Contrast-enhanced ultrasound in pregnancy

IF 2.2 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Abdominal Radiology Pub Date : 2025-03-24 DOI:10.1007/s00261-025-04869-0
Stephanie A. Nguyen, David P. Burrowes, Christina Merrill, Stephanie R. Wilson
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Abstract

There are complex problems related to diagnostic imaging of the pregnant patient Cross sectional imaging with computed tomography (CT) tends to be avoided to due to the risk radiation poses to the fetus and magnetic resonance imaging (MRI) may be limited due to avoidance of gadolinium contrast.

While ultrasound (US) is the primary test for imaging in pregnancy, there is limited awareness of contrast-enhanced US (CEUS) as a safe and accurate option for providing similar vascular information to that which is usually provided with contrast-enhanced CT and MRI. Microbubble contrast agents do not cross the placental barrier and have been shown in animal studies to pose no harm to the fetus at doses far above the human dose.

The literature on CEUS in pregnancy will be reviewed and the utility and diagnostic accuracy of CEUS for the assessment of acute and chronic maternal conditions and evaluation of neoplastic masses will be demonstrated with case examples.

Graphical abstract

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超声造影在妊娠期的应用。
由于辐射对胎儿的危害,通常避免使用计算机断层扫描(CT),而由于避免使用钆造影剂,磁共振成像(MRI)可能会受到限制。虽然超声(US)是妊娠期影像学的主要检查,但人们对造影增强超声(CEUS)作为一种安全、准确的选择的认识有限,因为它可以提供与通常通过增强CT和MRI提供的血管信息相似的信息。微泡造影剂不会穿过胎盘屏障,在动物研究中显示,远高于人体剂量的微泡造影剂不会对胎儿造成伤害。本文将回顾超声造影在妊娠期的相关文献,并通过实例说明超声造影在评估急性和慢性产妇疾病以及评估肿瘤肿块方面的实用性和诊断准确性。
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来源期刊
Abdominal Radiology
Abdominal Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.20
自引率
8.30%
发文量
334
期刊介绍: Abdominal Radiology seeks to meet the professional needs of the abdominal radiologist by publishing clinically pertinent original, review and practice related articles on the gastrointestinal and genitourinary tracts and abdominal interventional and radiologic procedures. Case reports are generally not accepted unless they are the first report of a new disease or condition, or part of a special solicited section. Reasons to Publish Your Article in Abdominal Radiology: · Official journal of the Society of Abdominal Radiology (SAR) · Published in Cooperation with: European Society of Gastrointestinal and Abdominal Radiology (ESGAR) European Society of Urogenital Radiology (ESUR) Asian Society of Abdominal Radiology (ASAR) · Efficient handling and Expeditious review · Author feedback is provided in a mentoring style · Global readership · Readers can earn CME credits
期刊最新文献
Navigating the new frontier: growth, integrity, and our vision for 2026 Correction to: Pictorial review of multiparametric MRI in bladder urothelial carcinoma with variant histology: pearls and pitfalls. Correction to: A case of immunoglobulin G4-related disease with a urethral lesion diagnosed by radiological imaging before biopsy. Correction to: Impact of anatomical features of non-thrombotic left iliac venous compression on the development of venous leg ulcers based on CT venography. Corrigendum to "Computed tomography-based prediction model for identifying patients with high probability of non-muscle-invasive bladder cancer" [Abdominal Radiology (2024) 49:163-172.].
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