Sidhu Paul S, Cantisani Vito, Deganello Annamaria, Dietrich Christoph F, Duran Carmina, Franke Doris, Harkanyi Zoltan, Kosiak Wojciech, Miele Vittorio, Ntoulia Aikaterini, Piskunowicz Maciej, Sellars Maria E, Gilja Odd Helge
Department of Radiology, King's College Hospital, London, United Kingdom.
Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, University Sapienza, Rome, Italy.
Ultraschall Med. 2017 Jan;38(1):33-43. doi: 10.1055/s-0042-110394. Epub 2016 Jul 14.
The use of contrast-enhanced ultrasound (CEUS) in adults is well established in many different areas, with a number of current applications deemed "off-label", but the use supported by clinical experience and evidence. Paediatric CEUS is also an "off-label" application until recently with approval specifically for assessment of focal liver lesions. Nevertheless there is mounting evidence of the usefulness of CEUS in children in many areas, primarily as an imaging technique that reduces exposure to radiation, iodinated contrast medium and the "patient-friendly" circumstances of ultrasonography. This position statement of the European Federation of Societies in Ultrasound and Medicine (EFSUMB) assesses the current status of CEUS applications in children and makes suggestions for further development of this technique.
在成人中，超声造影（CEUS）在许多不同领域的应用已得到充分确立，目前有一些应用被视为“超适应证使用”，但其使用有临床经验和证据支持。儿科CEUS直到最近仍是“超适应证使用”，直到专门获批用于评估肝脏局灶性病变。然而，越来越多的证据表明，CEUS在儿童的许多领域都很有用，主要是作为一种成像技术，可减少辐射、碘化造影剂暴露以及超声检查“对患者友好”的环境。欧洲超声与医学学会联合会（EFSUMB）的这份立场声明评估了CEUS在儿童中的应用现状，并对该技术的进一步发展提出了建议。
