Selected Publication:
Beissert, M; Jenett, M; Keberle, M; Kessler, C; Klein, D; Beer, M; Hahn, D.
Comparison of contrast harmonic imaging in B-Mode with stimulated acoustic emission, conventional B-Mode US and spiral CT in the detection of liver lesions
Rofo. 2000; 172(4):361-366
Doi: 10.1055/s-2000-339
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Beer Meinrad
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- Abstract:
- Purpose: Comparison between contrast harmonic imaging (CHI) in B-mode with stimulated acoustic emission (SAE), conventional B-mode US, and spiral CT in the detection of focal liver lesions. Methods: In this pilot, study 26 patients with liver lesions diagnosed by B-mode US and contrast-enhanced spiral-CT were additionally examined with CHI in B-mode. Each examination started with a bolus injection of 4 g of the US contrast agent Levovist (300 mg/ml) after a delay of at least 5 minutes to ensure liver-specific phase. All examinations were documented on video tapes and analysed by two radiologists. Results: 81 liver lesions were diagnosed with both US examinations and spiral CT. B-mode US detected 66 lesions, CHI with SAE 72 lesions, and spiral CT 73 lesions. Compared to spiral CT 8 lesions in 3 patients could be depicted additionally with both US methods. Metastases and HCC present in CHI with SAE as not-enhancing signal contrast agent areas. Delineation of haemangiomas and FNH was often worse compared to the native examinations. Conclusion: The new US method CHI with SAE depicted more lesions than conventional B-mode US and is in some cases superior to spiral CT.
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Adult -
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Aged -
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Carcinoma, Hepatocellular - radiography Carcinoma, Hepatocellular - ultrasonography
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Contrast Media -
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Cysts - radiography Cysts - ultrasonography
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Diagnosis, Differential -
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Female -
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Hemangioma - radiography Hemangioma - ultrasonography
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Humans -
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Liver Abscess - radiography Liver Abscess - ultrasonography
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Liver Diseases - radiography Liver Diseases - ultrasonography
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Liver Neoplasms - radiography Liver Neoplasms - secondary Liver Neoplasms - ultrasonography
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Middle Aged -
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Polysaccharides - diagnostic use
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Tomography, X-Ray Computed - methods
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Ultrasonography - methods
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ultrasound
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ultrasound contrast agents
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liver lesions
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spiral CT