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

Abstract:

BACKGROUND:Intraoperative vessel visualization is highly desirable, especially when the target is related to or close to main 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.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Prada F,Del Bene M,Saini M,Ferroli P,DiMeco F

doi

10.1007/s00701-015-2412-x

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1025-9

issue

6

eissn

0001-6268

issn

0942-0940

journal_volume

157

pub_type

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