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Contrast-enhanced ultrasound: what is the evidence and what are the obstacles?

机译:超声造影:证据是什么,障碍是什么?

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摘要

OBJECTIVE: Although ultrasound contrast agents (UCAs) are popular and widely used in Europe and Asia, the U.S. Food and Drug Administration (FDA) has not approved a microbubble agent for radiology imaging in the United States. Herein, we discuss the evidence for and the obstacles to using UCAs for contrast-enhanced ultrasound (CEUS). CONCLUSION: Despite the obstacles to the use of UCAs for CEUS including regulatory and practice patterns, the evidence indicates that radiologists and patients will be missing an effectual imaging option if we do not encourage the use of CEUS and strongly support the approval of UCAs by the FDA. The evidence outweighs the obstacles: CEUS is cost-effective; can be performed at the bedside; uses no ionizing radiation; has no nephrotoxicity; and, most importantly, can provide accurate diagnostic information comparable to CT and MRI.
机译:目的:尽管超声造影剂(UCA)在欧洲和亚洲很流行并广泛使用,但美国食品药品监督管理局(FDA)尚未批准在美国进行放射成像的微泡剂。在这里,我们讨论了使用UCA进行对比增强超声(CEUS)的证据和障碍。结论:尽管将UCA用于CEUS的障碍包括监管和实践模式,但证据表明,如果我们不鼓励使用CEUS并大力支持UCA的批准,放射科医生和患者将缺少有效的影像学选择。 FDA。证据胜过障碍:CEUS具有成本效益;可以在床边进行;不使用电离辐射;没有肾毒性;并且最重要的是,可以提供与CT和MRI相当的准确诊断信息。

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