Evidence map›Paper›PMID 34117892›Full record

ReviewPediatric radiology2021

Ultrasound contrast agents: microbubbles made simple for the pediatric radiologist.

Anush Sridharan, John R Eisenbrey, Flemming Forsberg, Norbert Lorenz, Ludwig Steffgen, Aikaterini Ntoulia

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 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Assessment of Cavitation From DEFINITY and DEFINITY RT.Ultrasound in medicine & biology · 2026
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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.

Anush SridharanDepartment of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA. sridharana@chop.edu.
John R EisenbreyDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Flemming ForsbergDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA.
Norbert LorenzChildren's Hospital, Dresden Municipal Hospital, Teaching-Hospital of Technical University, Dresden, Germany.
Ludwig SteffgenTrainings-Zentrum Ultraschall-Diagnostik LS GmbH, Mainleus, Germany.
Aikaterini NtouliaDepartment of Radiology, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA, 19104, USA.ORCID http://orcid.org/0000-0002-9853-4873

Funding

Noninvasive Subharmonic Aided Pressure Estimation of Portal HypertensionR01DK098526 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI Flemming Forsberg · 2013 to 2026
$5.1M
Noninvasive Portal Pressure Measurements in ChildrenR01DK118964 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI ANUPINDI, SUDHA, FORSBERG, FLEMMING · 2018 to 2022
$2.0M
Quantitative Subharmonic Breast ImagingR01CA140338 · NCI · THOMAS JEFFERSON UNIVERSITY · PI FORSBERG, FLEMMING · 2010 to 2014
$1.9M
NCI NIH HHS R01 CA140338NIDDK NIH HHS R01 DK098526NIDDK NIH HHS R01 DK118964
6 · The paper itself

Abstract

The ability to provide prompt, real-time, easily accessible and radiation-free diagnostic assessments makes ultrasound (US) one of the most versatile imaging modalities. The introduction and development of stable microbubble-based ultrasound contrast agents (UCAs) in the early 1990s improved visualization of complex vascular structures, overcoming some of the limitations of B-mode and Doppler imaging. UCAs have been used extensively in the adult population to visualize vasculature and to evaluate perfusion and blood flow dynamics in organs and lesions. Since the first observations that air bubbles within a liquid can generate a strong echogenic effect, to the early makeshift approaches with agitated saline, and later to the development of industrially produced and federally approved UCAs, these agents have evolved to become both clinically and commercially viable. Perhaps the most exciting potential of UCAs is being uncovered by current research that explores the use of these agents for molecular imaging and therapeutic applications. As contrast-enhanced ultrasound (CEUS) becomes more widely available, it is important for pediatric radiologists to understand the physics of the interaction between the US signal and the microbubbles in order to properly utilize them for the highest level of diagnostic imaging and interventions. In this article we introduce the composition of UCAs and the physics of their behavior in US, and we offer a brief history of their development over the last decades.

Indexed as

Contrast MediaMicrobubblesAdultChildHumansRadiologistsUltrasonographyContrast MediaChildrenContrast-enhanced ultrasoundHarmonic imagingMicrobubblesSubharmonic imagingUltrasoundUltrasound contrast agents

Identifiers

PMID34117892
PMCPMC9288183

What OpenQuestion holds

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Registered trials

None linked

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.