1.Diagnostic vascular ultrasonography with the help of color Doppler and contrast-enhanced ultrasonography.
Johannes RÜBENTHALER ; Maximilian REISER ; Dirk André CLEVERT
Ultrasonography 2016;35(4):289-301
The use of ultrasonography and especially of contrast-enhanced ultrasonography (CEUS) in the diagnosis of vascular pathologies before and after interventions has significantly increased over the past years due to the broader availability of modern ultrasound systems with CEUS capabilities and more trained user experience in this imaging modality. For the preinterventional and postinterventional work-up of carotid diseases, duplex ultrasound as well as CEUS have been established as the standard-of-care examination procedures for diagnosis, evaluation, and follow-up. In addition to its use for carotid arterial diseases, ultrasonography has also become the primary modality for the screening of vascular pathologies. This review describes the most common pathologies found in ultrasonography of the carotid arteries, the abdominal aorta, and the femoral arteries.
Aorta, Abdominal
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Arteriovenous Fistula
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Carotid Arteries
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Carotid Artery Diseases
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Carotid Stenosis
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Contrast Media
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Diagnosis
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Femoral Artery
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Follow-Up Studies
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Mass Screening
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Pathology
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Plaque, Atherosclerotic
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Ultrasonography*
2.Multislice computed tomography/contrast-enhanced ultrasound image fusion as a tool for evaluating unclear renal cysts
Johannes RÜBENTHALER ; Stephanie WILSON ; Dirk Andre CLEVERT
Ultrasonography 2019;38(2):181-187
Ultrasonography is a generally accepted imaging technique for diagnosing and monitoring cystic renal lesions. The widely used Bosniak classification (I-IV) categorizes renal cystic lesions into five distinctive groups according to ultrasonography and computed tomography (CT) image criteria. For solid renal lesions, determination of vascularity is discriminatory for malignancy in most instances. In indeterminate cases, contrast-enhanced ultrasound (CEUS) and magnetic resonance imaging/CT-ultrasound image fusion are able to detect and characterize difficult pathologies, with superior performance to either technique alone. In contrast to multislice CT (MS-CT), ultrasound image fusion is a real-time imaging technique that can be used in combination with other cross-sectional imaging modalities. This technical note describes state-of-the-art image fusion of CEUS and MS-CT to detect and characterize unclear renal pathologies.
Classification
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Pathology
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Ultrasonography
3.Benefits of contrast-enhanced ultrasonography for interventional procedures
Constantin Arndt MARSCHNER ; Johannes RÜBENTHALER ; Matthias Frank FROELICH ; Vincent SCHWARZE ; Dirk-André CLEVERT
Ultrasonography 2021;40(2):207-216
For evaluating unclear tumorous lesions, contrast-enhanced ultrasonography (CEUS) is an important imaging modality in addition to contrast-enhanced computed tomography and magnetic resonance imaging, and may provide valuable insights into the microvascularization of tumors in dynamic examinations. In interventional procedures, CEUS can make a valuable contribution in pre-, peri-, and post-interventional settings, reduce radiation exposure and, under certain circumstances, decrease the number of interventions needed for patients.