Practical Contrast Enhanced Liver Ultrasound

Judy H Squires; David T Fetzer; Jonathan R Dillman

doi:10.1016/j.rcl.2022.04.006

Practical Contrast Enhanced Liver Ultrasound

Radiol Clin North Am. 2022 Sep;60(5):717-730. doi: 10.1016/j.rcl.2022.04.006. Epub 2022 Jul 8.

Authors

Judy H Squires¹, David T Fetzer², Jonathan R Dillman³

Affiliations

¹ Department of Radiology, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue 2nd Fl Radiology, Pittsburgh, PA 15224, USA; Department of Radiology, University of Pittsburgh School of Medicine PUH Suite E204, 200 Lothrop Street, Pittsburgh, PA 15213, USA. Electronic address: Judy.Squires@chp.edu.
² Department of Radiology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9316, USA.
³ Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Department of Radiology, University of Cincinnati College of Medicine, 234 Goodman Street, Cincinnati, OH 45267-0761, USA.

PMID: 35989040
DOI: 10.1016/j.rcl.2022.04.006

Abstract

Contrast-enhanced ultrasound (CEUS) is increasingly performed for focal liver lesion evaluation because of its high safety profile and ability to yield a definitive diagnosis in many patients, obviating multiphase CT or MRI. CEUS uses specific ultrasound contrast agents (UCAs) that are exceedingly safe, without the risk of renal or liver toxicity. UCAs are cleared rapidly from the body, allowing for multiple injections during a single examination, with no potential for deposition in the patient. This review highlights the performance of CEUS for liver lesion evaluation and illustrates the imaging appearance of common liver lesions in children and adults.

Keywords: Adult; Child; Contrast-enhanced ultrasound; Liver lesion.

Publication types

Review

MeSH terms

Abdomen / pathology
Adult
Child
Contrast Media
Humans
Liver / diagnostic imaging
Liver Neoplasms* / pathology
Ultrasonography / methods

Substances

Contrast Media