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How to Develop a Contrast-Enhanced Ultrasound Program.

Richard G Barr1,2

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|February 3, 2017
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Summary
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The US FDA approved Lumason for contrast-enhanced ultrasound (CEUS) to characterize liver lesions. This guide details establishing a CEUS program for safe and efficient clinical use.

Keywords:
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Area of Science:

  • Medical imaging
  • Ultrasound technology
  • Hepatology

Background:

  • The US FDA recently approved Lumason (sulfur hexafluoride lipid-type A microsphere) for contrast-enhanced ultrasound (CEUS).
  • CEUS is utilized to characterize focal liver lesions in adult and pediatric patients.
  • Widespread adoption of CEUS in the United States is anticipated.

Purpose of the Study:

  • To provide guidance on establishing a contrast-enhanced ultrasound (CEUS) program.
  • To review practical considerations for implementing CEUS in standard ultrasound departments.
  • To ensure safe and efficient utilization of CEUS.

Main Methods:

  • Review of indications and contraindications for CEUS.
  • Discussion of potential adverse events associated with CEUS.
  • Guidance on performing CEUS examinations and interpreting images.

Main Results:

  • The approval of Lumason facilitates broader application of CEUS for liver lesion characterization.
  • Practical implementation requires attention to departmental setup, safety protocols, and standardized procedures.
  • Comprehensive understanding of indications, contraindications, and adverse events is crucial.

Conclusions:

  • Establishing a CEUS program requires careful planning and integration into existing ultrasound services.
  • Safe and efficient use of CEUS relies on adherence to established guidelines and protocols.
  • CEUS offers a valuable tool for characterizing focal liver lesions, enhancing diagnostic capabilities.