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Keywords:
Abdomen, Paediatric, Trauma, Ultrasound, CT, Contrast agent-intravenous, Radiation safety
Authors:
A. Deganello, E. Konstantatou, O. Romanos, M. Sellars, P. Sidhu; London/UK
DOI:
10.1594/ecr2015/B-0892
Conclusion
Our experience demonstrates the usefulness and accuracy of CEUS compared to CT in the follow up of hepatic,
renal and splenic injuries.
With the introduction of CEUS we were able to reduce the number of CT scans performed in the follow up of these patients,
reducing substantially the high cumulative radiation burden in a particularly susceptible population.
The use of CEUS in children is an off-labeled practice,
as no dedicated clinical trial has been conducted; however as with the majority of medication prescribed to children,
its safety has been confirmed in the everyday clinical practice in Europe and the US.
Darge K.
et al.
have recently published a review for the safety of the contrast in children.
No severe adverse incidents were reported.
This is a radiation free technique,
which saves the pediatric and potentially all patients from the long life risk of radiation related cancer induction with results similar to those of CT.
We were able to demonstrate all trauma related complications and follow up the patient up to complete resolution of the lesions with no adverse incidents.
The potential use of CEUS in tauma patient management is thought to be crucial and is introduced in our Institution.