By Giovanni Regine, Maurizio Atzori, Romano Fabbri (auth.)
This booklet examines intimately the diagnostic influence of contrast-enhanced ultrasound within the review of urinary tract pathology, paying specific awareness to the diagnostic achieve that could be anticipated in terms of different imaging ideas resembling CT and MRI. The function of contrast-enhanced ultrasound is evaluated in more than a few pathologies, together with ischemia, trauma, irritation, cystic lesions, and strong tumors, in addition to within the imaging of anatomic editions. New functions, for instance tracking of kidney transplantation, review of urinary bladder lesions, and analysis of vesico-ureteric reflux, also are lined. The awarded instances, drawn from the authors’ own scientific caseload, contain photographs received utilizing multimodality ideas, occasionally with 3D CT reconstruction. The authors’ personal stories are in comparison with the newest stories within the medical literature.
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Prakash A, Tan GJ, Wansaicheong GK (2011) Contrast enhanced ultrasound of kidneys. pictorial essay. Med Ultrason 13:150–156 20. Gerst S, Hamm LE, Li D et al (2011) Evaluation of renal masses with contrast-enhanced ultrasound: initial experience. Am J Roentgenol 197:897–906 21. Ignee A, Straub B, Schuessler G et al (2010) Contrast enhanced ultrasound of renal masses. World J Radiol 2:15–31 22. Quaia E, Bussani R, Cova M et al (2005) Radiologic-pathologic correlationsof intratumoral tissue components in the most common solid and cystic renal tumors.
6). Another special case Fig. 3 Grade 1 reflux. The CPS module also shows a small amount of contrast material originating from the ureter and reaching the kidney 60 4 MC in Pediatric Ultrasound Fig. 4 Refluxing megaureter: mild reflux, in wide ureter, and pelvis. Clearly evident are various microbubbles of contrast in the pelvis (a) and in the proximal ureter (b) observed was noticed in a check-up after bilateral lateral STING (Subureteral Tetrafluoroethylene Injection) in a child with high-grade reflux: on the right reflux is still present, while on the left the STING determined pyelic expansion without reflux (Fig.
In CEUS, the solid nodule identified in the baseline examination (a) shows high wash-in in the early phase (b) with subsequent wash-out in parenchymal phase (c) confirmation of that finding on a late uroTC scan (d); the urographic MIP 3D reconstruction documents an amputated appearance in the same calyceal group (e). Urothelial lesions of the upper calyx of the right kidney 3 Urinary Tract and Bladder 47 Fig. 1 (continued) condition of prostatic hypertrophy; as well as the limitations inherent to that technique (it is always necessary to perform the examination with adequate intravesical refilling).