[Interventional sonography of the liver and kidneys]

Abstract

Clinical/methodical issue: Optimization of ultrasound guided interventional procedures of the liver and kidneys using new imaging methods.

Standard radiological methods: Punctures, biopsies, drainage, intraoperative ultrasound, fusion, embolization in correlation with ultrasound and other imaging methods.

Methodical innovations: Real-time-sonography, contrast-enhanced ultrasound (CEUS) and fusion for planning, monitoring and postinterventional control.

Performance: The use of CEUS enables better detection, characterization and execution of interventional procedures. Fusion facilitates detection.

Achievements: The CEUS procedure is superior for detection and characterization of smaller lesions in comparison to the B scan. Fusion enables the performance of difficult interventional procedures.

Practical recommendations: The B scan is the standard imaging method but CEUS and fusion could be helpful for smaller lesions.