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DOI: 10.1055/a-1993-5356
Ultraschallgeräte für die abdominelle Diagnostik: neue Techniken und Applikationen – Was gibt es? Was ist möglich? Was ist sinnvoll?
Ultrasound systems for abdominal diagnostics – current methods, clinical applications and new technologiesZusammenfassung
Die Ultraschalldiagnostik ist in vielen klinischen Situationen das Verfahren der ersten Wahl für die abdominelle Bildgebung. Neben dem Graustufenbild (B-Modus) und den klassischen Dopplerverfahren ermöglichen die kontrastmittelverstärkte Sonografie (CEUS), die Elastografie und die Fettquantifizierung eine multimodale Charakterisierung von Organen und Gewebestrukturen. Panorama- und 3D-Verfahren sowie Bildfusion haben die Befunddarstellung erweitert. Die Entwicklung tragbarer Kleingeräte führt zu einer Erweiterung der Einsatzmöglichkeiten der konventionellen Ultraschalldiagnostik.
In dieser Übersichtsarbeit werden moderne sonografisch relevante Verfahren diskutiert sowie Geräteklassen und Stufenkonzepte beschrieben und anhand der wissenschaftlichen Evidenz bewertet. Ferner werden Hinweise zu Qualitätsstandards für die abdominelle Ultraschalldiagnostik vermittelt.
Abstract
Abdominal ultrasound is the method of first choice in many clinical situations. Gray scale imaging (B-mode) and conventional Doppler techniques are nowadays complemented by contrast-enhanced ultrasound (CEUS), elastography, fat quantification and further technologies which allow multimodal characterization of organs and tissue structure using panoramic imaging, 3D-techniques and image fusion. The development of small portable devices augments the spectrum for sonographic diagnostics. In this review, we describe the current status of ultrasound technology based on published evidence. In addition, we provide guidance for quality assurance.
Schlüsselwörter
3D-Ultraschall - Abdomensonografie - Kontrastmittel-verstärkter Ultraschall - Elastografie - Bildfusion - Nadel-TrackingKeywords
3-dimensional ultrasound - abdominal ultrasound - contrast-enhanced ultrasound - elastography - fusion imaging - needle trackingPublication History
Received: 24 May 2022
Accepted after revision: 05 December 2022
Article published online:
12 January 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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