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4. Ultrasonographic patterns in hepatic hemangiomas.

Author

Mirk, Paola, Rubaltelli, Leopoldo, Bazzocchi, Massimo, Busilacchi, Paolo, Candiani, Francesco, Ferrari, Francesco, Giuseppetti, Gianmarco, Maresca, Giulia, Rizzatto, Giorgio, Volterrani, Luca, Zappasodi, Franco, Mirk, P, Rubaltelli, L, Bazzocchi, M, Busilacchi, P, Candiani, F, Ferrari, F, Giuseppetti, G, Maresca, G, and Rizzatto, G

Published
1982
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5. Spontaneous rupture of renal angiomyolipoma with perinephric haemorrhage: sonographic findings

Author

Derchi, Lorenzo E., Zappasodi, Franco, Busilacchi, Paolo, and Neumaier, Carlo E.

Abstract

The sonographic findings observed in four patients with spontaneous rupture of a renal angiomyolipoma and perinephric haemorrhage are presented. In all cases, a hyperechoic renal mass surrounded by a large hypoechoic haematoma was identified. Furthermore, the actual site of rupture of the tumour could be seen in one case as a wedgeshaped hypoechoic structure extending from the periphery to the centre of the mass. CT has been suggested as the method of choice in the assessment o both the presence and extent ofhaemorrhagic complications of angiomyolipomas. However, since such lesions can be demonstrated and identified by ultrasound, which is often used as the first imaging procedure in abdominal complaints, the technique may also prove of value in planning further diagnostic tests and in choosing the appropriate therapeutic approach to these patients.

Published
1985
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7. Dr. Solbiati and Colleagues comment

Author

Solbiati, Luigi, primary, Volterrani, Luca, additional, Rizzatto, Giorgio, additional, Bazzocchi, Massimo, additional, Busilacchi, Paolo, additional, Candiani, Francesco, additional, Ferrari, Francesco, additional, Giuseppetti, Gianmarco, additional, Maresca, Giulia, additional, Mirk, Paola, additional, Rubaltelli, Leopoldo, additional, and Zappasodi, Franco, additional

Published
1986
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8. SIUMB guidelines and recommendations for the correct use of ultrasound in the management of patients with focal liver disease

Author

Vidili, G., De Sio, I., D'Onofrio, M., Mirk, P., Bertolotto, M., Schiavone, C., Accogli, E., Arienti, V., Basilico, R., Bolondi, L., Busilacchi, P., Calliada, F., Cantisani, V., Casadei, A., Catalano, O., de Gaetano, A. M., de Stefano, G., Di Candio, G., Drudi, F. M., Roberto, F., Fabio, F., Iannetti, G., Maconi, G., Meloni, M. F., Piscaglia, F., Pompili, M., Rapaccini, G. L., Romano, M., Serra, C., Solbiati, L., Soresi, M., Speca, S., Tarantino, L., Valentino, M., Vallone, G., Assanti, A., Granata, A., Cocco, G., Vidili, G., De Sio, I., D'Onofrio, M., Mirk, P., Bertolotto, M., Schiavone, C., Accogli, E., Arienti, V., Basilico, R., Bolondi, L., Busilacchi, P., Calliada, F., Cantisani, V., Casadei, A., Catalano, O., de Gaetano, A. M., de Stefano, G., Di Candio, G., Drudi, F. M., Roberto, F., Fabio, F., Iannetti, G., Maconi, G., Meloni, M. F., Piscaglia, F., Pompili, M., Rapaccini, G. L., Romano, M., Serra, C., Solbiati, L., Soresi, M., Speca, S., Tarantino, L., Valentino, M., Vallone, G., Assanti, A., Granata, A., Cocco, G., Vidili, Gianpaolo, De Sio, Ilario, D’Onofrio, Mirko, Mirk, Paoletta, Bertolotto, Michele, Schiavone, Cosima, Accogli, Esterita, Arienti, Vincenzo, Basilico, Raffaella, Bolondi, Luigi, Busilacchi, Paolo, Calliada, Fabrizio, Cantisani, Vito, Casadei, Alder, Catalano, Orlando, de Gaetano, A. Maria, de Stefano, Giorgio, Di Candio, Giulio, Drudi, Francesco Maria, Roberto, Farina, Fabio, Fornari, Iannetti, Giovanni, Maconi, Giovanni, Meloni, M. Franca, Piscaglia, Fabio, Pompili, Maurizio, Rapaccini, Gian Ludovico, Romano, Marcello, Serra, Carla, Solbiati, Luigi, Soresi, Maurizio, Speca, Stefania, Tarantino, Luciano, Valentino, Massimo, Vallone, Gianfranco, Assanti, Angelo, Granata, Antonio, and Cocco, Giulio

