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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 und Jung, Ernst-Michael (2021) Parametric Imaging of Contrast-Enhanced Ultrasound (CEUS) for the Evaluation of Acute Gastrointestinal Graft-Versus-Host Disease. Cells 10 (5), S. 1092. (Eingereicht)

Veröffentlichungsdatum dieses Volltextes: 01 Jun 2021 14:20
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.45282


Zusammenfassung

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

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftCells
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:10
Nummer des Zeitschriftenheftes oder des Kapitels:5
Seitenbereich:S. 1092
Datum3 Mai 2021
InstitutionenMedizin > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Medizin > Lehrstuhl für Pathologie
Medizin > Lehrstuhl für Röntgendiagnostik
Leibniz-Institut für Immuntherapie (LIT)
Identifikationsnummer
WertTyp
10.3390/cells10051092DOI
Stichwörter / KeywordsACUTE GVHD; TRANSPLANTATION; DIAGNOSIS; CRITERIA; MARROW; GvHD; CEUS; parametric imaging; allogeneic stem cell transplantation; dynamic vascularization
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusEingereicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-452824
Dokumenten-ID45282

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