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Intraoperative Ultrasound (IOUS) in Neurosurgery pp 159–169Cite as

Contrast-Enhanced Ultrasound (CEUS) in Neurosurgery

Abstract

Contrast-enhanced ultrasound (CEUS) is a harmonic imaging technique that permits to study tissue perfusion and vascularization using a purely intravascular ultrasound contrast agent (UCA). CEUS is a real-time, dynamic, continuous, and repeatable modality, applicable in neurosurgery for tumors and vessels study. In oncological surgery, CEUS permits to highlight and characterize the lesion through the study of its micro- and macro-circulation. Moreover, it allows to assess the degree of tumor removal and to plan the surgical strategy, highlighting the lesion feeders, drainage vessels, and neighboring vital vascular structures. In vascular surgery, CEUS permits to study the entire vascular tree from arteries, through capillaries, to veins simultaneously without the need to set multiple parameters. It also allows to assess vessel location, dimension, and flow entity and direction without the need of vessel direct exposure, being CEUS a tomographic representation. This leads to protect vital structures preservation and also to evaluate the effect of a procedure on the blood circulation.

Keywords

  • Contrast Enhancement
  • Arterial Phase
  • Venous Phase
  • Ultrasound Contrast Agent
  • Sulfur Hexafluoride

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

A previous version of this chapter represented incorrect order of the authors.

For this reason an erratum has been published, correcting the mistake in the previous version and showing the correct order of the authors (see DOI 10.1007/978-3-319-25268-1_15)

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-25268-1_15

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Authors and Affiliations

  1. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, via Celoria 11, Milan, 20133, Italy

    Francesco Prada, Massimiliano Del Bene MD & Francesco DiMeco

  2. Department of Neurosurgery, Johns Hopkins Medical School, Baltimore, MD, USA

    Francesco DiMeco

Authors
  1. Francesco Prada
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  2. Massimiliano Del Bene MD
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  3. Francesco DiMeco
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Corresponding author

Correspondence to Massimiliano Del Bene MD .

Editor information

Editors and Affiliations

  1. Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italy

    Francesco Prada

  2. UO Radiologia Oncologica, Humanitas Univ. and Research Hospital UO Radiologia Oncologica, Busto Arsizio, Italy

    Luigi Solbiati

  3. UO Radiologia, Ospedale Valduce, Como, Como, Italy

    Alberto Martegani

  4. Istituto Neurologico C. Besta, Fondazione IRCCS, Milano, Italy

    Francesco DiMeco

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Prada, F., Del Bene, M., DiMeco, F. (2016). Contrast-Enhanced Ultrasound (CEUS) in Neurosurgery. In: Prada, F., Solbiati, L., Martegani, A., DiMeco, F. (eds) Intraoperative Ultrasound (IOUS) in Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25268-1_13

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  • DOI: https://doi.org/10.1007/978-3-319-25268-1_13

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