The diagnostic uses of ultrasound in liver cancer are well established. Ultrasound plays a key role in surveillance, biopsy and, increasingly, in characterisation, with the use of contrast-enhanced ultrasound (CEUS). The treatment of liver cancer using ultrasound is perhaps less well appreciated. Ultrasound is used in the treatment of liver cancer in two ways: firstly […]
Dr Peter Littler, Dr Benjamin Stenberg
Freeman Hospital, Newcastle upon Tyne
Contrast-enhanced ultrasound (CEUS) has been utilised for a variety of applications, with published guidelines for its appropriate use. Several advantages of CEUS compared with other contrast-enhanced imaging techniques have been shown, including the absence of nephrotoxicity and ionising radiation, real-time assessment of vascularity and excellent spatial resolution. Ultrasound contrast agents (UCA) consist of microbubbles of […]
Olivia Rufai, Margarita Nesbitt, Dr Dean Huang
King's College Hospital
It is widely understood that sonographer-led ultrasound services in the UK are well established and essential to meet demand. Indeed, sonographer role extension has been an underpinning part of the expansion of radiology services for over three decades and is widely supported by radiologists and referring clinicians alike. Undertaking contrast-enhanced ultrasound (CEUS) imaging requires a […]
Pamela Parker
Hull University Teaching Hospitals NHS Trust
Ultrasound represents the first imaging step in the assessment of the paediatric patient. Ultrasound is well-tolerated by children, safe, with no contraindication, but above all involving no ionising radiation. With a suitable body habitus, ultrasound is well-suited in children to examine virtually any part of the body, with better imaging quality than in the adult, […]
Dr Vasileios Rafailidis, Dr Annamaria Deganello, Dr Maria Sellars, Professor Paul Sidhu
King's College Hospital
Renal ultrasound is a frequently used examination and serves as an essential tool in diagnosing common and complex renal pathologies. Over the past few decades it has also served as a guide to invasive renal procedures. High quality affordable and portable scanners have given ultrasound a pivotal role in day-to-day management of patients. With increasing […]
Dr A Khan, Dr S Burbidge
Leeds Teaching Hospitals NHS Trust
Axillary lymph node status is an important prognostic factor in patients with breast cancer. Traditionally, staging of the axilla was full axillary lymph node dissection (ALND) for all patients with invasive breast cancer. However, ALND is associated with significant morbidity to the patient. To reduce this but offer equal survival outcome as with full axillary […]
Anne Neilson Moody, Dr Nisha Sharma
Leeds Teaching Hospitals NHS Trust
Contrast enhanced ultrasound (CEUS) is now established and widely used in many clinical settings outside the licensed areas of hepatic, breast, cardiac and vascular applications. The use of CEUS in acute blunt abdominal trauma has been shown to be rapid, safe, cost-effective, diagnostically accurate and, although lacking the global imaging capabilities of computed tomography (CT), […]
Dr Bhavna Batohi, Dr Annamaria Deganello, Dr Maria Sellars, Professor Paul Sidhu
King's College Hospital