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CEUS Spleen: Malignant Lesions
Julia Zavariz, MD; Annamaria Deganello, MD; Paul S. Sidhu, BSc, MBBS, MRCP, FRCR, DTM&H
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KEY FACTS

  • Clinical Implications

    • Recommended Uses of CEUS

      • IMAGING

        CLINICAL IMPLICATIONS

        • Splenic Lymphoma and Leukemia

          • Splenic Metastases

            • Primary Malignant Lesions

              CEUS TECHNIQUE

              • CEUS Protocol Advice

                IMAGING

                • Splenic Lymphoma

                  • Splenic Metastases

                    Selected References

                    1. Sidhu PS et al: The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017 (Long Version). Ultraschall Med. 39(2):e2-e44, 2018
                    2. Zavariz JD et al: Common and uncommon features of focal splenic lesions on contrast-enhanced ultrasound: a pictorial review. Radiol Bras. 50(6):395-404, 2017
                    3. Catalano O et al: Contrast-enhanced ultrasound in the assessment of patients with indeterminate abdominal findings at positron emission tomography imaging. Ultrasound Med Biol. 42(11):2717-2723, 2016
                    4. Omar A et al: Contrast-enhanced ultrasound of the spleen. Ultrasound. 24(1):41-9, 2016
                    5. Trenker C et al: 71-year-old patient with chronic lymphocytic leukemia (CLL) and hypoechoic nodular spleen and liver lesions with fatal outcome: Presentation of mucormycosis in B-mode imaging and contrast-enhanced ultrasound (CEUS). Ultrasound Int Open. 2(3):E100-1, 2016
                    6. Ballestri S et al: Primary lymphoma of the spleen mimicking simple benign cysts: contrast-enhanced ultrasonography and other imaging findings. J Med Ultrason (2001). 42(2):251-5, 2015
                    7. Caremani M et al: Focal splenic lesions: US findings. J Ultrasound. 16(2):65-74, 2013
                    8. Yu X et al: Real-time contrast-enhanced ultrasound in diagnosing of focal spleen lesions. Eur J Radiol. 81(3):430-6, 2012
                    9. Görg C et al: Contrast enhanced ultrasound of splenic lymphoma involvement. Eur J Radiol. 80(2):169-74, 2011
                    10. Neesse A et al: Contrast-enhanced ultrasound pattern of splenic metastases - a retrospective study in 32 patients. Ultraschall Med. 31(3):264-9, 2010
                    11. Wells IT et al: Differentiating a benign splenic lesion from an isolated metastasis with contrast-enhanced sonography. J Ultrasound Med. 29(9):1375-8, 2010
                    12. Picardi M et al: Contrast-enhanced harmonic compound US of the spleen to increase staging accuracy in patients with Hodgkin lymphoma: a prospective study. Radiology. 251(2):574-82, 2009
                    13. Stang A et al: Differentiation of benign from malignant focal splenic lesions using sulfur hexafluoride-filled microbubble contrast-enhanced pulse-inversion sonography. AJR Am J Roentgenol. 193(3):709-21, 2009
                    14. von Herbay A et al: Contrast-enhanced ultrasonography with SonoVue: differentiation between benign and malignant lesions of the spleen. J Ultrasound Med. 28(4):421-34, 2009
                    15. Görg C: The forgotten organ: contrast enhanced sonography of the spleen. Eur J Radiol. 64(2):189-201, 2007
                    16. Görg C et al: Contrast-enhanced sonography for differential diagnosis of an inhomogeneous spleen of unknown cause in patients with pain in the left upper quadrant. J Ultrasound Med. 25(6):729-34, 2006
                    17. Tafuto S et al: Real-time contrast-enhanced specific ultrasound in staging and follow-up of splenic lymphomas. Front Biosci. 11:2224-9, 2006
                    18. Peddu P et al: Splenic abnormalities: a comparative review of ultrasound, microbubble-enhanced ultrasound and computed tomography. Clin Radiol. 59(9):777-92, 2004
                    Related Anatomy
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                    References
                    Tables

