Multimodality imaging using ultrasound image fusion in renal lesions

Clin Hemorheol Microcirc. 2012;50(1-2):79-89. doi: 10.3233/CH-2011-1445.

Abstract

Objectives: To assess the benefit of ultrasound (US) image fusion in the identifiability and assessment of the dignity of renal lesions.

Materials and methods: 25 patients with 29 renal lesions were investigated using standard US and CEUS (contrast enhanced US) with image fusion (CT or MRI). Identifiability and assessment of dignity was evaluated using cross-sectional images and US separately as well as using both US-techniques with additional image fusion. The respective modality was rated by two experienced radiologists (10 and 5 years of experience) using a (subjective) 5 point rank scale (1 = best).

Results: Using CEUS, image fusion resulted in improved identifiability (score: 1.1 ± 0.4) and improved assessment of dignity (score 1.0 ± 0) of renal lesions than using cross sectional images (score 1.8 ± 1.2 and 3.8 ± 1.2 respectively) separately.

Conclusion: Image fusion improved the identifiability and the assessment of the dignity of renal lesions compared to using the respective modalities separately.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Renal Cell / diagnostic imaging*
  • Contrast Media*
  • Female
  • Humans
  • Kidney / diagnostic imaging*
  • Kidney / pathology
  • Kidney Neoplasms / diagnostic imaging*
  • Kidney Neoplasms / pathology
  • Magnetic Resonance Imaging / methods
  • Male
  • Middle Aged
  • Phospholipids
  • Prospective Studies
  • Sulfur Hexafluoride
  • Tomography, X-Ray Computed / methods
  • Ultrasonography / methods*
  • Ultrasonography, Doppler, Color / methods

Substances

  • Contrast Media
  • Phospholipids
  • contrast agent BR1
  • Sulfur Hexafluoride