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Möglichkeiten der sonographischen Fusionsbildgebung

Aktuelle Entwicklungen

Possibilities of sonographic image fusion

Current developments

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Zusammenfassung

Klinisches/methodisches Problem

Im Rahmen der Diagnostik und der Intervention kann die sonographische Bildfusion als ergänzendes bildgebendes Verfahren eingesetzt werden.

Methodische Innovationen

Die Fusionsbildgebung bietet die Möglichkeit der Realtime-Bildgebung und kann mit anderen schnittbildgebenden Verfahren kombiniert werden.

Leistungsfähigkeit

Die Sonographie hat mit der Einführung von Ultraschallkontrastmitteln und der Bildfusion sowohl beim Nachweis als auch bei der Charakterisierung von Leberläsionen zu den anderen Schnittbildverfahren aufgeschlossen.

Bewertung

Die sonographisch gestützte Bildfusion mittels CT oder MRT kann die Diagnostik und Therapiekontrolle nach Interventionen erleichtern.

Empfehlung für die Praxis

Neben den primären Anwendungen der Bildfusion im Rahmen der Diagnostik und Therapie von Leberläsionen lassen sich noch weitere sinnvolle Indikationen in die tägliche Routine integrieren. Hierzu gehören z. B. intraoperative und vaskuläre Anwendungen sowie andere Organsysteme wie die Niere oder die Prostata.

Abstract

Clinical/methodical issue

For diagnostic and interventional procedures ultrasound (US) image fusion can be used as a complementary imaging technique.

Methodical innovations

Image fusion has the advantage of real time imaging and can be combined with other cross-sectional imaging techniques.

Performance

With the introduction of US contrast agents sonography and image fusion have gained more importance in the detection and characterization of liver lesions.

Achievements

Fusion of US images with computed tomography (CT) or magnetic resonance imaging (MRI) facilitates the diagnostics and postinterventional therapy control.

Practical recommendations

In addition to the primary application of image fusion in the diagnosis and treatment of liver lesions, there are more useful indications for contrast-enhanced US (CEUS) in routine clinical diagnostic procedures, such as intraoperative US (IOUS), vascular imaging and diagnostics of other organs, such as the kidneys and prostate gland.

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Authors and Affiliations

  1. Institut für Röntgendiagnostik, Universitätsklinikum Regensburg (UKR), Regensburg, Deutschland

    E. M. Jung

  2. Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität München, Campus Großhadern, Marchioninistr. 15, 81377, München, Deutschland

    D.-A. Clevert

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Correspondence to D.-A. Clevert.

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Interessenkonflikt

E.M. Jung und D.-A. Clevert geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Jung, E.M., Clevert, DA. Möglichkeiten der sonographischen Fusionsbildgebung. Radiologe 55, 937–948 (2015). https://doi.org/10.1007/s00117-015-0025-2

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