Use of Ultrasound Contrast Agents in Relation to Percutaneous Interventional Procedures: A Systematic Review and Pictorial Essay

J Ultrasound Med. 2018 Jun;37(6):1305-1324. doi: 10.1002/jum.14498. Epub 2017 Dec 12.

Abstract

The aim of this article is to provide an inventory of the use of contrast-enhanced ultrasound (CEUS) in relation to percutaneous interventional procedures. The article is structured into a systematic literature review followed by a clinical part relating to percutaneous CEUS-guided procedures. A literature search identified 3109 records. After abstract screening, 55 articles were analyzed and supplemented with pictorial material to explain the techniques. In conclusion, the best-evidenced indications for CEUS-guided interventions are biopsy and ablation of inconspicuous or B-mode-invisible tumors, intraprocedural ablation control and follow-up, as well as percutaneous transhepatic cholangiography and drainage procedures.

Keywords: contrast agents (clinical); contrast-enhanced ultrasound; contrast-enhanced ultrasound-guided intervention; interventional ultrasound; invasive techniques; tumor ablation; ultrasound-guided ablation; ultrasound-guided biopsy.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Contrast Media*
  • Humans
  • Image Enhancement / methods*
  • Ultrasonography, Interventional*

Substances

  • Contrast Media