Acoustic radiation force impulse elastography and contrast-enhanced sonography of sinusoidal obstructive syndrome (veno-occlusive disease): Preliminary results
Entity
UAM. Departamento de MedicinaPublisher
American Institute of Ultrasound in MedicineDate
2011-05Citation
Journal Ultrasound in Medicine 30 (2011): 1593–1598ISSN
0278-4297 (print); 1550-9613 (online)Subjects
Acoustic radiation force impulse elastography; Contrast-enhanced sonography; Sinusoidal obstructive syndrome; Veno-occlusive disease; MedicinaRights
© 2011 by the American Institute of Ultrasound in MedicineAbstract
We report quantitative liver acoustic radiation force impulse (ARFI) elastographic findings
in 2 cases of sinusoidal obstructive syndrome and liver contrast-enhanced sonographic
features in one of these cases. To our knowledge, findings in this condition from
these techniques have not been reported previously. Acoustic radiation force impulse
elastography showed median high shear wave velocities (case 1, 2.75 m/s; case 2, 2.58
m/s) that normalized after specific treatment for sinusoidal obstructive syndrome;
therefore, ARFI elastography provided quantitative information that helped diagnose
this condition as well as monitor the response to treatment. Contrast-enhanced sonographic
findings in one of the cases showed patchy liver enhancement that correlated
with the high-velocity patchy distribution on ARFI elastography in that case and enhanced
multidetector row computed tomographic findings in the other case. This contrast-
enhanced sonographic pattern progressively normalized during follow-up after
specific treatment. The elastographic features in both cases and contrast-enhanced
sonographic features in one of them contributed to early diagnosis and follow-up of sinusoidal
obstructive syndrome in both patients. Further prospective studies are necessary
to define the role of ARFI elastography and contrast-enhanced sonography in the
early diagnosis and clinical follow-up of this condition
Files in this item
Google Scholar:Fontanilla Echeveste, María Teresa
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González Hernando, Concepción
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Valenzuela Claros, Juan Cristóbal
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Bautista, Guiomar
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Minaya, Javier
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Vega, María del Carmen
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Piazza, Ana
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Méndez, Santiago
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Rodríguez, Claudio
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Pérez Arangüena, Rafael
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