Ультразвуковое исследование с контрастным усилением: терминология, технические и методологические аспекты

The active implementation in practice of ultrasound contrast agents opens up new possibilities in the differential diagnosis of focal changes in various organs and tissues. Official year and a half experience in the domestic application of this technique requires the primary analysis, synthesis, systematization of chaotic research to determine the future direction of the study and implementation of new technology to the clinic. Objective. To analyze the technical and methodological aspects of the use of ultrasound contrast agents for various inflammatory and neoplastic diseases. Materials and methods. 183 ultrasound examinations with contrast enhancement at 7 state medical clinics from January 2015 to March 2016 were conducted. Zones of interest in various diseases were: eye, superficial tissue, abdominal organs (liver, pancreas, spleen, duodenum), retroperitoneal area (kidney, adrenal gland, non-organic tumor,), prostate gland. Results. New terminology to describe the changes was offered identified by ultrasound with contrast enhancement based on the analysis of the research, the technical aspects of implementation and nuances of technique of contrast enhancement of different organs and tissues were described. Conclusion. Ultrasonography with contrast enhancement provides a greater amount of information for the differential diagnosis of formations of various localization. Compliance with the general principles of the methodology and consistency in the description of the identified changes will enable to compare data from different medical institutions, to create a joint database for more in-depth study of the problem.