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Updated: Jun 1, 2026

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
Published on: September 22, 2023
[Contrast-enhanced sonography for blunt force abdominal trauma]
F Schwarz1, W H Sommer, M Reiser
1Institut für Klinische Radiologie, Klinikum der Ludwig-Maximilians-Universität, Campus Großhadern, Marchioninistr. 15, 81377 München. Florian.Schwarz@med.lmu.de
Contrast-enhanced ultrasound (CEUS) accurately excludes injuries after blunt abdominal trauma, especially in stable patients. This radiation-free technique offers a reliable alternative for assessing internal injuries.
Area of Science:
- Medical Imaging
- Radiology
- Emergency Medicine
Background:
- Conventional FAST and B-mode ultrasound are standard for abdominal trauma.
- Second-generation ultrasound contrast agents enhance diagnostic capabilities.
Purpose of the Study:
- To evaluate the diagnostic accuracy of CEUS in blunt abdominal trauma.
- To summarize the clinical evidence and technical aspects of CEUS in this context.
Main Methods:
- Review of controlled studies on CEUS for blunt abdominal trauma.
- Analysis of CEUS technical performance and findings.
- Summary of current clinical evidence.
Main Results:
- CEUS demonstrates excellent accuracy in excluding clinically relevant parenchymal injuries.
- CEUS is particularly effective in younger, hemodynamically stable patients.
- The technique reliably excludes injuries without using ionizing radiation.
Conclusions:
- CEUS is a valuable tool for assessing blunt abdominal trauma.
- It offers a radiation-free, accurate method for injury exclusion.
- CEUS can potentially reduce the need for more invasive diagnostic procedures.
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