Neue(re) Techniken in der Pädiatrischen Sonografie

ZUSAMMENFASSUNG

Die Sonografie ist häufig erstes und in der konservativen und operativen Kinder- und Jugendmedizin auch einziges bildgebendes Verfahren in der Diagnostik. Neue(re) Techniken wie die verschiedenen Methoden der Kontrastmittelsonografie, der Elastographie und des Quantitativen Ultraschalls unterstreichen diesen Anspruch. Sie erhöhen aber auch den Energieeintrag in den Organismus. Die Anwendung erfordert daher entsprechende Sorgfalt und eine rechtfertigende Indikation. Mit Einsatz innovativer Ultraschall-Anwendungen können Kindern andererseits aufwändigere Untersuchungen erspart werden wie eine Magnetresonanztomografie in Sedierung/Narkose oder eine Computertomografie mit einer nicht unerheblichen Dosis an ionisierender Strahlung. Ziel des Beitrages ist ein kurzer Überblick zu den Techniken. Anwendungen werden an Fallbeispielen gezeigt.

ABSTRACT

Ultrasound is often the first and only diagnostic imaging method in pediatric and adolescent medicine. Newer techniques such as the various methods of contrast enhanced ultrasound, elastography and quantitative ultrasound underline this claim. But they can also increase the energy input into the organism. The application therefore requires appropriate care and a justifying indication. On the other hand, with the use of innovative ultrasound applications, children can be spared complex magnetic resonance imaging under sedation/anesthesia and computed tomography with a not insignificant dose of ionizing radiation. The aim of this article is a brief overvie of the techniques. Applications are shown using as examples.

Schlüsselwörter

Elastographie - Scherwellenelastographie - Transiente Elastographie - Kontrastverstärkte Miktionsurosonografie - Kontrastmittelverstärkte Sonografie - Quantitativer Ultraschall

Keywords

Elastography - shear wave elastography - transient elastography - contrast enhanced voiding urosonography - contrast enhanced ultrasound - quantitative ultrasound

Publication History

Article published online:
09 August 2024

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