scholarly journals Hepatic inflammatory pseudotumor mimicking malignancy: the value of differential diagnosis on contrast enhanced ultrasound

2020 ◽  
Author(s):  
Wen-Tao Kong ◽  
Wen-Ping Wang ◽  
Hai-Yun Shen ◽  
Hai-Yan Xue ◽  
Chun-Rui Liu ◽  
...  
Keyword(s):  
Diagnostic Performance ◽  
Inflammatory Pseudotumor ◽  
Contrast Enhanced Ultrasound ◽  
Contrast Injection ◽  
Imaging Characteristics ◽  
Contrast Enhanced ◽  
Conventional Ultrasound ◽  
Delayed Phase ◽  
Hepatic Inflammatory Pseudotumor ◽  
Hepatic Malignancies

The aim of this study is to investigate whether the use of contrast enhanced ultrasound (CEUS) can improve the differential diagnostic performance between hepatic inflammatory pseudotumor (HIPT) and other malignant tumors.Material and methods: Forty-four patients with histological proven HIPTs were included in this retrospective study. The features of conventional ultrasound (US) and CEUS were evaluated.Results: Three kinds of enhanced pattern can be seen in the 44 nodules including homogeneous (n=18, 41%), heterogeneous (n=16, 36%) and rim-like enhancement (n=10, 23%). All of the nodules showed hypo-enhancement during the portal and delayed phase. The dominant nodules (n=29, 66%) presented wash-out within 60 s after contrast injection. Quick wash-in and wash-out was seen in 18 nodules (41%). Eighteen nodules (41%) were correctly diagnosed as HIPT, whereas the remaining 26 cases were misdiagnosed as malignancies (n=20, 45%) or with an uncertain diagnosis (n=6, 14%).Conclusion: CEUS was not enough to differentiate HIPT from hepatic malignancies, especially intrahepatic cholangiocarcinoma and liver metastasis. However, some CEUS imaging characteristics may be helpful for HIPT diagnosis.

scholarly journals Application of contrast enhanced ultrasound in gallbladder lesion: is it helpful to improve the diagnostic capabilities?

2018 ◽  
Vol 20 (4) ◽  
pp. 420 ◽  
Author(s):  
Wen-Tao Kong ◽  
Hi-Yun Shen ◽  
Yu-Dong Qiu ◽  
Hao Han ◽  
Bao-Jie Wen ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Diagnostic Performance ◽  
Color Doppler ◽  
Final Diagnosis ◽  
Wall Thickening ◽  
Contrast Enhanced Ultrasound ◽  
Color Doppler Flow Imaging ◽  
Imaging Characteristics ◽  
Contrast Enhanced ◽  
Significant Difference

The aim of this study is to evaluate if contrast enhanced ultrasound (CEUS) can improve the differential diagnostic performance of gallbladder (GB) lesions.Materials and methods: Forty-nine patients (18 men, 31 women; mean age, 54.8±14.4 years, range age, 22-78 years) with GB lesions (mass-forming and wall-thickened types) were enrolled in this study. All patients underwent conventional ultrasonography (US) and CEUS examination. The imaging characteristics of GB lesions were analyzed to compare the diagnostic performance of US and CEUS. The final diagnosis was obtained by histopathology.Results: There were significant differences between benign and malignant GB lesions with regards to size, shape, vascularity, the integrity and margin of GB wall and time to iso-enhancement on CEUS (p<0.05). However, no significant difference was found concerning the enhancement patterns between the two groups (p>0.05). Logistic regression analysis showed that the boundary between liver and GB wall (p=0.017) and vascularity on color Doppler flow imaging (p=0.013) were two independent predictors of malignancy. The diagnostic accuracy of US could be improved in combination with CEUS (65.3% vs 83.7%). The diagnostic accuracy of the GB wall thickening type was higher than the mass forming type.Conclusion: CEUS could improve the diagnostic performance of GB lesions, especially for wall-thickened type lesions

Hepatic inflammatory pseudotumor: educational value of an incorrect diagnosis at contrast-enhanced ultrasound

2015 ◽  
Vol 42 (4) ◽  
pp. 547-552 ◽  
Author(s):  
Benedetta Guarino ◽  
Orlando Catalano ◽  
Antonio Corvino ◽  
Fabio Corvino ◽  
Alfonso Amore ◽  
...  
Keyword(s):  
Inflammatory Pseudotumor ◽  
Contrast Enhanced Ultrasound ◽  
Educational Value ◽  
Contrast Enhanced ◽  
Incorrect Diagnosis ◽  
Hepatic Inflammatory Pseudotumor

scholarly journals Diagnostic Performance of Contrast-Enhanced Ultrasound (CEUS) in the Evaluation of Solid Renal Masses

