Skip to main content
Top
Published in: European Radiology 11/2007

01-11-2007 | Ultrasound

Imaging of aortic abnormalities with contrast-enhanced ultrasound. A pictorial comparison with CT

Authors: D.-A. Clevert, M. Stickel, T. Johnson, C. Glaser, D.-A. Clevert, H. O. Steitz, R. Kopp, K. W. Jauch, M. Reiser

Published in: European Radiology | Issue 11/2007

Login to get access

Abstract

Aortic abnormalities are commonly encountered and may represent a diagnostic challenge in patients with acute or chronic clinical symptoms. Contrast-enhanced ultrasound (CEUS) with low mechanical index (low MI) is a new promising method in the diagnosis and follow-up of pathological aortic lesions. CEUS with SonoVue allows a more rapid and noninvasive diagnosis, especially in critical patients because of its bedside availability. This review compares CEUS findings with those documented on computed tomography angiography (CTA), allowing the reader to appreciate the usefulness of CEUS in this clinical situation.
Literature
1.
go back to reference Taylor KJ, Hilland S (1990) Doppler US. Part 1. Basic principles, instrumentation and pitfalls. Radiology 174:297–307PubMed Taylor KJ, Hilland S (1990) Doppler US. Part 1. Basic principles, instrumentation and pitfalls. Radiology 174:297–307PubMed
2.
go back to reference Winkler P, Hemke K, Mahl M (1990) Major pitfalls in Doppler investigations. Part II. Low flow velocities and color Doppler applications. Pediatr Radiol 20:304–310PubMedCrossRef Winkler P, Hemke K, Mahl M (1990) Major pitfalls in Doppler investigations. Part II. Low flow velocities and color Doppler applications. Pediatr Radiol 20:304–310PubMedCrossRef
3.
go back to reference Bargellini I, Napoli V, Petruzzi P, Cioni R, Vignali C, Sardella S, Ferrari M, Bartolozzi C (2004) Type II lumbar endoleaks: hemodynamic differentiation by contrast-enhanced ultrasound scanning and influence on aneurysm enlargement after endovascular aneurysm repair. J Vasc Surg 41:10–13CrossRef Bargellini I, Napoli V, Petruzzi P, Cioni R, Vignali C, Sardella S, Ferrari M, Bartolozzi C (2004) Type II lumbar endoleaks: hemodynamic differentiation by contrast-enhanced ultrasound scanning and influence on aneurysm enlargement after endovascular aneurysm repair. J Vasc Surg 41:10–13CrossRef
4.
go back to reference Bendick PJ, Bove BG, Long GW, Zelenock GB, Brown OW, Shanley CJ (2003) Efficacy of ultrasound scan contrast agents in the noninvasive follow-up of aortic stent grafts. J Vasc Surg 37:381–385PubMedCrossRef Bendick PJ, Bove BG, Long GW, Zelenock GB, Brown OW, Shanley CJ (2003) Efficacy of ultrasound scan contrast agents in the noninvasive follow-up of aortic stent grafts. J Vasc Surg 37:381–385PubMedCrossRef
5.
go back to reference Napoli V, Bargellini I, Sardella SG, Petruzzi P, Cioni R, Vignali C, Ferrari M, Bartolozzi C (2004) Abdominal aortic aneurysm: contrast-enhanced US for missed endoleaks after endoluminal repair. Radiology 233:217–225PubMedCrossRef Napoli V, Bargellini I, Sardella SG, Petruzzi P, Cioni R, Vignali C, Ferrari M, Bartolozzi C (2004) Abdominal aortic aneurysm: contrast-enhanced US for missed endoleaks after endoluminal repair. Radiology 233:217–225PubMedCrossRef
6.
go back to reference Catalano O, Lobianco R, Cusati B, Siani A (2005) Contrast-enhanced sonography for diagnosis of ruptured abdominal aortic aneurysm. AJR 184:423–427PubMed Catalano O, Lobianco R, Cusati B, Siani A (2005) Contrast-enhanced sonography for diagnosis of ruptured abdominal aortic aneurysm. AJR 184:423–427PubMed
