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Z Gastroenterol 2023; 61(09): 1235-1245
DOI: 10.1055/a-1993-5356
Übersicht

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 technologies
Thomas Karlas 
1   Medizinischen Klinik 2, Bereich Gastroenterologie, Universitätsklinikum Leipzig, Leipzig, Germany (Ringgold ID: RIN39066)
,
Valentin Blank
1   Medizinischen Klinik 2, Bereich Gastroenterologie, Universitätsklinikum Leipzig, Leipzig, Germany (Ringgold ID: RIN39066)
2   Klinik für Innere Medizin I (Gastroenterologie, Pneumologie) und Interdisziplinäre Ultraschallabteilung, Universitätsklinikum Halle (Saale), Halle, Germany
,
Corinna Trenker
3   Klinik für Hämatologie, Onkologie und Immunologie, Universitätsklinikum Marburg, Marburg, Germany
,
André Ignee
4   Medizinische Klinik mit Schwerpunkt Gastroenterologie & Rheumatologie, Klinikum Würzburg Mitte gGmbH Standort Juliusspital, Wurzburg, Germany (Ringgold ID: RIN219635)
,
Christoph F. Dietrich 
5   Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Beau Site, Salem und Permanence, Bern, Switzerland
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Zusammenfassung

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-Tracking

Keywords

3-dimensional ultrasound - abdominal ultrasound - contrast-enhanced ultrasound - elastography - fusion imaging - needle tracking


Publication 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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