Download PDF by Luigi Bolondi: Advances in Diagnostic Imaging: The Value of
By Luigi Bolondi
In contemporary years, the imaging-based analysis of mass liver lesions has turn into more and more advanced as a result quantity and morphological variability of lesions that glossy imaging strategies are presently in a position to reveal. If the sensitivity in detection has enormously elevated, characterisation has remained tricky and represents a serious problem for the clinician.
The availability of blood-pool distinction brokers for ultrasound (US), specifically second-generation US distinction brokers in keeping with perfluorocarbon- or sulfur-hexafluoride-filled microbubbles, and the improvement of contrast-specific software program and applied sciences have unfolded new views either for the instant characterisation of any mass lesion detected within the liver and for expanding the sensitivity people within the detection of liver metastases.
Taking under consideration the nice impression of this new know-how on medical perform, the eu Federation of Societies for Ultrasound in medication and Biology (EFSUMB) organised, in January 2004, in Rotterdam, a consensus assembly of specialists so one can improve instructions for using US distinction brokers within the prognosis of liver illnesses . those instructions, in addition to discussions of additional advances within the scientific software of contrast-enhanced harmonic US are awarded during this ebook by means of an across the world popular team of specialists. The e-book represents offers a tremendous start line for medical implementation of this new diagnostic procedure.
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In recent times, the imaging-based prognosis of mass liver lesions has develop into more and more complicated end result of the quantity and morphological variability of lesions that glossy imaging options are presently in a position to exhibit. If the sensitivity in detection has tremendously elevated, characterisation has remained tough and represents a severe problem for the clinician.
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Extra info for Advances in Diagnostic Imaging: The Value of Contrast-Enhanced Ultrasound for Liver
22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. of contrast agents in ultrasound. January 2004. Ultraschall Med 25(4):249-256 Nelson RC, Chezmar JL (1990) Diagnostic approach to hepatic hemangiomas. Radiology 176(1):11-13 Leifer DM, Middleton WD, Teefey SA et al (2000) Follow-up of patients at low risk for hepatic malignancy with a characteristic hemangioma at US. Radiology 214(1):167-172 Caturelli E, Pompili M, Bartolucci F et al (2001) Hemangioma-like lesions in chronic liver disease: diagnostic evaluation in patients.
In the fourth situation of a nodule above 2 cm in diameter, CEUS can be used to characterize the lesion, particularly if CT or MRI cannot be performed. Additional indications are for percutaneous ablation, optimal lesion targeting in case of poor visibility, immediate assessment for the detection of incomplete treatment leading to repositioning the electrode during the same procedure (Fig. 5) and long-term follow-up (Fig. 2). The screening of cirrhotic patients using CEUS remains to be evaluated in larger studies, as well as its pharmacoeconomic impact.
Lippincott, Philadephia, p 1109 Folkman J, Beckner K (2000) Angiogenesis imaging. Acad Radiol 7(10):783-785 Baker ME, Paulson EK (1993) Hepatic metastatic disease. In: Meyers MA, (ed) Neoplasms of the digestive tract: imaging, staging, and management. Philadelphia, Lippincott-Raven, pp 361-395 Quaia E, Calliada F, Bertolotto M et al (2004) Characterization of focal liver lesions with contrast-specific US modes and a sulfur hexafluoride-filled microbubble contrast agent: diagnostic performance and confidence.
Advances in Diagnostic Imaging: The Value of Contrast-Enhanced Ultrasound for Liver by Luigi Bolondi