Mesh : Adenoma, Liver Cell / blood supply diagnostic imaging Bile Duct Neoplasms / blood supply diagnostic imaging Bile Ducts, Intrahepatic / blood supply diagnostic imaging Carcinoma, Hepatocellular / blood supply diagnostic imaging Cholangiocarcinoma / blood supply diagnostic imaging Contrast Media / administration & dosage Diagnosis, Differential Focal Nodular Hyperplasia / diagnostic imaging Hemangioma / blood supply diagnostic imaging Humans Image Enhancement / methods Liver Cirrhosis / diagnostic imaging Liver Neoplasms / blood supply diagnostic imaging secondary Practice Guidelines as Topic Sensitivity and Specificity Societies, Medical Ultrasonography

来  源:   DOI:10.1055/s-0032-1312892   PDF(Sci-hub)

Abstract:
Contrast-enhanced ultrasound (CEUS) is a well established diagnostic imaging technique for a variety of indications and applications. One of the most important applications is in the liver where it is frequently a first-line technique for the detection and diagnosis (characterization) of focal liver lesions (FLLs). In this setting the accurate differentiation of benign lesions from malignant lesions is critical to ensure that the patient undergoes the appropriate therapeutic option. In this article the role of CEUS in the characterization of FLLs is described on the basis of recently published guidelines, in particular in terms of the enhancement patterns of the most common FLLs, e. g. hemangioma, focal nodular hyperplasia, hepatocellular adenoma and their differentiation from malignant lesions.
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