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Ultrasound elastography and contrast-enhanced ultrasound in infants, children and adolescents

Martin Stenzel1, Hans-Joachim Mentzel1

  • 1Section Paediatric Radiology, Institute of Diagnostic and Interventional Radiology I, University Hospital Jena, Kochstr. 2, Jena D-07745 Germany.

European Journal of Radiology
|July 16, 2014
PubMed

Insights

Advanced ultrasound techniques like elastography and contrast-enhanced ultrasound offer new ways to assess tissue stiffness and blood flow in children. These methods provide valuable diagnostic information, reducing the need for sedation in pediatric imaging.

Area of Science:

  • Pediatric Radiology
  • Medical Ultrasound Technology

Background:

  • Ultrasound elastography and contrast-enhanced ultrasound are emerging diagnostic tools.
  • These advanced techniques offer novel insights beyond traditional imaging.

Purpose of the Study:

  • To review the prerequisites, applications, and safety of ultrasound elastography and contrast-enhanced ultrasound in pediatric patients.
  • To highlight the diagnostic advantages of these advanced ultrasound modalities.

Main Methods:

  • Discussion of the principles, advantages, and limitations of strain elastography, transient elastography, and acoustic radiation force imaging.
  • Description of intravesical and intravascular contrast-enhanced ultrasound, including indications and diagnostic utility.
  • Presentation of clinical examples for advanced ultrasound techniques in children.

Main Results:

  • Latest advancements enable assessment of tissue stiffness and evaluation of blood and urinary flow dynamics.
  • Ultrasound now provides functional information on perfusion and flow, complementing morphological data.
  • These techniques bridge the information gap compared to cross-sectional imaging requiring sedation.

Conclusions:

  • Ultrasound elastography and contrast-enhanced ultrasound enhance diagnostic capabilities in pediatric imaging.
  • These methods offer valuable functional information, potentially reducing the need for sedation in young children.
  • Advanced ultrasound techniques are becoming indispensable tools in pediatric diagnostics.
Abstract

Keywords:
ChildrenContrast-enhancedElastographyInfantsUltrasound

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