Second-generation sonographic contrast agents in the evaluation of renal trauma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-06-11

AUTHORS

G. Regine, M. Atzori, V. Miele, V. Buffa, M. Galluzzo, M. Luzietti, L. Adami

ABSTRACT

PurposeThe purpose of this study was to define the indications, diagnostic accuracy and limitations of second-generation sonographic contrast agents in the evaluation of patients with renal trauma.Materials and methodsBetween March 2004 and April 2005, 277 patients with blunt abdominal trauma were evaluated. Twenty-eight out of 277 patients had renal lesions, the severity of which was graded according to the organ injury severity scale of the American Association for the Surgery of Trauma (AAST). All the patients enrolled in the study had minor trauma and were evaluated with baseline ultrasound (US), contrast-enhanced US after injection of a second-generation contrast agent (SonoVue) and, if positive, with multiphasic multidetector computed tomography (MDCT).ResultsFive out of 28 traumatic parenchymal lesions with perirenal fluid collection were identified at baseline US. All 28 renal parenchymal lesions, with or without perirenal or retroperitoneal haematoma, were identified at contrast-enhanced US. Multiphase MDCT confirmed all the cases that were positive at contrast-enhanced US and demonstrated the integrity of the urinary tract in the delayed phase.ConclusionsOur experience confirmed the diagnostic accuracy of second-generation sonographic contrast material both for diagnosis and for appropriate patient management. In particular, contrast-enhanced sonography proved to be a reliable technique for the evaluation and follow-up of low-grade renal injuries. Its main advantage is reduced radiation exposure, as fewer MDCT examinations are needed, whereas its limitation is the high cost of the technique if used in unselected patients. More... »

PAGES

581-587

References to SciGraph publications

  • 2003. Macro- and Microcirculation of Focal Liver in CONTRAST-ENHANCED ULTRASOUND OF LIVER DISEASES
  • 2004-10. Contrast–enhanced ultrasound in trauma in EUROPEAN RADIOLOGY
  • 2001-12. The role of contrast-enhanced ultrasound in the detection of focal liver leasions in EUROPEAN RADIOLOGY
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    URI

    http://scigraph.springernature.com/pub.10.1007/s11547-007-0164-2

    DOI

    http://dx.doi.org/10.1007/s11547-007-0164-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1007320344

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17563847


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