Intracavitary contrast-enhanced ultrasonography in children: review with procedural recommendations and clinical applications from the European Society of Paediatric Radiology abdominal imaging task force
Autor: | Donald Ibe, Lil-Sofie Ording Müller, Costanza Bruno, Thomas A. Augdal, Beatrice Damasio, Fred E. Avni, Hans-Joachim Mentzel, Aikaterini Ntoulia, Annemieke S. Littooij, Luisa Lobo, Marcello Napolitano, Michael Riccabona, Philippe Petit, Stéphanie Franchi-Abella, Kassa Darge, Damjana Ključevšek, Samuel Stafrace, Magdalena Maria Woźniak |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Adolescent Gastrointestinal Diseases Biliary Tract Diseases medicine.medical_treatment Contrast Media Iodinated Contrast Agent Pediatrics 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Ureter Male Urogenital Diseases medicine Humans Fluoroscopy Radiology Nuclear Medicine and imaging Child Societies Medical Ultrasonography Neuroradiology medicine.diagnostic_test business.industry Infant Abdominal Cavity Enema Image Enhancement Female Urogenital Diseases Europe Catheter medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Female Radiology Paediatric radiology business 030217 neurology & neurosurgery |
Zdroj: | Pediatric Radiology. 50:596-606 |
ISSN: | 1432-1998 0301-0449 |
DOI: | 10.1007/s00247-019-04611-1 |
Popis: | Contrast-enhanced ultrasonography (US) has become an important supplementary tool in many clinical applications in children. Contrast-enhanced voiding urosonography and intravenous US contrast agents have proved useful in routine clinical practice. Other applications of intracavitary contrast-enhanced US, particularly in children, have not been widely investigated but could serve as a practical and radiation-free problem-solver in several clinical settings. Intracavitary contrast-enhanced US is a real-time imaging modality similar to fluoroscopy with iodinated contrast agent. The US contrast agent solution is administered into physiological or non-physiological body cavities. There is no definitive list of established indications for intracavitary US contrast agent application. However, intracavitary contrast-enhanced US can be used for many clinical applications. It offers excellent real-time spatial resolution and allows for a more accurate delineation of the cavity anatomy, including the internal architecture of complex collections and possible communications within the cavity or with the surrounding structures through fistulous tracts. It can provide valuable information related to the insertion of catheters and tubes, and identify related complications such as confirming the position and patency of a catheter and identifying causes for drainage dysfunction or leakage. Patency of the ureter and biliary ducts can be evaluated, too. US contrast agent solution can be administered orally or a via nasogastric tube, or as an enema to evaluate the gastrointestinal tract. In this review we present potential clinical applications and procedural and dose recommendations regarding intracavitary contrast-enhanced ultrasonography. |
Databáze: | OpenAIRE |
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