Contrast-Enhanced Ultrasound for Image-Guided Procedures
Gentry Russell1, Benjamin S Strnad1, Daniel R Ludwig1
1Mallinckrodt Institute of Radiology, Barnes-Jewish Hospital/Washington University School of Medicine, St Louis, MO.
Techniques in Vascular and Interventional Radiology
|December 9, 2023
Summary
Contrast-enhanced ultrasound (CEUS) offers superior sensitivity for visualizing blood flow and perfusion. This review guides CEUS application in ultrasound-guided procedures like core needle biopsy and lesion ablation.
Area of Science:
- Medical imaging
- Ultrasound technology
- Interventional radiology
Background:
- Contrast-enhanced ultrasound (CEUS) utilizes gas microbubbles for enhanced visualization of blood flow and tissue perfusion.
- CEUS offers higher sensitivity compared to traditional Doppler ultrasound methods.
- It is increasingly adopted in abdominal diagnostics for lesion detection and characterization, complementing CT and MRI.
Approach:
- This review focuses on the practical application and guidance of CEUS in percutaneous, ultrasound-guided, needle-driven procedures.
- It specifically examines the benefits of CEUS in core needle biopsy (CNB) and percutaneous hepatic lesion ablation.
- The review aims to provide a comprehensive overview for clinicians.
Key Points:
- CEUS significantly improves lesion detection and characterization in abdominal imaging.
- It serves as a valuable problem-solving tool alongside CT and MRI.
- CEUS is beneficial for pre-procedure planning, real-time guidance, and post-procedure assessment.
Conclusions:
- CEUS demonstrates significant advantages in guiding percutaneous procedures.
- Its application in core needle biopsy and hepatic lesion ablation highlights its utility and effectiveness.
- CEUS enhances the precision and safety of interventional ultrasound procedures.
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