Attualità e prospettive dell'ecografia con mezzo di contrasto (CEUS) in nefrologia

Vincenzo Barbera; Marco Federici; Luca Di Lullo; Giovanni Otranto; Antonio Gorini; Alberto Santoboni

doi:10.33393/gcnd.2015.817

Authors

Vincenzo Barbera UOC Nefrologia e Dialisi, Ospedale «L. Parodi Delfino», ASL ROMA G, Colleferro (RM)
Marco Federici UO Diagnostica per Immagini, Ospedale «L. Parodi Delfino», ASL ROMA G, Colleferro (RM)
Luca Di Lullo UOC Nefrologia e Dialisi, Ospedale «L. Parodi Delfino», ASL ROMA G, Colleferro (RM)
Giovanni Otranto UOC Nefrologia e Dialisi, Ospedale «L. Parodi Delfino», ASL ROMA G, Colleferro (RM)
Antonio Gorini UOC Nefrologia e Dialisi, Ospedale «L. Parodi Delfino», ASL ROMA G, Colleferro (RM)
Alberto Santoboni UOC Nefrologia e Dialisi, Ospedale «L. Parodi Delfino», ASL ROMA G, Colleferro (RM)

DOI:

https://doi.org/10.33393/gcnd.2015.817

Keywords:

CEUS, Microbubbles, Renal masses, TIC, Enhancement

Abstract

Contrast-enhanced ultrasonography (CEUS) is becoming an ultrasound device with many diagnostic applications. Employment of microbubbles as contrast media agents has allowed dynamic evaluation of micro- and macrovessels strengthening the characterization of ultrasonographic lesions not valuable with Power and Color Doppler analysis. CEUS does not involve ionizing radiations, then it's not harmful for kidney function. CEUS seems to be particularly helpful in distinguishing between benign cysts and malignancies according to Bosniak's classification. CEUS can also be applied to diagnose ischemic or traumatic issues, renal artery stenosis, autosomal dominant polycystic kidney disease and urinary infections or traumatic injuries and for kidney graft evaluation. Further perspectives for CEUS lie in oncology for post-ablation kidney surveillance and in nanobubbles devices.