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Utilidad de la ecografía con contraste en la práctica clínica diaria: estudio multicéntrico español CEUS

Publicado en:Radiologia. 52 (2): 144-152 - 2010-01-01 52(2), DOI: 10.1016/j.rx.2009.11.005

Autores: Nicolau Molina C., Fontanilla Echeveste T., Del Cura RodrígueZ. J., Cruz Villalón F., Ripollés GonzáleZ. T., Baudet NaveroS. B., Velasco MarcoS. M., Garre SáncheZ. C., Huertas ArroyO. R., Hernández García L., Pitti ReyeS. S., Gómez RodrígueZ. R., Calvo LópeZ. M., Maroto Genover A., Álvarez BustoS. G., Poch Zatarain M., Talegón MeléndeZ. Y.

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Resumen

We aimed to determine whether the use of ultrasonographic contrast agents improves the diagnostic performance of ultrasonography (US).We carried out a prospective multicenter study in 42 hospitals. We included 1786 patients with inconclusive US; 84.9% of the inconclusive studies were abdominal US (including studies of the liver, kidneys, spleen, and other sites), 6.2% were studies of the peripheral vessels, 4.3% were breast studies, and 4.6% were other studies. We evaluated the type of contrast-enhanced US (color Doppler or contrast-specific method), type of contrast agent, dose and number of doses, and type of administration (bolus or infusion). We evaluated whether the findings at contrast-enhanced US improved the diagnostic performance of unenhanced US and whether they enabled a conclusive diagnosis to be reached.The contrast agent SonoVue was used in 99.9% of the studies; a single dose of contrast agent was used in 84.8%, and the contrast agent was administered in bolus in 98.5%. Contrast-enhanced US improved the diagnostic performance in 91.6% of cases and enabled the conclusive diagnosis in 69.2%. The best diagnostic performance was obtained in the supraaortic trunks, where a definitive diagnosis was reached in 95.4% of cases, followed by the abdominal area, with a conclusive diagnosis in 72.6% of cases.The use of contrast-enhanced US significantly improved the diagnostic performance of US and enabled a conclusive diagnosis in most cases.Copyright 2009 SERAM. Published by Elsevier Espana. All rights reserved.

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