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Contrast enhanced ultrasound in the assessment of urogenital pathology

Libero Barozzi, Diana Capannelli, Michele Imbriani
  • Diana Capannelli
    Cardio-Thoracic-Vascular Department, Radiology Unit, University of Bologna, Policlinico Sant’Orsola-Malpighi, Bologna, Italy
  • Michele Imbriani
    Department of Diagnostic Imaging, Radiology Unit, Maggiore Hospital, Bologna, Italy


Contrast enhanced ultrasound (CEUS) is an innovative technique that employs microbubble contrast agents to demonstrate parenchymal perfusion. Although initial clinical application was focused on the liver pathology, a wide variety of clinical conditions can be assessed now with CEUS. CEUS is a well-tolerated technique and is acquiring an increasing role in the assessment of renal pathology because contrast agents are not excreted by the kidney and do not affect the renal function. CEUS demonstrated an accuracy similar to contrast enhanced multi-detector computed tomography (CEMDCT) in detecting focal lesions, with the advantage of the real-time assessment of microvascular perfusion by using time-intensity curves. The aim of this paper is to review the main indications of CEUS in the assessment of renal and urogenital pathology. Imaging examples are presented and described. Advantages and limitations of CEUS with reference to conventional US and CE-MDCT are discussed.


Ultrasonography; Contrast Enhanced Ultrasonography; Urology

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Submitted: 2015-01-23 15:09:15
Published: 2014-12-30 00:00:00
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Copyright (c) 2014 Libero Barozzi, Diana Capannelli, Michele Imbriani

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