Contrast-enhanced ultrasound (CEUS) in an interdisciplinary intensive care unit (ICU): Diagnostic efficacy in the assessment of post-operative complications compared to contrast-enhanced computed tomography (CECT): First results

Clinical Hemorheology and Microcirculation
M GeorgievaE M Jung

Abstract

To evaluate the effectiveness of high-resolution contrast-enhanced ultrasound (CEUS) to diagnose early post-operative complications in an interdisciplinary intensive care unit.In 50 patients (male 32; female 18) 64 CEUS examinations were performed in an intensive care unit (ICU) setting to detect post-operative complications. Multi-frequency transducer (1-5 and/or 6-9 MHz) were used. All 64 examinations were performed by one experienced examiner. CEUS findings were compared with contrast-enhanced computed tomography (CECT) findings. CECT images were acquired within 1-24 hours after CEUS examination in arterial and portal-venous phases of the abdomen using either a 16-slice computed tomography scanner or a 128-dual slice computed tomography scanner.In 56 out of 64 cases (88%) the CEUS-based diagnosis corresponded with the CECT diagnosis. Vascular stenosis in hepatic arteries and portal veins were recognised in both imaging modalities but were evaluated differently [5 cases]. In 3 cases (5%) small peripheral splenic infarction, retroperitoneal hematoma and fluid collection around the liver were not diagnosed by CEUS. CEUS in an ICU setting enables a reliable detection of postoperative abdominal complications as compared to CECT.

References

Jul 16, 2013·Critical Care : the Official Journal of the Critical Care Forum·Antoine G SchneiderRinaldo Bellomo
Oct 10, 2013·Critical Care : the Official Journal of the Critical Care Forum·Anatole Harrois, Jacques Duranteau
Jul 6, 2014·Radiology Research and Practice·Lukas Philipp BeyerErnst-Michael Jung
Sep 18, 2014·Clinical Hemorheology and Microcirculation·C Greis
Oct 30, 2014·Clinical and Experimental Nephrology·Antonio GranataMichele Bertolotto
Dec 3, 2014·Critical Care : the Official Journal of the Critical Care Forum·Antoine G SchneiderRinaldo Bellomo
Mar 6, 2015·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·B EchtenacherE M Jung
Oct 21, 2015·Clinical Hemorheology and Microcirculation·H ZimmermannD A Clevert
Jun 9, 2016·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·K Seitz, D Strobel

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Citations

Feb 5, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Rivka KessnerNami Azar
May 21, 2017·Clinical Hemorheology and Microcirculation·Ernst-Michael JungHui-Xiong Xu
Apr 10, 2018·Clinical Hemorheology and Microcirculation·G Negrão de FigueiredoD A Clevert

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