Medicina ◽  
2020 ◽  
Vol 56 (11) ◽  
pp. 624
Author(s):  
Thomas Geyer ◽  
Vincent Schwarze ◽  
Constantin Marschner ◽  
Moritz L. Schnitzer ◽  
Matthias F. Froelich ◽  
...  
Keyword(s):  
Contrast Agent ◽  
Renal Cell ◽  
Diagnostic Performance ◽  
Contrast Enhanced Ultrasound ◽  
Renal Masses ◽  
Current State ◽  
Experienced Radiologist ◽  
Contrast Enhanced ◽  
Conventional Ultrasound ◽  
Level 3

Background: The present study aims to evaluate the diagnostic performance of contrast-enhanced ultrasound (CEUS) for discriminating between benign and malignant solid renal masses. Methods: 18 patients with histopathologically confirmed benign solid renal masses (11 oncocytomas, seven angiomyolipomas) as well as 96 patients with confirmed renal cell carcinoma (RCC) who underwent CEUS followed by radical or partial nephrectomy were included in this single-center study. CEUS examinations were performed by an experienced radiologist (EFSUMB Level 3) and included the application of a second-generation contrast agent. Results: Renal angiomyolipomas, oncocytomas, and renal cell carcinomas showed varying sonomorphological characteristics in CEUS. Angiomyolipomas showed heterogeneous echogenicity (57% hypo-, 43% hyperechoic), while all lesions showed rapid contrast-enhancement with two lesions also showing venous wash-out (29%). Notably, 9/11 oncocytomas could be detected in conventional ultrasound (64% hypo-, 9% hyper-, 9% isoechoic) and 2/11 only demarcated upon intravenous application of contrast agent (18%). All oncocytomas showed hyperenhancement in CEUS, venous wash-out was registered in 7/11 lesions (64%). Conclusions: In line with the current state of knowledge, no specific sonomorphological characteristics allowing for accurate distinction between benign and malignant solid renal masses in CEUS could be detected in our study.

The analysis of enhancement pattern of hepatic inflammatory pseudotumor on contrast-enhanced ultrasound

2013 ◽  
Vol 39 (1) ◽  
pp. 168-174 ◽  
Author(s):  
Wen-Tao Kong ◽  
Wen-Ping Wang ◽  
Hao Cai ◽  
Bei-Jian Huang ◽  
Hong Ding ◽  
...  
Keyword(s):  
Inflammatory Pseudotumor ◽  
Contrast Enhanced Ultrasound ◽  
Enhancement Pattern ◽  
Contrast Enhanced ◽  
Hepatic Inflammatory Pseudotumor

scholarly journals Contrast-Enhanced Ultrasound (CEUS) in Non-Traumatic Abdominal Emergencies

2020 ◽  
Vol 06 (03) ◽  
pp. E76-E86
Author(s):  
Diletta Cozzi ◽  
Simone Agostini ◽  
Elena Bertelli ◽  
Michele Galluzzo ◽  
Emanuela Papa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ultrasound Imaging ◽  
Acute Inflammation ◽  
Emergency Setting ◽  
Contrast Enhanced Ultrasound ◽  
First Line ◽  
Additional Information ◽  
Contrast Enhanced ◽  
Conventional Ultrasound ◽  
Abdominal Emergencies

AbstractConventional ultrasound imaging (US) is the first-line investigation in acute non-traumatic abdominal emergencies, but sometimes it needs further examinations, such as computed tomography (CT), to reach a certain diagnosis. Contrast-enhanced ultrasound (CEUS), through injection of contrast medium, may provide the radiologist with additional information that could not be investigated with baseline US. It could help reach a diagnosis and rapidly determine the proper therapy in an emergency setting. The purpose of this review is to explain and illustrate the various possibilities and limitations of CEUS in acute non-traumatic abdominal diseases, in particular acute inflammation, parenchymal infarcts, and hemorrhages.

Inflammatory pseudotumor of the spleen: report of a case with emphasis on contrast-enhanced ultrasound findings

2006 ◽  
Vol 33 (3) ◽  
pp. 177-180
Author(s):  
Hitoshi Yagisawa ◽  
Hideaki Ishida ◽  
Tomoya Komatsuda ◽  
Kayoko Furukawa ◽  
Mamiko Yamada ◽  
...  
Keyword(s):  
Inflammatory Pseudotumor ◽  
Contrast Enhanced Ultrasound ◽  
Contrast Enhanced ◽  
Ultrasound Findings
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