Contrast‐Enhanced Ultrasound‐Guided Percutaneous Biopsy of the Peritoneum

2020 ◽  
Vol 39 (7) ◽  
pp. 1441-1446
Author(s):  
Nicol Antonina Rita Panarisi ◽  
Tommaso Cascella ◽  
Carlo Morosi ◽  
Francesca Gabriella Greco ◽  
Alfonso Marchianò ◽  
...  
2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Feng Mao ◽  
Yi Dong ◽  
Zhengbiao Ji ◽  
Jiaying Cao ◽  
Wen-Ping Wang

Aim. To investigate the value of contrast-enhanced ultrasound (CEUS) guided biopsy of undetermined abdominal lesions in multidisciplinary treatment (MDT) decision-making approach. Methods. Between Jan 2012 and Dec 2015, 60 consecutive patients (male, 37; female, 23; mean age, 51.3 years ± 14.6) who presented with undetermined abdominal lesions were included. CEUS and core needle percutaneous biopsy was performed under real-time CEUS guidance in all lesions. Data were recorded and compared with conventional ultrasound (US) guidance group (n=75). All CEUS findings and clinical data were evaluated in MDT. Results. CEUS enabled the delimitation of more (88.3% versus 41.3%) and larger (14.1 ± 10.7 mm versus 32.3 ± 18.5 mm) nonenhanced necrotic areas. More inner (20.0% versus 6.7%) and surrounding (18.3% versus 2.7%) major vessels were visualized and avoided during biopsies. CEUS-guided biopsy increased the diagnostic accuracy from 93.3% to 98.3%, with correct diagnosis in 57 of 60 lesions (95.0%). The therapeutic plan was influenced by CEUS guided biopsies findings in the majority of patients (98.3%). Conclusion. The combination of CEUS guided biopsy and MDT decision-making approach is useful in the diagnostic work-up and therapeutic management.


2018 ◽  
Vol 44 (1) ◽  
pp. 310-317 ◽  
Author(s):  
Xiaojing Cao ◽  
Zhenxing Liu ◽  
Xiang Zhou ◽  
Chengyun Geng ◽  
Qing Chang ◽  
...  

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