, Huang BJ, Ding H. Radiofrequency ablation guided by contrast-enhanced ultrasound for hepatic malignancies: preliminary results. Clin Radiol. 2014;69:1129–35.
Wiggermann P, Zuber-Jerger I, Zausig Y, Loss M, Scherer MN, Schreyer AG, Stroszczynski C, et al. Contrast-enhanced ultrasound improves real-time imaging of ablation region during radiofrequency ablation: preliminary results. Clin Hemorheol Microcirc. 2011;49:43–54.
Jung EM, Ross CJ, Rennert J, Scherer MN, Farkas S, von Breitenbuch P, Schnitzbauer AA, et al. Characterization of microvascularization of liver tumor lesions with high resolution linear ultrasound and contrast enhanced ultrasound (CEUS) during surgery: first results. Clin Hemorheol Microcirc. 2010;46:89–99.
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Huang, BJ., Dong, Y., Wang, WP. (2021). Improved Detection of Focal Liver Lesions with Contrast Enhanced Ultrasound. In: Wang, WP., Dong, Y., Dietrich, C.F., Jung, E.M. (eds) Contrast-Enhanced Ultrasound Imaging of Hepatic Neoplasms. Springer, Singapore. https://doi.org/10.1007/978-981-16-1761-4_3
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DOI: https://doi.org/10.1007/978-981-16-1761-4_3
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