Improved methods of the contrast-enhanced ultrasound in patient with chronic viral hepatitis

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Abstract

Rationale. The article presents the data obtained by an improved method of contrast-enhanced ultrasound (CEUS) in patients with chronic viral hepatitis.

Methods. We compared the quantitative and qualitative CEUS parameters in 2 groups of patients: the 1st group was administered 2.5 ml of the contrast agent, and the 2nd group was administered 1.0 ml of the contrast agent.

Results. The results showed that the quantitative parameters had no statistical differences in the arterial and portal phases.

Conclusion. The parameters of the late venous phase were not clinically significant, since the study objective included the assessment of diffuse liver disease, not focal liver lesions.

About the authors

A. V. Tikhankova

Smolensk State Medical University

Author for correspondence.
Email: annatikh67@mail.ru
ORCID iD: 0000-0001-8037-9660
SPIN-code: 8132-2946

аспирант проблемной научно-исследовательской лаборатории «Диагностические исследования и малоинвазивные технологии»

Russian Federation, 28, Krupskay street, Smolensk, 214019

A. V. Borsukov

Smolensk State Medical University

Email: bor55@yandex.ru
ORCID iD: 0000-0003-4047-7252
SPIN-code: 9412-4149

д-р мед. наук, профессор, директор проблемной научно-исследовательской лаборатории «Диагностические исследования и малоинвазивные технологии» ФГБОУ ВО «Смоленский государственный медицинский университет» Минздрава России

Russian Federation, 28, Krupskay street, Smolensk, 214019

A. O. Buyeverov

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: bcl72@yandex.ru
ORCID iD: 0000-0002-5041-3466
SPIN-code: 1299-0293

д-р мед. наук, профессор кафедры медико-социальной экспертизы, неотложной и поликлинической терапии Института профессионального образования ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский Университет) Минздрава России

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

V. V. Ivanov

Independent Non-Profit Organization «Self-financial polyclinic»

Email: vicvic.63@mail.ru

канд. мед. наук, заместитель директора по медицинской части АНО «Хозрасчетная поликлиника» г. Смоленска

Russian Federation, Smolensk

Yu. V. Ivanov

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia; Central Research Institute of the Tuberculosis

Email: ivanovkb83@yandex.ru
ORCID iD: 0000-0002-3893-2685
SPIN-code: 3240-4335
Russian Federation, 28, Orekhovy boulevard, Moscow, 115682; 2, Moscow, Yauzskaya alley

References

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  4. Claudon M, Dietrich CF, Choi BI, et al. Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver — update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol. 2013;39(2):187–210. doi: 10.1016/j.ultrasmedbio.2012.09.002.
  5. Шифф Юджин Р. Болезни печени по Шиффу. Введение в гепатологию: руководство. / Под ред. Соррел М.Ф., Мэддрей У.С. Пер. с англ. под ред. В.Т. Ивашкина, А.О. Буеверова, М.В. Маевской. — М.: ГЭОТАР-Медиа; 2011. — 704 с. [Shiff Yudzhin R. Bolezni pecheni po Shiffu. Vvedenie v gepatologiyu: rukovodstvo. Sorrel MF, Meddrej US, editors. Ed by VT Ivashkin, AO Bueverov, MV Maevskaya. Moscow: GEOTAR-Media, 2011. 704 p. (In Russ).]
  6. Шифф Юджин Р. Вирусные гепатиты и холестатические заболевания. / Под ред. Соррел М.Ф., Мэддрей У.С. Пер. с англ. под ред. В.Т. Ивашкина и др. Серия «Болезни печени по Шиффу». — М.: ГЭОТАР-Медиа; 2010. — 408 с. [Shiff Yudzhin R. Virusnye gepatity i kholestaticheskie zabolevaniya. Sorrel MF, Meddrej US, editors. Ed by VT Ivashkin, i dr. Ser. «Bolezni pecheni po Shiffu». Moscow: GEOTAR-Media, 2010. 408 p. (In Russ).]
  7. Kuntz E, Kuntz H-D. Hepatology: principles and practice: 2nd edition. Springer Medizin Verlag Heidelberg, 2006. 902 p.

Supplementary files

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2. Fig. 1. The intensity – time curve

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3. Fig. 2. Qualitative assessment of contrast-enhanced ultrasound of the liver with the introduction of 2.5 and 1.0 ml of a contrast agent: no pathology was detected

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4. Fig. 3. Qualitative assessment of contrast-enhanced ultrasound of the liver with the introduction of 2.5 and 1.0 ml of a contrast agent: deformation of segmental and intrasegmental arteries, areas of heterogeneous leaching of the contrast agent in the portal and late venous phases (S VIII – VII – VI – V) )

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Copyright (c) 2019 Tikhankova A.V., Borsukov A.V., Buyeverov A.O., Ivanov V.V., Ivanov Y.V.

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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