Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10691295 | Ultrasound in Medicine & Biology | 2015 | 7 Pages |
Abstract
The aim of this study is to provide a diagnostic performance evaluation of contrast-enhanced ultrasonography (CEUS) in detecting liver metastases in patients with suspected of pancreatic or periampullary cancer. Computed tomography (CT) is often insufficient for detection of liver metastases, but their presence plays a crucial role in the choice of therapy. Eighty-nine patients with suspected pancreatic or periampullary cancer were included in this prospective study with retrospective analysis. Patients underwent an abdominal CT and CEUS. Fifteen patients had liver metastases. The CT sensitivity was 73.3% (11/15), the specificity 93.2% (69/74), the positive predictive value (PPV) 68.8% (11/16) and the negative predictive value (NPV) 94.6% (69/73). Based on CEUS, the sensitivity was 80% (12/15), specificity 98.6% (73/74), PPV 92.3% (12/13) and NPV 96.1% (73/76). CEUS improved characterization of liver lesions in patients with suspected pancreatic or periampullary cancer compared with CT. CEUS can better detect benign liver lesions and distinguish false-positive or indeterminate CT results.
Related Topics
Physical Sciences and Engineering
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Authors
Pavel Taimr, Vivian L. Jongerius, Chulja J. Pek, Nanda C. Krak, Bettina E. Hansen, Harry L.A. Janssen, Herold J. Metselaar, Casper H.J. van Eijck,