Evidence map›Paper›PMID 33978801›Full record

ReviewPediatric radiology2021

Contrast-enhanced ultrasound of benign and malignant liver lesions in children.

Cheng Fang, Sudha A Anupindi, Susan J Back, Doris Franke, Thomas G Green, Zoltan Harkanyi, Jörg Jüngert, Jeannie K Kwon, Harriet J Paltiel, Judy H Squires and 2 more

Abstract readReview
In one paragraph

Review in Pediatric radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Hepatoblastoma.Nature reviews. Disease primers · 2025
    Review
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  7. Review
  8. Article
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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

12 authors.

Cheng FangDepartment of Radiology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK. chengfang@nhs.net.ORCID http://orcid.org/0000-0001-9649-8904
Sudha A AnupindiDepartment of Radiology, Perelman School of Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.
Susan J BackDepartment of Radiology, Perelman School of Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA, USA.
Doris FrankeDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany.
Thomas G GreenDepartment of Radiology, Crouse Hospital, Syracuse, NY, USA.
Zoltan HarkanyiDepartment of Radiology, Heim Pál National Pediatric Institute, Budapest, Hungary.
Jörg JüngertDepartment of Pediatrics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
Jeannie K KwonDepartment of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Harriet J PaltielDepartment of Radiology, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Judy H SquiresDepartment of Radiology, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Vassil N ZefovDepartment of Radiology, Dubai Health Authority, Latifa Women and Children Hospital, Dubai, UAE.
M Beth McCarvilleDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Contrast-enhanced ultrasound (CEUS) is increasingly being used in children. One of the most common referrals for CEUS performance is characterization of indeterminate focal liver lesions and follow-up of known liver lesions. In this setting, CEUS is performed with intravenous administration of ultrasound contrast agents (UCAs). When injected into a vein, UCA microbubbles remain confined within the vascular network until they dissipate. Therefore, visualization of UCA within the tissues and lesions corresponds to true blood flow. CEUS enables continuous, real-time observation of the enhancement pattern of a focal liver lesion, allowing in most cases for a definite diagnosis and obviating the need for further cross-sectional imaging or other interventional procedures. The recent approval of Lumason (Bracco Diagnostics, Monroe Township, NJ) for pediatric liver CEUS applications has spurred the widespread use of CEUS. In this review article we describe the role of CEUS in pediatric liver applications, focusing on the examination technique and interpretation of main imaging findings of the most commonly encountered benign and malignant focal liver lesions. We also compare the diagnostic performance of CEUS with other imaging modalities for accurate characterization of focal liver lesions.

Indexed as

Liver NeoplasmsChildContrast MediaHumansLiverMicrobubblesUltrasonographyContrast MediaBenignChildrenContrast-enhanced ultrasoundLesionLiverMalignantUltrasoundUltrasound contrast agents

Identifiers

PMID33978801
PMCPMC8566652

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Registered trials

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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.