5/10/2019 1 A Sonographer’s Guide to Contrast Enhanced Ultrasound Corinne E. Wessner, BS, RDMS, RVT Research Sonographer Department of Radiology Thomas Jefferson University Philadelphia, PA Ultrasound Contrast Agents http://www.onlinejacc.org/content/45/3/329 http://www.braccoforasustainablefuture.com/en/storytelling/new-milestones- wi th-microbubbles.html • Microbubbles have a gas core, encapsulated with lipid, polymer, or protein layer • Crosses the pulmonary capillary bed after intravenous injection • Similar in size to a red blood cell (1-7 um) Capabilities of Contrast-Enhanced Ultrasound • Detect micro-perfusion • Delineate anatomic structures • Provide physiological information • FDA approved in April 2016 for liver characterization of focal liver lesions in adult and pediatric patients • Approved for suspected or known vesicoureteral reflux in pediatric patients • Known globally as SonoVue (Bracco Diagnostics, Princeton, NJ) • Non-refrigerated • Easy to use & store Lumason https://imaging.bracco.com/us-en/products/contrast-enhanced-ultrasound/lumason Lumason 3-Way stopcock Lumason Saline Intravenous catheter Contrast-Enhanced Ultrasound Software
8
Embed
A Sonographer’s Guide to Contrast Enhanced Ultrasoundjeffline.jefferson.edu/jurei/conference/pdfs/contrast/2 - 830 to 900.pdf · Liver Contrast-Enhanced Ultrasound Lesion Characterization
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
5/10/2019
1
A Sonographer’s Guide to Contrast Enhanced Ultrasound
Ultrasound & CT scan performed at an outside hospital
Patient presents to Jefferson with a 4.4 cm lower pole left renal mass
5/10/2019
5
Diagnosis: Renal Cell Carcinoma
Renal Case Study #2
• Patient History: Hypertension and end-stage renal disease
Routine renal US performed for transplant candidate evaluation and a 2.7 cm complex cystic right renal mass was identified and considered suspicious for neoplasm
The patient had a CT abdomen/pelvis on the same day for pre-transplant evaluation for iliac vessel calcificationso The right renal mass was identified