UTILITY OF CONTRAST-ENHANCED ULTRASONOGRAPHY FOR DIFFERENTIAL DIAGNOSIS OF BILIARY TRUCT DISEASE

2016 ◽  
Author(s):  
HARUO MIWA
Keyword(s):  
Differential Diagnosis ◽  
Contrast Enhanced ◽  
Contrast Enhanced Ultrasonography

scholarly journals SIUMB recommendations for focal pancreatic lesions

2020 ◽  
Vol 23 (4) ◽  
pp. 599-606
Author(s):  
Mirko D’Onofrio ◽  
◽  
Ilario de Sio ◽  
Paoletta Mirk ◽  
Gianpaolo Vidili ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Medical Doctors ◽  
Contrast Enhanced ◽  
Focal Hepatic Lesions ◽  
Practical Guidelines ◽  
Contrast Enhanced Ultrasonography ◽  
Hepatic Lesions

Abstract Contrast-enhanced ultrasonography (CEUS) is increasingly being performed in Italy and Europe, particularly in the field of hepato-gastroenterology. Initially, it was mainly carried out to characterize focal hepatic lesions, but, since then, numerous studies have demonstrated its efficacy in the differential diagnosis of focal pancreatic pathologies (D’Onofrio et al. in Expert Rev Med Devices 7(2):257–273, 2010; Vidili et al. in J Ultrasound 22(1):41–51, 2019). The purpose of this paper is to provide Italian Medical Doctors with recommendations and thereby practical guidelines on the management of these patients. The present paper reports the final conclusions reached by the SIUMB guideline commission. This paper addresses particularly percutaneous ultrasound (US) examination (transabdominal US) and is drawn up specifically for publication.

Contrast-enhanced ultrasonography promotes differential diagnosis of ureteral neoplasms

2021 ◽  
pp. 20210078
Author(s):  
Yun Bai ◽  
Jun Lin ◽  
An Chen ◽  
Min Bai ◽  
Chunxiao Li ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Information ◽  
Benign Tumors ◽  
Ct Urography ◽  
Imaging Features ◽  
Urothelial Carcinomas ◽  
Pathological Result ◽  
Contrast Enhanced ◽  
Ureteral Neoplasms ◽  
Contrast Enhanced Ultrasonography

Objective: To compare the diagnostic value of contrast-enhanced ultrasonography (CEUS) with baseline ultrasound (B-US) in ureteral neoplasms. Methods: Retrospective analysis, comprising clinical presentation, image appearances, and diagnostic results on B-ultrasound and CEUS, considering pathological result as a gold-standard, was conducted on the clinical information of 39 patients with ureteral neoplasms. CT urography was used to detect and confirm the presence of ureteral neoplasms. Both B-ultrasound and CEUS investigations of those 39 patients under study were performed by a senior radiologist. Results: Pathological outcomes established 27 ureteral malignancies and 12 ureteral benignancies. Ureteral malignancies were observed to occur in older patients than benignancies (p = 0.002). Only the morphological indicator of the ureteric wall on B-ultrasound was different in ureteral malignancies and benignancies (p = 0.030). Tumors with hyperenhancement, larger width, and hyperenhanced ureteric wall were easily diagnosed as malignant on CEUS, whereas iso-/hypoenhanced, narrower, and iso-/hypoenhanced ureteric wall indicated benign tumors. Moreover, the lesion widths, enhanced morphologies of the ureteric wall, and the ureteral wall’s linear boundaries on CEUS were different between high- and low-stage ureteral urothelial carcinomas (p = 0.012, 0.002, 0.001, respectively). Conclusion: The display of microvessels in ureteral neoplasms was significantly enhanced by CEUS, thus contributing to the differential diagnosis of ureteral neoplasms while assisting the staging of ureteral urothelial carcinoma. Advances in knowledge: The imaging features of different ureteral neoplasms on CEUS were analyzed in this study. The diagnostic performances of CEUS and B-ultrasound in ureteral urothelial carcinomas were also explored.

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