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腹部微泡:优化小儿腹部超声造影检查方案。

Microbubbles in the belly: optimizing the protocol for contrast-enhanced ultrasound of the pediatric abdomen.

机构信息

Institute of Nuclear Medicine, University College Hospital, London, UK.

Department of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

出版信息

Pediatr Radiol. 2023 Jun;53(7):1224-1236. doi: 10.1007/s00247-022-05464-x. Epub 2022 Aug 25.

DOI:10.1007/s00247-022-05464-x
PMID:36006474
Abstract

Intravenous contrast-enhanced ultrasound (CEUS) can serve as a diagnostic or problem-solving tool in pediatric imaging. CEUS of abdominal solid organs has been reported for a number of indications. The approach to the examination broadly falls into two categories: evaluation of a focal lesion or surveillance of an organ or organs for lesions or perfusion abnormalities. A consistent, technical imaging protocol for both of these clinical scenarios facilitates integration of routine use of CEUS in an imaging department. Here we review the CEUS imaging protocols for abdominal organs in children, including technical and solid-organ-specific considerations.

摘要

静脉内对比增强超声(CEUS)可作为儿科成像中的诊断或解决问题的工具。已经报道了用于多种适应症的腹部实质器官的 CEUS。检查方法大致分为两类:评估局灶性病变或监测器官或器官的病变或灌注异常。对于这两种临床情况,始终如一地使用技术成像协议有助于在影像科中常规使用 CEUS。在这里,我们回顾了儿童腹部器官的 CEUS 成像方案,包括技术和实质器官的具体考虑因素。

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本文引用的文献

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Contrast-enhanced ultrasound: a comprehensive review of safety in children.超声造影检查:儿童安全性的综合评价
Pediatr Radiol. 2021 Nov;51(12):2161-2180. doi: 10.1007/s00247-021-05223-4. Epub 2021 Oct 30.
2
Safety and parents´ acceptance of ultrasound contrast agents in children and adolescents - contrast enhanced voiding urosonography and contrast enhanced ultrasound.超声造影剂在儿童和青少年中的安全性和家长接受度 - 增强排空性尿路超声检查和增强超声检查。
Med Ultrason. 2022 Feb 16;24(1):27-32. doi: 10.11152/mu-3196. Epub 2021 Sep 11.
3
Contrast-enhanced ultrasound of the spleen, pancreas and gallbladder in children.
儿童脾脏、胰腺和胆囊的超声造影检查。
Pediatr Radiol. 2021 Nov;51(12):2229-2252. doi: 10.1007/s00247-021-05131-7. Epub 2021 Aug 24.
4
Ultrasound contrast agents: microbubbles made simple for the pediatric radiologist.超声造影剂:儿科放射科医生的简单微泡。
Pediatr Radiol. 2021 Nov;51(12):2117-2127. doi: 10.1007/s00247-021-05080-1. Epub 2021 Jun 12.
5
Pediatric contrast-enhanced ultrasound: shedding light on the pursuit of approval in the United States.儿科对比增强超声:探索在美国获得批准的途径。
Pediatr Radiol. 2021 Nov;51(12):2128-2138. doi: 10.1007/s00247-021-05102-y. Epub 2021 Jun 11.
6
Contrast-enhanced ultrasound of benign and malignant liver lesions in children.儿童肝脏良恶性病变的超声造影。
Pediatr Radiol. 2021 Nov;51(12):2181-2197. doi: 10.1007/s00247-021-04976-2. Epub 2021 May 12.
7
Contrast-enhanced ultrasound of the kidneys and adrenals in children.儿童肾脏和肾上腺的超声造影检查。
Pediatr Radiol. 2021 Nov;51(12):2198-2213. doi: 10.1007/s00247-020-04849-0. Epub 2021 May 12.
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Contrast-enhanced ultrasound of the pediatric bowel.小儿肠的超声造影检查。
Pediatr Radiol. 2021 Nov;51(12):2214-2228. doi: 10.1007/s00247-020-04868-x. Epub 2021 May 12.
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Pediatr Radiol. 2021 Nov;51(12):2253-2269. doi: 10.1007/s00247-020-04869-w. Epub 2021 May 12.
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Expert Consensus Statement from the American Society of Echocardiography on Hypersensitivity Reactions to Ultrasound Enhancing Agents in Patients with Allergy to Polyethylene Glycol.美国超声心动图学会关于对聚乙二醇过敏患者对超声增强剂过敏反应的专家共识声明。
J Am Soc Echocardiogr. 2021 Jul;34(7):707-708. doi: 10.1016/j.echo.2021.05.002. Epub 2021 May 7.