If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

Contrast Enhanced Sonography for Diagnosis of (Peri-) Splenic Pathology

$71.00 plus tax (Refund Policy)

Buy Article:

Abstract:

Objective: Ultrasound contrast agents in conjunction with contrast specific imaging techniques, are increasingly accepted in clinical use for diagnostic imaging in several organs. Contrast enhanced sonography (CES) of second generation contrast media have shown a spleen-specific uptake of the microbubble contrast agent. The aim of this review is to illustrate indications for the use of CES in patients with suspected (peri-)splenic pathology.

Methods: This pictorial review based on the experience of transcutaneous CES in 180 consecutive adult patients with (peri-)splenic pathology diagnosed by B-mode sonography at an internal medicine center. CES studies were performed with a contrast-devoted unit (Acuson, Sequoia, Siemens medical solution) that had contrast-specific, continuous-mode software. A low mechanical index was used. A sulfur hexafluoride-based microbubble contrast medium (Sonovue®, Bracco SpA, Milan, Italy) was injected.

Results: On our experience there are six clinical conditions which indicates the use of CES for diagnosis of (peri-)splenic pathology: 1. the perisplenic tumor, 2. the small sized spleen, 3. the inhomogenous spleen of unknown cause, 4. the incidentally found hypoechoic splenic tumor, and 5. pain in the left upper quadrant, and 6. patients with blunt abdominal trauma. CES is of value 1. to diagnose or exclude accessory spleen, 2. to diagnose functional asplenia/hyposplenia, 3. to diagnose focal lesions in an inhomogenous spleen, 4. to diagnose high vascular splenic hemangioma, 5. to diagnose or exclude splenic infarction and splenic abscess, and 6. to diagnose splenic laceration.

Conclusion: CES is of diagnostic value in several clinical circumstances to diagnose accessory spleen, functional asplenia, small sized splenic involvement, high vascular splenic hemangioma, and vascular splenic pathology like splenic infarction, splenic abscess, and splenic laceration.

Keywords: Spleen; contrast agent; focal (per-) splenic lesions; ultrasonography

Document Type: Research Article

Publication date: November 1, 2007

More about this publication?
  • Current Medical Imaging Reviews publishes frontier reviews on all the latest advances on medical imaging. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques.

    The journal's aim is to publish the highest quality review articles dedicated to research in the field. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
Related content

Tools

Favourites

Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more