Autor: |
Gerstenmaier JF; Department of Radiology, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3050, Australia. gerstenmaierjf@fastmail.com.au., Hoang KN; Department of Radiology, Eastern Virginia Medical School, P.O. Box 1980, Norfolk, VA, 23501, USA., Gibson RN; Department of Radiology, The Royal Melbourne Hospital, Grattan Street, Parkville, VIC, 3050, Australia.; The University of Melbourne, Parkville, VIC, 3010, Australia. |
Abstrakt: |
With its excellent contrast and spatial resolution, and the ability to image in real-time, ultrasound is the main imaging modality for assessing the gallbladder (GB). The application of contrast-enhanced ultrasound (CEUS) of the GB is now increasingly recognized as a useful addition to ultrasound and other cross-sectional imaging in the assessment of neoplastic and non-neoplastic GB disease. With the ability to image microcirculation and optimal contrast resolution, CEUS allows high-quality delineation in real-time, allowing for increased diagnostic confidence. In addition, ultrasound contrast agents have a favorable safety profile and can be used if CT or MR contrast agents are contraindicated or undesired. In this review, the CEUS appearances of a range of GB diseases encountered are presented, including adenomyomatosis, polyps, carcinoma, sludge, and cholecystitis with mural ulceration or perforation. |