CONTRAST-ENHANCED HARMONIC ENDOSCOPIC ULTRASOUND FOR THE DIFFERENTIATION OF COMMON BILE DUCT FORMATIONS (CLINICAL CASE)
Currently endoscopic ultrasonography (EUS) is given higher priority in solving complex problems of differential diagnostics of pancreatobiliary diseases. Development of ultrasonic technologies has allowed to introduce contrast- enhanced harmonic technique (CH) into clinical practice. Сontrast-enhanced harmonic EUS (CH-EUS) significantly increases the informativeness of the method, extends the possibilities of differential diagnostics of the pancreatobiliary diseases. Now assessment of diagnostic accuracy and determining the place of contrast enhancement in the diagnostics pancreatobiliary diseases are considered the most relevant tasks. We present the clinical case of the patient with the common bile duct formation, the use of CH-EUS helped in determining the tactics of treatment.
Keywords
эндоскопическая ультрасонография,
контрастное усиление,
образование общего желчного протока,
тубулярно-ворсинчатая аденома,
endoscopic ultrasonography,
contrast enhancement,
pancreas,
common bile duct formation,
tubulovillous adenomaAuthors
Bystrovskaya E.V. | A.S. Loginov Moscow Clinical Scientific and Practical Center | e.bystrovskaya@mknc.ru |
Kovalenko D.D. | A.S. Loginov Moscow Clinical Scientific and Practical Center | |
Всего: 2
References
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Saftoiu A., Vilmann P., Dietrich C.F., Iglesias-Garcia J., Hocke M., Seicean A., Ignee A., Hassan H., Streba C.T., Ioncica A.M., Gheonea D.I., Ciurea T. Quantitative contrast-enhanced harmonic EUS in differential diagnosis of focal pancreatic masses. Gastrointestinal Endoscopy. 2015, Jul;82(1):59-69.
Gincul R., Palazzo M., Pujol B., Tubach F., Palazzo L., Lefort C., Fumex F., Lombard A., Ribeiro D., Fabre M., Hervieu V., Labadie M., Ponchon T., Napoleon B. Contrast-harmonic endoscopic ultrasound for the diagnosis of pancreatic adenocarcinoma: a prospective multicenter trial. Endoscopy. 2014, May;46(5):373-379.
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Fritzsch T., Hilmann J., Kampfe M., Muller N., Schobel C., Siegert J. SH U 508, a transpulmonaryechocontrast agent. Investigative Radiology. 1990;25(1):S160-S161.
Angeli E., Carpanelli R., Crespi G., Zanello A., Sironi S., Del Maschio A. Efficacy of SH U 508 A (Levovist) in color Doppler ultrasonography of hepatocellular carcinoma vascularization. Radiologia Medica. 1994;87(5, suppl 1):24-31.
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Bauer A., Solbiati L., Weissman N. Ultrasound imaging with SonoVue: low mechanical index real-time imaging. Academic Radiology. 2002;9(2):S282-S284.
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Kitano M., Sakamoto H., Matsui U., Ito Y., Maekawa K., von Schrenck T., Kudo M. A novel perfusion imaging technique of the pancreas: contrast-enhanced harmonic EUS. Gastrointestinal Endoscopy. 2008, Jan;67(1):141- 150.
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