Subjects
medicine.medical_specialty, Settore MED/09 - Medicina Interna, Hepatocellular carcinoma, Contrast enhanced ultrasound, Cholangiocellular carcinoma, Focal nodular hyperplasia, Hemangioma, Metastasis, Contrast Media, Metastasi, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, Liver disease, 0302 clinical medicine, Internal Medicine, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Medical physics, Ultrasonography, Ultrasound study, business.industry, Liver Neoplasms, Ultrasound, General Medicine, Guideline, medicine.disease, Clinical Practice, Liver, Liver lesion, Original Article, 030211 gastroenterology & hepatology, business, Contrast-enhanced ultrasound
Abstract

The present document describes the SIUMB (Italian Society of Ultrasound in Medicine and Biology) guidelines for the use of ultrasound in the management of focal liver disease. The aim of the paper is to provide a clinical practice guideline for Italian physicians who are approaching the ultrasound study of a focal liver lesion. In particular, these guidelines provide simple indications, recommendations and general practice advices for the correct use of contrast-enhanced ultrasound (CEUS) in this scenario. They represent the SIUMB position of the ultrasound role in the diagnostic flow charts of the principal focal liver lesions, and are in agreement with other, previously published national and international guidelines.

Published
2019

9. Contrast-enhanced ultrasound evaluation of hepatic microvascular changes in liver diseases.

Author

Ridolfi F, Abbattista T, Busilacchi P, and Brunelli E

Subjects
Adult, Aged, Female, Fibrosis physiopathology, Humans, Liver blood supply, Liver Diseases diagnosis, Male, Middle Aged, Observer Variation, Perfusion, Regional Blood Flow, Reproducibility of Results, Software, Time Factors, Contrast Media pharmacology, Liver diagnostic imaging, Liver Diseases diagnostic imaging, Microcirculation, Ultrasonography methods
Abstract

Aim: To assess if software assisted-contrast-enhanced ultrasonography (CEUS) provides reproducible perfusion parameters of hepatic parenchyma in patients affected by chronic liver disease., Methods: Forty patients with chronic viral liver disease, with (n = 20) or without (n = 20) cirrhosis, and 10 healthy subjects underwent CEUS and video recordings of each examination were then analysed with Esaote's Qontrast software. CEUS dedicated software Qontrast was used to determine peak (the maximum signal intensity), time to peak (TTP), region of blood value (RBV) proportional to the area under the time-intensity curve, mean transit time (MTT) measured in seconds and region of blood flow (RBF)., Results: Qontrast-assisted CEUS parameters displayed high inter-observer reproducibility (κ coefficients of 0.87 for MTT and 0.90 TTP). When the region of interest included a main hepatic vein, Qontrast-calculated TTP was significantly shorter in cirrhotic patients (vs non-cirrhotics and healthy subjects) (71.0 ± 11.3 s vs. 82.4 ± 15.6 s, 86.3 ± 20.3 s, P < 0.05). MTTs in the patients with liver cirrhosis were significantly shorter than those of controls (111.9 ± 22.0 s vs. 139.4 ± 39.8 s, P < 0.05), but there was no significant difference between the cirrhotic and non-cirrhotic groups (111.9 ± 22.0 s vs. 110.3 ± 14.6 s). Peak enhancement in the patients with liver cirrhosis was also higher than that observed in controls (23.9 ± 5.9 vs. 18.9 ± 7.1, P = 0.05). There were no significant intergroup differences in the RBVs and RBFs., Conclusion: Qontrast-assisted CEUS revealed reproducible differences in liver perfusion parameters during the development of hepatic fibrogenesis.

Published
2012
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