Comments and illustrations of the WFUMB CEUS liver guidelines: rare congenital vascular pathology.

Christian Jenssen, Michael Hocke, Yi Dong, Xin Wu Cui, Kathleen Möller, Ehsan Safai Zadeh, Christian Görg, Chiara De Molo, Carla Serra, Theresa Tscheu, Adrian Lim, David Srivastava, Stephan Henning, Annalisa Berzigotti, Michael Jung, Christoph F Dietrich

Journal: Medical ultrasonography 2022;24(4):461-472

PMID: 36191244

Abstract

In this overview of vascular changes of the liver, variations in the liver vessels are discussed, in addition to congenital malformations such as Abernethy malformation, patent ductus venosus Arantii and hereditary hemorrhagic telangiectasia (OslerWeber-Rendu disease). Particular attention is paid to focal liver lesions, especially focal nodular hyperplasia (FNH), but also other solid tumours that develop as a result of altered liver vascularisation. The article focuses on the ultrasonic appearances and changes of the liver, depicted in B-mode sonography, Doppler studies and in contrast-enhanced ultrasonography (CEUS). The clinical manifestations of these conditions associated with other organ systems are also highlighted.

Address: Medical Department I/Gastroenterology, SANA Hospital Lichtenberg, Berlin, Germany.; Department Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland.; Interventional, Diagnostic and Therapeutic Ultrasound Unit, Department of Medical and Surgical Sciences, IRCCS, Azienda Ospedaliero-Universitaria Sant'Orsola Malpighi Hospital, Bologna, Italy.; Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.; Department of Ultrasound, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.; Medical Department, Helios Klinikum Meiningen, Germany.; Imaging Department, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London, UK.; Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Marburg, Germany.; Clinic for Pediatrics/ Gastroenterology, Nephrology and Metabolic Medicine, Charité - University Medicine Berlin, Campus Virchow Clinic, Germany.; Krankenhaus Märkisch-Oderland, Department of Internal Medicine, Strausberg, Germany; Brandenburg Institute for Clinical Ultrasound (BICUS) at Medical University Brandenburg, Neuruppin, Germany.; Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland.; Department of Radiology, University Medical Center Regensburg, Regensburg, Germany.; Department Allgemeine Innere Medizin der Kliniken (DAIM) Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland. [email protected].

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