                    Tables

                    KEY FACTS

                    • Clinical Implications

                      • Recommended Uses of CEUS

                        • IMAGING

                          CLINICAL IMPLICATIONS

                          • Splenic Lymphoma and Leukemia

                            • Splenic Metastases

                              • Primary Malignant Lesions

                                CEUS TECHNIQUE

                                • CEUS Protocol Advice

                                  IMAGING

                                  • Splenic Lymphoma

                                    • Splenic Metastases

                                      Selected References

                                      1. Sidhu PS et al: The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017 (Long Version). Ultraschall Med. 39(2):e2-e44, 2018
                                      2. Zavariz JD et al: Common and uncommon features of focal splenic lesions on contrast-enhanced ultrasound: a pictorial review. Radiol Bras. 50(6):395-404, 2017
                                      3. Catalano O et al: Contrast-enhanced ultrasound in the assessment of patients with indeterminate abdominal findings at positron emission tomography imaging. Ultrasound Med Biol. 42(11):2717-2723, 2016
                                      4. Omar A et al: Contrast-enhanced ultrasound of the spleen. Ultrasound. 24(1):41-9, 2016
                                      5. Trenker C et al: 71-year-old patient with chronic lymphocytic leukemia (CLL) and hypoechoic nodular spleen and liver lesions with fatal outcome: Presentation of mucormycosis in B-mode imaging and contrast-enhanced ultrasound (CEUS). Ultrasound Int Open. 2(3):E100-1, 2016
                                      6. Ballestri S et al: Primary lymphoma of the spleen mimicking simple benign cysts: contrast-enhanced ultrasonography and other imaging findings. J Med Ultrason (2001). 42(2):251-5, 2015
                                      7. Caremani M et al: Focal splenic lesions: US findings. J Ultrasound. 16(2):65-74, 2013
                                      8. Yu X et al: Real-time contrast-enhanced ultrasound in diagnosing of focal spleen lesions. Eur J Radiol. 81(3):430-6, 2012
                                      9. Görg C et al: Contrast enhanced ultrasound of splenic lymphoma involvement. Eur J Radiol. 80(2):169-74, 2011
                                      10. Neesse A et al: Contrast-enhanced ultrasound pattern of splenic metastases - a retrospective study in 32 patients. Ultraschall Med. 31(3):264-9, 2010
                                      11. Wells IT et al: Differentiating a benign splenic lesion from an isolated metastasis with contrast-enhanced sonography. J Ultrasound Med. 29(9):1375-8, 2010
                                      12. Picardi M et al: Contrast-enhanced harmonic compound US of the spleen to increase staging accuracy in patients with Hodgkin lymphoma: a prospective study. Radiology. 251(2):574-82, 2009
                                      13. Stang A et al: Differentiation of benign from malignant focal splenic lesions using sulfur hexafluoride-filled microbubble contrast-enhanced pulse-inversion sonography. AJR Am J Roentgenol. 193(3):709-21, 2009
                                      14. von Herbay A et al: Contrast-enhanced ultrasonography with SonoVue: differentiation between benign and malignant lesions of the spleen. J Ultrasound Med. 28(4):421-34, 2009
                                      15. Görg C: The forgotten organ: contrast enhanced sonography of the spleen. Eur J Radiol. 64(2):189-201, 2007
                                      16. Görg C et al: Contrast-enhanced sonography for differential diagnosis of an inhomogeneous spleen of unknown cause in patients with pain in the left upper quadrant. J Ultrasound Med. 25(6):729-34, 2006
                                      17. Tafuto S et al: Real-time contrast-enhanced specific ultrasound in staging and follow-up of splenic lymphomas. Front Biosci. 11:2224-9, 2006
                                      18. Peddu P et al: Splenic abnormalities: a comparative review of ultrasound, microbubble-enhanced ultrasound and computed tomography. Clin Radiol. 59(9):777-92, 2004