Intracavitary contrast-enhanced ultrasonography in children: review with procedural recommendations and clinical applications from the European Society of Paediatric Radiology abdominal imaging task force.

Marcello Napolitano, Philippe Petit, Samuel Stafrace, Donald Ibe, Beatrice Maria Damasio, Costanza Bruno, Thomas Angell Augdal, Annemieke Simone Littooij, Luisa Lobo, Damjana Ključevšek, Fred Efraim Avni, Aikaterini Ntoulia, Hans-Joachim Mentzel, Kassa Darge, Stéphanie Franchi-Abella, Magdalena Maria Woźniak, Lil-Sofie Ording Müller, Michael Riccabona

Journal: Pediatric radiology 2021;50(4):596-606

PMID: 32055916

Full Text on Springer View on PubMed

Abstract

Contrast-enhanced ultrasonography (US) has become an important supplementary tool in many clinical applications in children. Contrast-enhanced voiding urosonography and intravenous US contrast agents have proved useful in routine clinical practice. Other applications of intracavitary contrast-enhanced US, particularly in children, have not been widely investigated but could serve as a practical and radiation-free problem-solver in several clinical settings. Intracavitary contrast-enhanced US is a real-time imaging modality similar to fluoroscopy with iodinated contrast agent. The US contrast agent solution is administered into physiological or non-physiological body cavities. There is no definitive list of established indications for intracavitary US contrast agent application. However, intracavitary contrast-enhanced US can be used for many clinical applications. It offers excellent real-time spatial resolution and allows for a more accurate delineation of the cavity anatomy, including the internal architecture of complex collections and possible communications within the cavity or with the surrounding structures through fistulous tracts. It can provide valuable information related to the insertion of catheters and tubes, and identify related complications such as confirming the position and patency of a catheter and identifying causes for drainage dysfunction or leakage. Patency of the ureter and biliary ducts can be evaluated, too. US contrast agent solution can be administered orally or a via nasogastric tube, or as an enema to evaluate the gastrointestinal tract. In this review we present potential clinical applications and procedural and dose recommendations regarding intracavitary contrast-enhanced ultrasonography.

Address: Department of Radiology, University Children's Hospital,, University Medical Center Ljubljana, Bohoričeva 20, 1000, Ljubljana, Slovenia. [email protected].; Department of Radiology, Division of Pediatric Radiology, University Hospital LKH Graz and Medical University Graz, Graz, Austria.; Division of Radiology and Nuclear Medicine, Department of Paediatric Radiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.; Department of Pediatric Radiology, Medical University of Lublin, Lublin, Poland.; Service de Radiopédiatrie, Hôpital Bicêtre, Hôpitaux Universitaires Paris-Sud, Le Kremlin-Bicêtre, France.; Department of Radiology, Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.; Section of Pediatric Radiology, Institute of Diagnostic and Interventional Radiology,, University Hospital Jena, Jena, Germany.; Department of Radiology, Poole Hospital NHS Foundation Trust, Poole, UK.; Department of Pediatric Radiology, Jeanne de Flandre Hospital,, Lille University Hospitals, Lille, France.; Department of Pediatric Radiology and Neuroradiology,, V. Buzzi Children's Hospital, Milan, Italy.; Department of Radiology, Hospital de Santa Maria-CHLN, University Hospital, Lisbon, Portugal.; Princess Maxima Center for Pediatric Oncology,, Wilhelmina Children's Hospital Utrecht/UMCU, Utrecht, the Netherlands.; Department of Radiology, University Hospital of North Norway, Tromsø, Norway.; Radiology Institute, Department of Radiology, AOUI, Verona, Italy.; Department of Radiology, Instituto Giannina Gaslini, Genoa, Italy.; Radiology Department, Silhouette Diagnostic Consultants,, Wuse 2, Abuja, Nigeria.; Department of Diagnostic Imaging, Sidra Medicine, Doha, Qatar.; Service d'Imagerie Pédiatrique et Prénatale, Hôpital Timone Enfants, Marseille, France.

DOI: 10.1007/s00247-019-04611-1

Link outs

Subscription / membership required

Full Text Sources:

https://dx.doi.org/10.1007/s00247-019-04611-1

MeSH Terms: Abdominal Cavity, Adolescent, Biliary Tract Diseases, Child, Child, Preschool, Contrast Media, Europe, Female, Female Urogenital Diseases, Gastrointestinal Diseases, Humans, Image Enhancement, Infant, Male, Male Urogenital Diseases, Pediatrics, Societies, Medical, Ultrasonography