7.
go back to reference Bauer A, Solbiati L, Weissmann N (2002) Ultrasound imaging with SonoVue: low mechanical index realtime imaging. Acad Radiol 9(Suppl 2):282–284CrossRef Bauer A, Solbiati L, Weissmann N (2002) Ultrasound imaging with SonoVue: low mechanical index realtime imaging. Acad Radiol 9(Suppl 2):282–284CrossRef
8.
go back to reference Lencioni R, Cioni D, Bartolozzi C (2002) Tissue harmonic and contrast-specific imaging: back to grey-scale in ultrasound. Eur Radiol 12:151–161PubMedCrossRef Lencioni R, Cioni D, Bartolozzi C (2002) Tissue harmonic and contrast-specific imaging: back to grey-scale in ultrasound. Eur Radiol 12:151–161PubMedCrossRef
9.
go back to reference Phillips PJ, Gardner E (2004) Contrast-agent detection and quantification. Eur Radiol 14(Suppl 8):4–10 Phillips PJ, Gardner E (2004) Contrast-agent detection and quantification. Eur Radiol 14(Suppl 8):4–10
10.
go back to reference Phillips PJ (2001) Contrast pulse sequences (CPS): imaging nonlinear microbubbles. IEEE Ultrasonic Symposium 2:1739–1745 Phillips PJ (2001) Contrast pulse sequences (CPS): imaging nonlinear microbubbles. IEEE Ultrasonic Symposium 2:1739–1745
11.
go back to reference Greis C (2004) Technology overview: SonoVue (Bracco, Milan). Eur Radiol 14(Suppl 8):11–15 Greis C (2004) Technology overview: SonoVue (Bracco, Milan). Eur Radiol 14(Suppl 8):11–15
12.
go back to reference Horejs D, Gilbert P, Burstein S, Vogelzang R (1988) Normal aortoiliac diameters by CT. J Comput Assist Tomgr 12:602–603CrossRef Horejs D, Gilbert P, Burstein S, Vogelzang R (1988) Normal aortoiliac diameters by CT. J Comput Assist Tomgr 12:602–603CrossRef
13.
go back to reference Gallagher PJ (1999) Blood vessels. In: Sternber SS (ed) Diagnostic surgical pathology. Lippincott Williams & Wilkins, Philadelphia, pp 1256–1258 Gallagher PJ (1999) Blood vessels. In: Sternber SS (ed) Diagnostic surgical pathology. Lippincott Williams & Wilkins, Philadelphia, pp 1256–1258
14.
go back to reference Jeffrey RB, Ralls PW (1996) CT and sonography of the acute abdomen, 2nd edn. Lippincott-Raven, Philadelphia Jeffrey RB, Ralls PW (1996) CT and sonography of the acute abdomen, 2nd edn. Lippincott-Raven, Philadelphia
15.
go back to reference Miller J, Grimes P, Miller J (1999) Case report of an intraperitoneal ruptured abdominal aortic aneurysm diagnosed with bedside ultrasonography. Acad Emerg Med 4:661–664 Miller J, Grimes P, Miller J (1999) Case report of an intraperitoneal ruptured abdominal aortic aneurysm diagnosed with bedside ultrasonography. Acad Emerg Med 4:661–664
16.
go back to reference Adam DJ, Bradbury AW, Stuart WP et al (1998) The value of computed tomography in the assessment of suspected ruptured abdominal aortic aneurysm. J Vasc Surg 27:431–437PubMedCrossRef Adam DJ, Bradbury AW, Stuart WP et al (1998) The value of computed tomography in the assessment of suspected ruptured abdominal aortic aneurysm. J Vasc Surg 27:431–437PubMedCrossRef
17.
go back to reference Bode PJ, Edwards MJ, Kruit MC, van Vugt AB (1999) Sonography in clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. AJR 172:905–911PubMed Bode PJ, Edwards MJ, Kruit MC, van Vugt AB (1999) Sonography in clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. AJR 172:905–911PubMed
18.
