Intraoperative cerebral angiosonography with ultrasound contrast agents: how I do it

被引:30
|
作者
Prada, Francesco [1 ]
Del Bene, Massimiliano [1 ]
Saini, Marco [1 ]
Ferroli, Paolo [1 ]
DiMeco, Francesco [1 ,2 ]
机构
[1] Fdn IRCCS Ist Neurol C Besta, Dept Neurosurg, I-20133 Milan, Italy
[2] Johns Hopkins Med Sch, Dept Neurol Surg, Baltimore, MD USA
关键词
Intraoperative imaging; Ultrasound; Contrast-enhanced ultrasound; Angiography; Angiosonography; Vascular surgery; Skull base; OF-THE-LITERATURE; SURGERY;
D O I
10.1007/s00701-015-2412-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Intraoperative vessel visualization is highly desirable, especially when the target is related to or close tomain vessels, such as in the skull base and vascular surgery. Contrast-enhanced ultrasound (CEUS) is an imaging technique that allows visualization of tissue perfusion and vascularization through the infusion of purely intravascular ultrasound contrast agents (UCA). Methods After cerebral scanning with B-mode ultrasound (US) CEUS is performed, UCA are injected and insonated with low mechanical index US. A UCA-specific harmonic signal is transduced using a contrast-specific algorithm to obtain real-time angiosonography (ASG). Conclusions Real-time intraoperative ASG is a rapid, reliable, repeatable method for vessel visualization and evaluation of tissue perfusion.
引用
收藏
页码:1025 / 1029
页数:5
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