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Unraveling distinctions between contrast-enhanced ultrasound and CT/MRI for liver mass diagnosis
Vanessa Murad , Hyun-Jung Jang , Tae Kyoung Kim
University of Toronto, Toronto, Canada
Corresponding Author: Tae Kyoung Kim ,Tel: 1-416-340-3372, Fax: 1-416-593-0502, Email: taekyoung.kim@uhn.ca
Received: August 29, 2024;  Accepted: October 16, 2024.  Published online: October 20, 2024.
ABSTRACT
Contrast-Enhanced Ultrasound (CEUS) offers a distinctive approach to liver mass diagnosis by utilizing intravenous contrast agents for enhanced visualization of vascular structures and tissue characterization. This review highlights the unique advantages of CEUS compared to computed tomography (CT) and magnetic resonance imaging (MRI), particularly focusing on the Liver Imaging Reporting and Data System (LI-RADS) framework. Key differences include CEUS’s real-time imaging capability, which minimizes arterial phase mistiming and improves detection of hyperenhancing lesions, and its ability to provide detailed washout patterns. Also, CEUS's intravascular nature and lower risk of adverse reactions make it a safer alternative for patients with renal impairment or those contraindicated for CT/MRI.
Keywords: Contrast enhanced ultrasound; liver; LI-RADS
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