go back to reference Hendrickson RG, Dean AJ, Costantino TG (2001) A novel use of ultrasound in pulseless electrical activity: the diagnosis of an acute abdominal aortic aneurysm rupture. AM J Emerg Med 21:141–145CrossRef Hendrickson RG, Dean AJ, Costantino TG (2001) A novel use of ultrasound in pulseless electrical activity: the diagnosis of an acute abdominal aortic aneurysm rupture. AM J Emerg Med 21:141–145CrossRef
19.
go back to reference Miller J, Miller J (1999) Small ruptured abdominal aortic aneurysm diagnosed by emergency physician ultrasound. Am J Emerg Med 17:174–175PubMedCrossRef Miller J, Miller J (1999) Small ruptured abdominal aortic aneurysm diagnosed by emergency physician ultrasound. Am J Emerg Med 17:174–175PubMedCrossRef
20.
go back to reference Shuman WP, Hastrup W, Kohler TR et al (1988) Suspected leaking abdominal aortic aneurysm: use of sonography in the emergency room. Radiology 168:117–119PubMed Shuman WP, Hastrup W, Kohler TR et al (1988) Suspected leaking abdominal aortic aneurysm: use of sonography in the emergency room. Radiology 168:117–119PubMed
21.
go back to reference Abbadi AC, Deldime PP, Van Espen D, Simon M, Rosoux P (1998) The spontaneous aortocaval fistula: a complication of the abdominal aortic aneurysm. Case report and review of the literature. J Cardiovasc Surg 39:433–436 Abbadi AC, Deldime PP, Van Espen D, Simon M, Rosoux P (1998) The spontaneous aortocaval fistula: a complication of the abdominal aortic aneurysm. Case report and review of the literature. J Cardiovasc Surg 39:433–436
22.
go back to reference Gilling-Smith GL, Mansfield AO (1991) Spontaneous abdominal arteriovenous fistula: report of eight cases and review of the literature. Br J Surg 78:421–425PubMedCrossRef Gilling-Smith GL, Mansfield AO (1991) Spontaneous abdominal arteriovenous fistula: report of eight cases and review of the literature. Br J Surg 78:421–425PubMedCrossRef
23.
go back to reference Davidovic LB, Kostic DM, Cvetkovic SD et al (2002) Aorto-caval fistulas. Cardiovasc Surg 10:555–560PubMedCrossRef Davidovic LB, Kostic DM, Cvetkovic SD et al (2002) Aorto-caval fistulas. Cardiovasc Surg 10:555–560PubMedCrossRef
24.
go back to reference Davis PM, Gloviczki P, Cherry KJ et al (1998) Aorto-caval and ilio-iliac arteriovenous fistulae. Am J Surg 176:115–118PubMedCrossRef Davis PM, Gloviczki P, Cherry KJ et al (1998) Aorto-caval and ilio-iliac arteriovenous fistulae. Am J Surg 176:115–118PubMedCrossRef
25.
go back to reference Ghilardi G, Scorza R, Bartolini E, de Monti M, Longhi F, Ruberti U (1993) Rupture of abdominal aortic aneurysms into major abdominal veins. J Cardiovasc Surg 34:39–47 Ghilardi G, Scorza R, Bartolini E, de Monti M, Longhi F, Ruberti U (1993) Rupture of abdominal aortic aneurysms into major abdominal veins. J Cardiovasc Surg 34:39–47
26.
go back to reference Brunkwall J, Länne T, Bergentz SE (1999) Acute renal impairment due to a primary aortocaval fistula is normalised after a successful operation. Eur J Vasc Endovasc Surg 17:191–196PubMedCrossRef Brunkwall J, Länne T, Bergentz SE (1999) Acute renal impairment due to a primary aortocaval fistula is normalised after a successful operation. Eur J Vasc Endovasc Surg 17:191–196PubMedCrossRef
27.
go back to reference Reckless JP, McColl T, Taylor GW (1972) Aortocaval fistulae: an uncommon complication of abdominal aortic aneurysms. Br J Surg 59:461–462PubMedCrossRef Reckless JP, McColl T, Taylor GW (1972) Aortocaval fistulae: an uncommon complication of abdominal aortic aneurysms. Br J Surg 59:461–462PubMedCrossRef
28.
