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Wertheimer, Tobias ; Pausch, Antonia-Maria ; Kammerer, Sylvia ; Weber, Florian ; Herr, Wolfgang ; Stroszczynski, Christian ; Holler, Ernst ; Edinger, Matthias ; Wolff, Daniel ; Weber, Daniela ; Jung, Ernst-Michael

Parametric Imaging of Contrast-Enhanced Ultrasound (CEUS) for the Evaluation of Acute Gastrointestinal Graft-Versus-Host Disease

Wertheimer, Tobias , Pausch, Antonia-Maria, Kammerer, Sylvia, Weber, Florian, Herr, Wolfgang, Stroszczynski, Christian , Holler, Ernst, Edinger, Matthias, Wolff, Daniel , Weber, Daniela and Jung, Ernst-Michael (2021) Parametric Imaging of Contrast-Enhanced Ultrasound (CEUS) for the Evaluation of Acute Gastrointestinal Graft-Versus-Host Disease. Cells 10 (5), p. 1092. (Submitted)

Date of publication of this fulltext: 01 Jun 2021 14:20
Article
DOI to cite this document: 10.5283/epub.45282


Abstract

In recent years contrast-enhanced ultrasound (CEUS) has been an emerging diagnostic modality for the detection of acute gastrointestinal (GI) graft-versus-host disease (GvHD) in patients after allogeneic stem cell transplantation. However, broad clinical usage has been partially limited by its high dependence on the expertise of an experienced examiner. Thus, the aim of this study was to ...

In recent years contrast-enhanced ultrasound (CEUS) has been an emerging diagnostic modality for the detection of acute gastrointestinal (GI) graft-versus-host disease (GvHD) in patients after allogeneic stem cell transplantation. However, broad clinical usage has been partially limited by its high dependence on the expertise of an experienced examiner. Thus, the aim of this study was to facilitate detection of acute GI GvHD by implementing false color-coded parametric imaging of CEUS. As such, two inexperienced examiners with basic knowledge in abdominal and vascular ultrasound analyzed parametric images obtained from patients with clinical suspicion for acute GvHD in a blinded fashion. As diagnostic gold standard, histopathological GvHD severity score on intestinal biopsies obtained from lower GI tract endoscopy was performed. The evaluation of parametric images by the two inexperienced ultrasound examiners in patients with histological confirmation of acute GI GvHD was successful in 17 out of 19 patients (89%) as opposed to analysis of combined B-mode ultrasound, strain elastography, and CEUS by an experienced examiner, which was successful in 18 out of 19 of the patients (95%). Therefore, CEUS with parametric imaging of the intestine was technically feasible and has the potential to become a valuable diagnostic tool for rapid and widely accessible detection of acute GvHD in clinical practice.



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Details

Item typeArticle
Journal or Publication TitleCells
Publisher:MDPI
Place of Publication:BASEL
Volume:10
Number of Issue or Book Chapter:5
Page Range:p. 1092
Date3 May 2021
InstitutionsMedicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Medicine > Lehrstuhl für Pathologie
Medicine > Lehrstuhl für Röntgendiagnostik
Leibniz Institute for Immunotherapy (LIT)
Identification Number
ValueType
10.3390/cells10051092DOI
KeywordsACUTE GVHD; TRANSPLANTATION; DIAGNOSIS; CRITERIA; MARROW; GvHD; CEUS; parametric imaging; allogeneic stem cell transplantation; dynamic vascularization
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusSubmitted
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-452824
Item ID45282

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