Evidence map›Paper›PMID 26607647›Full record

ReviewThe British journal of radiology2016

Contrast-enhanced ultrasound (CEUS) in blunt abdominal trauma.

Vittorio Miele, Claudia Lucia Piccolo, Michele Galluzzo, Stefania Ianniello, Barbara Sessa, Margherita Trinci

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in The British journal of radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03490929 (Contrast Enhanced Ultrasonography for Blunt Abdominal Trauma Imaging in Children), which is not on this map. Cited by 59 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 5 pooled it
11.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03490929 phase4recruitingnot on this mapstarted 2018, after this paper: background citation

Contrast Enhanced Ultrasonography for Blunt Abdominal Trauma Imaging in Children

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2018 to 2026Enrolled146ConditionsTrauma AbdomenArmsSulfur Hexafluoride Lipid Type A Microspheres 25 MG Intravenous Powder for Suspension [LUMASON], contrast-enhanced ultrasound
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 5 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
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  12. Contrast-enhanced ultrasound in pregnancy.Abdominal radiology (New York) · 2025
    Review
  13. Review
  14. The current state of forensic imaging- clinical forensic imaging.International journal of legal medicine · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Vittorio MieleDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Claudia Lucia PiccoloDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Michele GalluzzoDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Stefania IannielloDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Barbara SessaDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
Margherita TrinciDepartment of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
IRCCS San Camillo Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Baseline ultrasound is essential in the early assessment of patients with a huge haemoperitoneum undergoing an immediate abdominal surgery; nevertheless, even with a highly experienced operator, it is not sufficient to exclude parenchymal injuries. More recently, a new ultrasound technique using second generation contrast agents, named contrast-enhanced ultrasound (CEUS) has been developed. This technique allows all the vascular phase to be performed in real time, increasing ultrasound capability to detect parenchymal injuries, enhancing some qualitative findings, such as lesion extension, margins and its relationship with capsule and vessels. CEUS has been demonstrated to be almost as sensitive as contrast-enhanced CT in the detection of traumatic injuries in patients with low-energy isolated abdominal trauma, with levels of sensitivity and specificity up to 95%. Several studies demonstrated its ability to detect lesions occurring in the liver, spleen, pancreas and kidneys and also to recognize active bleeding as hyperechoic bands appearing as round or oval spots of variable size. Its role seems to be really relevant in paediatric patients, thus avoiding a routine exposure to ionizing radiation. Nevertheless, CEUS is strongly operator dependent, and it has some limitations, such as the cost of contrast media, lack of panoramicity, the difficulty to explore some deep regions and the poor ability to detect injuries to the urinary tract. On the other hand, it is timesaving, and it has several advantages, such as its portability, the safety of contrast agent, the lack to ionizing radiation exposure and therefore its repeatability, which allows follow-up of those traumas managed conservatively, especially in cases of fertile females and paediatric patients.

Indexed as

Contrast MediaImage EnhancementAbdominal InjuriesChildFemaleHumansMaleUltrasonographyWounds, NonpenetratingContrast Media

Identifiers

PMID26607647
PMCPMC4985457
OpenAlexW2173272124

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.