go back to reference Syme J (1831) Case of spontaneous varicose aneurysm. Edin Med J 36:104–105 Syme J (1831) Case of spontaneous varicose aneurysm. Edin Med J 36:104–105
29.
go back to reference Rosenthal D, Atkins CP, Jerrius HS, Clark MD, Matsuura JH (1998) Diagnosis of aortocaval fistula by computed tomography. Ann Vasc Surg 12:86–87PubMedCrossRef Rosenthal D, Atkins CP, Jerrius HS, Clark MD, Matsuura JH (1998) Diagnosis of aortocaval fistula by computed tomography. Ann Vasc Surg 12:86–87PubMedCrossRef
30.
go back to reference Farber A, Wagner WH, Cossman DV et al (2002) Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options. J Vasc Surg 36:205–210PubMedCrossRef Farber A, Wagner WH, Cossman DV et al (2002) Isolated dissection of the abdominal aorta: clinical presentation and therapeutic options. J Vasc Surg 36:205–210PubMedCrossRef
31.
go back to reference Spittell PC, Spittel J Jr, Joyce JW (1993) Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980–1990). Mayo Clin Proc 68:642–651PubMed Spittell PC, Spittel J Jr, Joyce JW (1993) Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980–1990). Mayo Clin Proc 68:642–651PubMed
32.
go back to reference Archer AG, Choyke PL, Zeman RK, Green CE, Zuckerman M (1986) Aortic dissection following coronary artery bypass surgery: diagnosis by CT. Cardiovasc Intervet Radiol 9:142–145CrossRef Archer AG, Choyke PL, Zeman RK, Green CE, Zuckerman M (1986) Aortic dissection following coronary artery bypass surgery: diagnosis by CT. Cardiovasc Intervet Radiol 9:142–145CrossRef
33.
go back to reference Khan IA, Nair CN (2002) Clinical, diagnostic and management perspectives of aortic dissection. Chest 122:311–328PubMedCrossRef Khan IA, Nair CN (2002) Clinical, diagnostic and management perspectives of aortic dissection. Chest 122:311–328PubMedCrossRef
34.
go back to reference Hagan PG, Nienaber CA, Isselbacher EM et al (2000) The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 283:897–903PubMedCrossRef Hagan PG, Nienaber CA, Isselbacher EM et al (2000) The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 283:897–903PubMedCrossRef
35.
go back to reference Veith FJ, Baum RA, Ohki T et al (2002) Nature and significance of endoleaks and endotension: summary of opinions expressed in an international conference. J Vasc Surg 35:461–473CrossRef Veith FJ, Baum RA, Ohki T et al (2002) Nature and significance of endoleaks and endotension: summary of opinions expressed in an international conference. J Vasc Surg 35:461–473CrossRef
36.
go back to reference Bernhard VM, Mitchell RS, Matsumura JS et al (2002) Ruptured abdominal aortic aneurysm after endovascular repair. J Vasc Surg 35:1155–1162PubMedCrossRef Bernhard VM, Mitchell RS, Matsumura JS et al (2002) Ruptured abdominal aortic aneurysm after endovascular repair. J Vasc Surg 35:1155–1162PubMedCrossRef
37.
go back to reference White GH, May J, Waugh RC, Yu W (1998) Type I and type II endoleaks: a more useful classification for reporting results of endoluminal AAA repair. J Endovasc Surg 5:189–191PubMedCrossRef White GH, May J, Waugh RC, Yu W (1998) Type I and type II endoleaks: a more useful classification for reporting results of endoluminal AAA repair. J Endovasc Surg 5:189–191PubMedCrossRef
38.
