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вce журналы << Медицинская визуализация << 2015 год << №1 <<
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Контрастное усиление изображения препаратом SonoVue®: пути усовершенствования ультразвуковой диагностики очаговой патологии органов брюшной полости и забрюшинного пространства

Аскерова Н. Н., Кармазановский Г. Г.
Вы можете загрузить полный текст статьи в формате pdf
Аскерова Нурия Нураддиновна - ординатор отделения ультразвуковых методов диагностики и лечения, ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава России, Москва, Россия
Кармазановский Григорий Григорьевич - доктор мед. наук, профессор, заведующий отделом лучевых методов диагностики и лечения ФГБУ “Институт хирургии им. А.В. Вишневского” МЗ РФ; профессор кафедры лучевой диагностики ИПО ГБОУ ВПО “Первый МГМУ им. И.М. Сеченова” МЗ РФ, ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава России; ГБОУ ВПО “Первый Московский государственный медицинский университет им. И.М. Сеченова” Минздрава России, karmazanovsky@yandex.ru, 119997, Москва, ул. Большая Серпуховская, 27

За последние годы в зарубежных странах ультразвуковое контрастное исследование с применением препарата SonoVue стало широко распространенным и клинически значимым. В России до настоящего времени данную методику визуализации не применяли, однако с государственной регистрацией препарата SonoVue появилась перспектива его внедрения в широкую клиническую практику. Из поисковой системы PubMed по ключевым словам “sonovue”, “contrast enhanced ultrasound”, “sonovue liver”, “sonovue pancreas”, “sonovue kidney” отобрано 65 публикаций последнего времени, которые были сгруппированы соответственно разделам этой статьи. Проанализирован опыт зарубежных коллег в ультразвуковой диагностике с контрастным усилением заболеваний печени, поджелудочной железы и почек, обобщены имеющиеся результаты и определены основные направления использования методики в многопрофильной хирургической клинике. Систематизирована ультразвуковая семиотика очаговой патологии брюшной полости, описаны показания и противопоказания к применению ультразвукового контрастного исследования с препаратом SonoVue. Применение контрастного вещества второго поколения SonoVue в ультразвуковой диагностике заболеваний печени, поджелудочной железы и почек является перспективным, безопасным и точным методом, благодаря чему будет уменьшаться потребность в более дорогих методах визуализации, таких как КТ и МРТ, особенно у пациентов, требующих постоянного динамического контроля эффективности лечения.

Ключевые слова:
ультразвуковое исследование, Соновью, контраст, контрастное усиление, печень, поджелудочная железа, почки, ultrasound, SonoVue, contrast enhancement, liver, pancreas, kidneys

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Contrast-Enhanced Imaging with Utilization of SonoVue®: Ways of Improvement of Ultrasonic Diagnosis of Focal Lesions in Parenchymal Organs of Abdominal Cavity and Retroperitoneal

Askerova N. N., Karmazanovsky G. G.

The contrast-enhanced ultrasonography with the usage of SonoVue agent have become widespread and clinically significant in recent years in foreign countries. In Russia this method has never been used, but with the state registration of the SonoVue a prospect of its implementation in clinical practice appeared. The experience of foreign colleagues in contrast-enhanced ultrasonography of liver, pancreas and kidney diseases was analyzed, up-to-date results were generalized and main directions of using this method in clinical practice were determined. Searching in PubMed with keywords “sonovue”, “contrast enhanced ultrasound”, “sonovue liver”, “sonovue pancreas”, “sonovue kidney” showed 65 recent publications, which have been grouped according to the sections of this article. The systematic ultrasound semiotics of focal lesions of the abdominal cavity described the indications and contraindications to the contrast-enhanced ultrasonography. The usage of the second generation contrast agent - SonoVue in ultrasound diagnosis of liver, pancreas and kidney diseases is a promising, safe and accurate method, so that will decrease the need for more expensive imaging techniques such as CT and MRI, especially in patients requiring continuous dynamic monitoring of the effectiveness of treatment.

Keywords:
ультразвуковое исследование, Соновью, контраст, контрастное усиление, печень, поджелудочная железа, почки, ultrasound, SonoVue, contrast enhancement, liver, pancreas, kidneys

ООО Издательский дом ВИДАР-М, 2016