Necas Martin, Keating Jane, Abbott Grant, Curtis Nicole, de Ryke Rex, Hill Gerry
Department of Ultrasound Waikato Hospital Pembroke Street Hamilton New Zealand.
Department of Ultrasound The Royal Melbourne Hospital 300 Grattan St Parkville Victoria Australia.
Australas J Ultrasound Med. 2019 Mar 29;22(2):86-95. doi: 10.1002/ajum.12135. eCollection 2019 May.
Contrast-enhanced ultrasound (CEUS) is an important part of current ultrasound imaging practice. Sonographers, radiologists and other sonologists should consider CEUS as a standard tool in the diagnostic toolbox of ultrasound and utilise it liberally to solve a wide range of imaging problems whilst reducing the need to resort to CT or MRI. Setting up a CEUS service is within easy reach of all motivated practitioners. The initial process requires assessment of the demand for CEUS, ensuring staff readiness, preparing administrative processes and obtaining CEUS supplies. The CEUS examination includes gaining informed consent, ensuring authorisation to administer contrast agent (preferably by means of a standing order), conventional pre-scan of the area of interest, insertion of a peripheral IV cannula, preparation of the contrast agent, initiation of the contrast imaging mode, administration of the contrast agent, performance of the examination and aftercare. A number of other important considerations are discussed including cannulation and IV certification, scopes of practice for sonographers performing CEUS, contrast dosing, scheduling, training, interpretation, reporting and quality control.
超声造影（CEUS）是当前超声成像实践的重要组成部分。超声检查技师、放射科医生和其他超声科医生应将CEUS视为超声诊断工具箱中的标准工具，并充分利用它来解决各种成像问题，同时减少使用CT或MRI的需求。对于所有有积极性的从业者来说，建立CEUS服务轻而易举。初始过程需要评估对CEUS的需求，确保工作人员做好准备，准备行政流程并获取CEUS耗材。CEUS检查包括获得知情同意、确保给予造影剂的授权（最好通过长期医嘱）、对感兴趣区域进行常规预扫描、插入外周静脉套管、准备造影剂、启动造影成像模式、给予造影剂、进行检查及后续护理。还讨论了许多其他重要事项，包括插管和静脉认证、进行CEUS的超声检查技师的执业范围、造影剂剂量、日程安排、培训、解读、报告和质量控制。
