ArticleLa Radiologia medica2019
Contrast-enhanced ultrasound in delayed splenic vascular injury and active extravasation diagnosis.
Article in La Radiologia medica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Spread and feasibility of non-operative management (NOM) of traumatic splenic injuries in adults: a national survey.Updates in surgery · 2024Article
- Contrast-enhanced ultrasound for abdominal image-guided procedures.Abdominal radiology (New York) · 2023Article
- Development and validation of the diagnostic accuracy of artificial intelligence-assisted ultrasound in the classification of splenic trauma.Annals of translational medicine · 2022Article
- Contrast-enhanced ultrasound of blunt abdominal trauma in children.Pediatric radiology · 2021Review
- Diagnostic evaluation and ablation treatments assessment in hepatocellular carcinoma.Infectious agents and cancer · 2021Review
- Large Bowel Ischemia/Infarction: How to Recognize It and Make Differential Diagnosis? A Review.Diagnostics (Basel, Switzerland) · 2021Review
- A rare case of non-traumatic intrasplenic pseudoaneurysms in a patient with acute T-cell lymphoblastic leukemia.Journal of ultrasound · 2021Review
- Application of Contrast-Enhanced Ultrasonography (CEUS) in the Assessment of Kidney Wound Recovery After Nephron-Sparing Surgery.Cancer management and research · 2021Article
- Narrative review of multiparametric ultrasound in parotid gland evaluation.Gland surgery · 2020Review
- Contrast-Enhanced Ultrasound (CEUS) in Non-Traumatic Abdominal Emergencies.Ultrasound international open · 2020Review
- Pitfalls and differential diagnosis on adrenal lesions: current concepts in CT/MR imaging: a narrative review.Gland surgery · 2020Review
- Surgical margin follow-up after nephron-sparing surgery: the possible role of CEUS.Journal of ultrasound · 2020Article
- Diagnostic accuracy of pneumo-CT-cystography in the detection of bladder rupture in patients with blunt pelvic trauma.La Radiologia medica · 2020Article
- Contrast-enhanced ultrasonography (CEUS) in the follow-up of pediatric abdominal injuries: value and timing.Journal of ultrasound · 2020Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe describe the use of contrast-enhanced ultrasound (CEUS) in the diagnosis of delayed splenic vascular injury (DSVI) and active extravasation (DAE) during spleen injury follow-up. CEUS might be used instead of contrast-enhanced computed tomography (CECT) during spleen injury follow-up in order to reduce radiation exposure.
objectiveAssess diagnostic comparability between CEUS and CECT in the evaluation of DSVI and DAE during spleen injury follow-up. SUBJECTS AND
methodsA total of 139 trauma patients (101 males, 38 females; mean age 48.6 years) with CECT diagnosed spleen injury were prospectively evaluated. They performed CEUS and CECT follow-up. All CEUS studies were performed using the same ultrasound scan, convex probe, mechanical index and ultrasound contrast agent dose. Twelve patients performed digital subtraction angiography (DSA) during follow-up, and the diagnostic performance comparability between CEUS and DSA was evaluated.
resultsCEUS showed 17 delayed spleen injury complications, and in 122 patients no complication was suspected. CECT diagnosed 16 delayed spleen injury complications in these 17 patients and showed a small DSVI in another patient. A total of 122 follow-up CT scans were negative. CEUS and CECT diagnostic comparability was 98.6%. Compared to DSA, CEUS showed a sensitivity of 100% and a positive predictive value of 91.7%.
conclusionsCEUS can be used during spleen injury follow-up instead of CECT. Positive CEUS examinations could perform CECT and, when necessary, DSA in order to confirm and treat spleen injury complications.
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