Contrast-enhanced ultrasound (CEUS) of cystic and solid renal lesions: a review

Incidentally detected renal lesions have traditionally undergone imaging characterization by contrast-enhanced computer tomography (CECT) or magnetic resonance imaging. Contrast-enhanced ultrasound (CEUS) of renal lesions is a relatively novel, but increasingly utilized, diagnostic modality. CEUS ha...

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Published inAbdominal Imaging Vol. 40; no. 6; pp. 1982 - 1996
Main Authors Gulati, Mittul, King, Kevin G., Gill, Inderbir S., Pham, Vivian, Grant, Edward, Duddalwar, Vinay A.
Format Journal Article Book Review
LanguageEnglish
Published New York Springer US 01.08.2015
Springer Nature B.V
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Summary:Incidentally detected renal lesions have traditionally undergone imaging characterization by contrast-enhanced computer tomography (CECT) or magnetic resonance imaging. Contrast-enhanced ultrasound (CEUS) of renal lesions is a relatively novel, but increasingly utilized, diagnostic modality. CEUS has advantages over CECT and MRI including unmatched temporal resolution due to continuous real-time imaging, lack of nephrotoxicity, and potential cost savings. CEUS has been most thoroughly evaluated in workup of complex cystic renal lesions, where it has been proposed as a replacement for CECT. Using CEUS to differentiate benign from malignant solid renal lesions has also been studied, but has proven difficult due to overlapping imaging features. Monitoring minimally invasive treatments of renal masses is an emerging application of CEUS. An additional promising area is quantitative analysis of renal masses using CEUS. This review discusses the scientific literature on renal CEUS, with an emphasis on imaging features differentiating various cystic and solid renal lesions.
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ISSN:0942-8925
2366-004X
1432-0509
2366-0058
DOI:10.1007/s00261-015-0348-5