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WFUMB position paper on the management incidental findings: adrenal incidentaloma
Christoph F. Dietrich,Jean Michel Correas,Yi Dong,Christian Nolsoe,Susan Campbell Westerway,Christian Jenssen 대한초음파의학회 2020 ULTRASONOGRAPHY Vol.39 No.1
Focal lesions of the adrenal glands are incidentally detected in approximately 5% of cases by modern imaging techniques. Fewer than 5% of these adrenal incidentalomas are malignant and approximately 10% have endocrine activity. Reliable differentiation of malignant versus benign and hormonally active versus nonfunctional adrenal incidentalomas significantly influences therapeutic management and the outcome of affected individuals. Therefore, each adrenal incidentaloma should undergo a standardized diagnostic work-up to exclude malignancy and endocrine activity. This position statement of the World Federation of Ultrasound in Medicine and Biology (WFUMB) summarizes the available evidence on the management of adrenal incidentaloma and describes efficient management strategies with particular reference to the role of ultrasound techniques.
Contrast enhancement for ultrasound-guided interventions: when to use it and what to expect?
Zeno Sparchez,Tudor Mocan,Rares Craciun,Mihaela Sparchez,Christian Nolsoe 대한초음파의학회 2022 ULTRASONOGRAPHY Vol.41 No.2
The use of contrast-enhanced ultrasonography (CEUS) has recently become synonymous with high-standard ultrasonography (US). From expanding the reach of US diagnostics to improving the precision of various invasive procedures, CEUS is rapidly becoming a standard in numerous niches. However, proficiency in CEUS comes with a cost, both from a learning curve and material standpoint, and as every growing field, lacks firm evidence and standardization. Therefore, in the current paper, we aim to provide an evidence-based review of available methods and to discuss the advantages and pitfalls of CEUS in interventional procedures, trying to provide strong evidence whenever available, or at least an educated expert opinion if data are lacking.