Cozzi Diletta, Agostini Simone, Bertelli Elena, Galluzzo Michele, Papa Emanuela, Scevola Germano, Trinci Margherita, Miele Vittorio
Azienda Ospedaliero Universitaria Careggi, Emergency Radiology, Firenze, Italy.
Azienda Ospedaliera San Camillo Forlanini, Emergency Radiology, Roma, Italy.
Ultrasound Int Open. 2020 Dec;6(3):E76-E86. doi: 10.1055/a-1347-5875. Epub 2021 Mar 12.
Conventional ultrasound imaging (US) is the first-line investigation in acute non-traumatic abdominal emergencies, but sometimes it needs further examinations, such as computed tomography (CT), to reach a certain diagnosis. Contrast-enhanced ultrasound (CEUS), through injection of contrast medium, may provide the radiologist with additional information that could not be investigated with baseline US. It could help reach a diagnosis and rapidly determine the proper therapy in an emergency setting. The purpose of this review is to explain and illustrate the various possibilities and limitations of CEUS in acute non-traumatic abdominal diseases, in particular acute inflammation, parenchymal infarcts, and hemorrhages.
传统超声成像(US)是急性非创伤性腹部急症的一线检查方法,但有时需要进一步检查,如计算机断层扫描(CT),以明确诊断。超声造影(CEUS)通过注射造影剂,可为放射科医生提供常规超声无法获取的额外信息。它有助于在紧急情况下做出诊断并迅速确定适当的治疗方案。本综述的目的是解释和说明CEUS在急性非创伤性腹部疾病,特别是急性炎症、实质梗死和出血中的各种可能性和局限性。