go back to reference White GH, May J, Waugh RC, Chaufour X, Yu W (1998) Type III and type IV endoleaks: toward a complete definition of blood flow in the sac after endoluminal AAA repair. J Endovasc Surg 5:305–309PubMedCrossRef White GH, May J, Waugh RC, Chaufour X, Yu W (1998) Type III and type IV endoleaks: toward a complete definition of blood flow in the sac after endoluminal AAA repair. J Endovasc Surg 5:305–309PubMedCrossRef
39.
go back to reference Thurnher S, Cejna M (2002) Imaging of aortic stent-grafts and endoleaks. Radiol Clin North Am 40:799–833PubMedCrossRef Thurnher S, Cejna M (2002) Imaging of aortic stent-grafts and endoleaks. Radiol Clin North Am 40:799–833PubMedCrossRef
40.
go back to reference Glozarian J, Dussaussois L, Abada HAT et al (1998) Helical CT of aorta after endoluminal stent-graft therapy: value of biphasic acquisition. AJR 171:329–331 Glozarian J, Dussaussois L, Abada HAT et al (1998) Helical CT of aorta after endoluminal stent-graft therapy: value of biphasic acquisition. AJR 171:329–331
41.
go back to reference D’Audiffret A, Desgranges P, Kobeiter DH, Becquemin JP (2001) Follow-up evaluation of endoluminally treated abdominal aortic aneurysm with duplex ultrasonography: validation with computed tomography. J Vasc Surg 33:42–50PubMedCrossRef D’Audiffret A, Desgranges P, Kobeiter DH, Becquemin JP (2001) Follow-up evaluation of endoluminally treated abdominal aortic aneurysm with duplex ultrasonography: validation with computed tomography. J Vasc Surg 33:42–50PubMedCrossRef
42.
go back to reference McLafferty RB, McCrary BS, Mattos MA et al (2002) The use of color-flow duplex scan for detection of endoleaks. J Vasc Surg 36:100–104PubMedCrossRef McLafferty RB, McCrary BS, Mattos MA et al (2002) The use of color-flow duplex scan for detection of endoleaks. J Vasc Surg 36:100–104PubMedCrossRef
43.
go back to reference Greenfield AL, Halpern EJ, Bonn J, Wechsler RJ, Kahn MB (2002) Application of duplex US for characterization of endoleaks in abdominal aortic stent-grafts: report of five cases. Radiology 225:845–851PubMedCrossRef Greenfield AL, Halpern EJ, Bonn J, Wechsler RJ, Kahn MB (2002) Application of duplex US for characterization of endoleaks in abdominal aortic stent-grafts: report of five cases. Radiology 225:845–851PubMedCrossRef
44.
go back to reference McWilliams RG, Martin J, White D, Gould DA, Rowlands PC, Haycox A et al (2002) Detection of endoleaks with enhanced ultrasound imaging comparison with biphasic computed tomography. J Endovasc Ther 9:170–179PubMedCrossRef McWilliams RG, Martin J, White D, Gould DA, Rowlands PC, Haycox A et al (2002) Detection of endoleaks with enhanced ultrasound imaging comparison with biphasic computed tomography. J Endovasc Ther 9:170–179PubMedCrossRef
45.
go back to reference Thompson MM, Boyle JR, Hartshorn T et al (1998) Comparison of computed tomography and duplex imaging in assessing aortic morphology following endovascular aneurysm repair. Br J Surg 85:346–350PubMedCrossRef Thompson MM, Boyle JR, Hartshorn T et al (1998) Comparison of computed tomography and duplex imaging in assessing aortic morphology following endovascular aneurysm repair. Br J Surg 85:346–350PubMedCrossRef
Metadata
Title
Imaging of aortic abnormalities with contrast-enhanced ultrasound. A pictorial comparison with CT
Authors
D.-A. Clevert
M. Stickel
T. Johnson
C. Glaser
D.-A. Clevert
H. O. Steitz
R. Kopp
K. W. Jauch
M. Reiser
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
European Radiology / Issue 11/2007
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-006-0542-5

Other articles of this Issue 11/2007

European Radiology 11/2007 Go to the issue