Background: The aim of modern medicine is to safely classify diseases for successful therapy without invasive measures. Sonography, computed tomography (CT), and magnetic resonance imaging (MRI) are potent imaging techniques. However, without contrast medium, the informative value of the 3 native methods is limited. The advantages of sonography are: no radiation exposure or previously known physically harmful interactions with tissue, proportionate disappearance of a contrast agent risk, no (probably irreversible) contrast agent deposits, and no risk of renal insufficiency. But, is that enough to compete with of even exceed CT and MRI? Summary: In this review, the state of the art of contrast-enhanced ultrasound (CEUS) in the abdominal cavity is presented. The remarkable diagnostic possibilities can unfortunately only be demonstrated here in a small number of impressive, typical case studies underpinned by the literature, so that, from one’s own perspective, the full spectrum of CEUS can be used by oneself or initiated. Within the limits of physics, the real-time dynamics of CEUS enable conclusions to be drawn, so that with the current technology, sonography, including expansion by contrast, can be considered superior to other imaging methods. It is not uncommon for CEUS to have the value of a control and reference method. Key Messages: Sonography very often enables reliable diagnostics. The introduction of a contrast agent in sonography has led to a quantum leap similar to that of other imaging techniques. Already natively, the real-time representation of dynamic events leads to a certain superiority, i.e., complete observation of the inflow and outflow phases of the contrast medium and the resulting diagnostic; tissue-specific differentiation options provide a unique selling point. Further advantages of the first-choice imaging diagnostic method are: a lack of radiation exposure, repeatability of the examination at any time, local independence, a negligible allergy rate compared to the contrast agents of other methods, and a lack of kidney and thyroid exposure or excluded deposits.
Visc Med

中文翻译：

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超声造影更新

背景：现代医学的目标是对疾病进行安全分类，以便在不采取侵入性措施的情况下进行成功治疗。超声检查、计算机断层扫描 (CT) 和磁共振成像 (MRI) 是有效的成像技术。然而，如果没有造影剂，3种天然方法的信息价值是有限的。超声检查的优点是：没有辐射暴露或先前已知的与组织的物理有害相互作用，造影剂风险成比例消失，没有（可能不可逆的）造影剂沉积，并且没有肾功能不全的风险。但是，这足以与 CT 和 MRI 竞争甚至超过吗？摘要：在这篇综述中，介绍了腹腔超声造影 (CEUS) 的最新技术。不幸的是，显着的诊断可能性只能通过少数令人印象深刻的、以文献为基础的典型案例研究来证明，因此，从一个人自己的角度来看，CEUS 的全谱可以由自己使用或启动。在物理学的限制内，CEUS的实时动态使得能够得出结论，因此利用当前的技术，超声检查（包括对比扩展）可以被认为优于其他成像方法。CEUS 具有对照和参考方法的价值并不罕见。关键信息：超声检查通常可以实现可靠的诊断。与其他成像技术类似，超声检查中造影剂的引入带来了巨大的飞跃。动态事件的实时表示本来就具有一定的优势，即可以完整观察造影剂的流入和流出阶段以及由此产生的诊断结果。组织特异性差异化选项提供了独特的卖点。首选影像诊断方法的其他优点是：缺乏辐射暴露、检查随时可重复、局部独立、与其他方法的造影剂相比过敏率可以忽略不计，以及缺乏肾脏和甲状腺暴露或排除存款。
内脏医学