Use of a Novel Ultrasonic Imaging Technique in the Diagnosis of Focal Nodular Hyperplasia . case series

Publication

Use of a Novel Ultrasonic Imaging Technique in the Diagnosis of Focal Nodular Hyperplasia . case series

Conference Paper/Poster - Sep 15, 2017

Sawatzki Mikael, Semela David, Neuweiler Jörg, Brand Stephan

Units

Gastroenterology/Hepatology, Pathologie

Contact

Mikael Sawatzki

Citation

Sawatzki M, Semela D, Neuweiler J, Brand S (2017). Use of a Novel Ultrasonic Imaging Technique in the Diagnosis of Focal Nodular Hyperplasia . case series.

Type

Conference Paper/Poster (Deutsch)

Conference Name

Jahreskongress SGG (Lausanne)

Publisher Proceedings

Swiss medical weekly

Publication Date

Sep 15, 2017

Publisher

EMH Media (Muttenz)

Brief description/objective

Examination of vascular structures/flow dynamics is important to differentiate benign from malignant focal liver lesions. Contrast-enhanced ultrasound (CEUS) enables the diagnosis of focal nodular hyperplasia (FNH). We report about a novel ultrasound Doppler technique with unknown clinical value for diagnosing FNH. The diagnostic accuracy of the SMI technique was studied for diagnosing FNH in comparison to CEUS. Representative still images and video clips were recorded. We present five female patients with FNH confirmed by histology, MRI or CEUS with follow-up. In all patients, we demonstrated the excellent visualization of the diagnostic spoke wheel-like without using contrast agent. This is the first European report demonstrating the excellent clinical value of this new ultrasound Doppler technique to diagnose FNH lesions with spoke-wheel-like vessels. In the presented cases, this technique was able to provide the same diagnostic imaging criteria for FNH as CEUS in the arterial phase without using intravenous contrast agents.