Contrast-enhanced ultrasound

Changed by Henry Knipe, 29 Jul 2015

Updates to Article Attributes

Body was changed:

Contrast-enhanced ultrasound (CEUS) involves the administration of intravenous contrast agents containing microbubbles of perfluorocarbon or nitrogen gas. The bubbles greatly affect ultrasound backscatter and increase vascular contrast in a similar manner to intravenous contrast agents used in CT and MRI 1.

CEUS has the advantage over contrast-enhanced MRI and CT in patients with contraindications such as renal failure or contrast allergy. CEUS also allows for dynamic and repeat examinations. 

Microbubbles are not filtered in the lungs since they are equivalent in size to red blood cells.

Microbubbles Microbubbles are different than the agitated saline used in echocardiographic "bubble studies".

Non-targeted contrast-enhanced ultrasound

More common method

  • dynamic evaluation of the vascularity of a target lesion may, most commonly in the liver or kidney, may be useful in diagnosis
  • used to measure organ perfusion, which can be useful in diagnosing diffuse processes (e.g. cirrhosis)
Targeted contrast-enhanced ultrasound

Contrast agents designed to bind to specific molecules, which are then targeted at tissues expressing that substance.

  • -<p><strong>Contrast-enhanced ultrasound</strong> (<strong>CEUS</strong>) involves the administration of intravenous contrast agents containing <a href="/articles/microbubbles">microbubbles</a> of perfluorocarbon or nitrogen gas. The bubbles greatly affect ultrasound backscatter and increase vascular contrast in a similar manner to intravenous contrast agents used in CT and MRI <sup>1</sup>.</p><p>Microbubbles are not filtered in the lungs since they are equivalent in size to red blood cells.</p><p>Microbubbles are different than the agitated saline used in echocardiographic "bubble studies".</p><h5>Non-targeted contrast-enhanced ultrasound</h5><p>More common method</p><ul>
  • -<li>dynamic evaluation of the vascularity of a target lesion may be useful in diagnosis</li>
  • +<p><strong>Contrast-enhanced ultrasound</strong> (<strong>CEUS</strong>) involves the administration of intravenous contrast agents containing <a href="/articles/microbubbles">microbubbles</a> of perfluorocarbon or nitrogen gas. The bubbles greatly affect ultrasound backscatter and increase vascular contrast in a similar manner to intravenous contrast agents used in CT and MRI <sup>1</sup>.</p><p>CEUS has the advantage over contrast-enhanced MRI and CT in patients with contraindications such as renal failure or contrast allergy. CEUS also allows for dynamic and repeat examinations. </p><p>Microbubbles are not filtered in the lungs since they are equivalent in size to red blood cells. Microbubbles are different than the agitated saline used in echocardiographic "bubble studies".</p><h5>Non-targeted contrast-enhanced ultrasound</h5><p>More common method</p><ul>
  • +<li>dynamic evaluation of the vascularity of a target lesion, most commonly in the liver or kidney, may be useful in diagnosis</li>

References changed:

  • 3. Malhi H, Grant E, Duddalwar V. Contrast-Enhanced Ultrasound of the Liver and Kidney. Radiol Clin North Am. 2014;52(6):1177-90. <a href="https://doi.org/10.1016/j.rcl.2014.07.005">doi:10.1016/j.rcl.2014.07.005</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25444099">Pubmed</a>

Systems changed:

  • Hepatobiliary
  • Urogenital

Tags changed:

  • rewrite
Images Changes:

Image 1 Ultrasound (Longitudinal) ( update )

Caption was changed:
Case 1: neoplastic thrombosisthrombus in IVC

Image 2 Ultrasound (contrast enhanced ultrasound) ( update )

Caption was changed:
Case 2: amoebic hepatic abscess

Image 3 Ultrasound (contrast enhanced) ( create )

Image 4 Ultrasound (Dynamic contrast) ( create )

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