Az ultrahangvizsgálat jelentősége és fontossága a modern képalkotó vizsgálatok (CT, MR, izotóp, PET/CT) elterjedésével csökkent, nemritkán csak mint első tájékozódó vizsgálat jelenik meg. A legújabb sokszeletes spirál-CT-kkel a képalkotás másodpercek alatt elvégezhető, ami a jelentős sugárterheléssel járó vizsgálatok számának drámai növekedéséhez vezetett, gyermekkorban is. Ugyanakkor nem feledkezhetünk meg arról, hogy az elmúlt években jelentős fejlődés történt az ultrahang-technológiában, a képminőség egyre jobb. A gyermekek ideális alanyai a vizsgálatnak, miután az esetek nagy részében testtömegük kisebb, kevesebb zsírt tartalmaz, így könnyen vizsgálhatók magas frekvenciájú transzducerrel, aminek következtében sokkal részletgazdagabb, jobb felbontású képek nyerhetők, mint általában felnőtteknél. Megfelelő készülék és gyakorlott, gyermekradiológiában tapasztalt vizsgáló esetében csaknem valamennyi testtájék vizsgálható, mindenképpen első választandó módszer, amely legtöbbször elegendő (esetleg röntgenvizsgálattal kiegészítve) a megfelelő diagnózis felállítására. A közlemény azokkal a lehetőségekkel foglalkozik, ahol a modern ultrahangkészülékek birtokában az ultrahangvizsgálat elegendő a pontos diagnózishoz. Orv. Hetil., 2014, 155(4), 132–140.
Claudon, M., Dietrich, C. F., Choi, B. I., et al.: Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) in the liver – Update 2012: a WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultraschall Med., 2013, 34, 11–29.
Choi B. I. , 'Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) in the liver – Update 2012: a WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS ' (2013 ) 34 Ultraschall Med. : 11 -29.
Trillaud, H., Bruel, J. M., Valette, P. J., et al.: Characterization of focal liver lesions with SonoVue®-enhanced sonography: International multicenter-study in comparison to CT and MRI. World J. Gastroenterol., 2009, 15, 3748–3756.
Valette P. J. , 'Characterization of focal liver lesions with SonoVue®-enhanced sonography: International multicenter-study in comparison to CT and MRI ' (2009 ) 15 World J. Gastroenterol. : 3748 -3756.
Harkányi, Z.: Role of contrast-enhanced ultrasound in clinical practice. [A kontrasztanyagos ultrahangvizsgálatok szerepe a klinikai gyakorlatban.] Magyar Radiológia, 2008, 82, 262–272. [Hungarian]
Harkányi Z. , 'Role of contrast-enhanced ultrasound in clinical practice. [A kontrasztanyagos ultrahangvizsgálatok szerepe a klinikai gyakorlatban.] ' (2008 ) 82 Magyar Radiológia : 262 -272.
Járay, Á., Giyab, O., Miklós, K., et al.: Technical prerequisites and methodology of contrast-enhanced ultrasound examinations. [A kontrasztanyagos ultrahangvizsgálatok technikai feltételei és vizsgálati módszerei.] Magyar Radiológia, 2012, 86, 74–82. [Hungarian]
Miklós K. , 'Technical prerequisites and methodology of contrast-enhanced ultrasound examinations. [A kontrasztanyagos ultrahangvizsgálatok technikai feltételei és vizsgálati módszerei.] ' (2012 ) 86 Magyar Radiológia : 74 -82.
Járay, Á., Tóth, P., Giyab, O., et al.: Differentiation of benign liver lesions and hepatic metastases with contrast-enhanced utrasound: a practical approach. [A gyakoribb benignus májgócok elkülönítése hepaticus metastasisoktól kontrasztanyagos ultrahangvizsgálattal − Metodikai megfontolások.] Magyar Radiológia Online, 2013, 4, 9. [Hungarian]
Giyab O. , 'Differentiation of benign liver lesions and hepatic metastases with contrast-enhanced utrasound: a practical approach. [A gyakoribb benignus májgócok elkülönítése hepaticus metastasisoktól kontrasztanyagos ultrahangvizsgálattal − Metodikai megfontolások.] ' (2013 ) 4 Magyar Radiológia Online : 9 -.
Seitz, K., Bernatik, T., Strobel, D., et al.: Contrast-enhanced ultrasound (CEUS) for the characterization of focal liver lesions in clinical practice (DEGUM multicenter trial): CEUS vs. MRI – a prospective comparison in 269 patients. Ultraschall Med., 2010, 31, 492–499.
Strobel D. , 'Contrast-enhanced ultrasound (CEUS) for the characterization of focal liver lesions in clinical practice (DEGUM multicenter trial): CEUS vs. MRI – a prospective comparison in 269 patients ' (2010 ) 31 Ultraschall Med. : 492 -499.
Riccabona, M., Avni, F. E., Damasio, M., et al.: ESPR Uroradiology Task Force and ESUR Paediatric Working Group – Imaging recommendations in paediatric uroradiology, Part V: Childhood cystic kidney disease, childhood renal transplantation and contrast-enhanced ultrasonography in children. Pediatr. Radiol., 2012, 42, 1275–1283.
Damasio M. , 'ESPR Uroradiology Task Force and ESUR Paediatric Working Group – Imaging recommendations in paediatric uroradiology, Part V: Childhood cystic kidney disease, childhood renal transplantation and contrast-enhanced ultrasonography in children ' (2012 ) 42 Pediatr. Radiol. : 1275 -1283.
McCarville, M. B.: Contrast-enhanced sonography in pediatrics. Pediatr. Radiol., 2011, 41 (Suppl. 1), S238–S242.
McCarville M. B. , 'Contrast-enhanced sonography in pediatrics ' (2011 ) 41 Pediatr. Radiol. : S238 -S242.
Benozzi, L., Cappelli, G., Granito, M., et al.: Contrast-enhanced sonography in early kidney graft dysfunction. Transplant. Proc., 2009, 41, 1214–1215.
Granito M. , 'Contrast-enhanced sonography in early kidney graft dysfunction ' (2009 ) 41 Transplant. Proc. : 1214 -1215.
Piskunowicz, M., Kosiak, W. T., Batko, T.: Intravenous application of second-generation ultrasound contrast agents in children: A review of the literature. Ultraschall Med., 2012, 33, 135–140.
Batko T. , 'Intravenous application of second-generation ultrasound contrast agents in children: A review of the literature ' (2012 ) 33 Ultraschall Med. : 135 -140.
Zheng, R. Q., Mao, R., Ren, J., et al.: Contrast-enhanced ultrasound for the evaluation of hepatic artery stenosis after liver transplantation: Potential role in changing the clinical algorithm. Liver Transpl., 2010, 16, 729–735.
Ren J. , 'Contrast-enhanced ultrasound for the evaluation of hepatic artery stenosis after liver transplantation: Potential role in changing the clinical algorithm ' (2010 ) 16 Liver Transpl. : 729 -735.
Darge, K., Papadopoulou, F., Ntoulia, A., et al.: Safety of contrast-enhanced ultrasound in children for non-cardiac applications: a review by the Society for Pediatric Radiology (SPR) and the International Contrast Ultrasound Society (ICUS). Pediatr. Radiol., 2013, 43, 1063–1073.
Ntoulia A. , 'Safety of contrast-enhanced ultrasound in children for non-cardiac applications: a review by the Society for Pediatric Radiology (SPR) and the International Contrast Ultrasound Society (ICUS) ' (2013 ) 43 Pediatr. Radiol. : 1063 -1073.
Oldenburg, A., Hohmann, J., Skrok, J., et al.: Imaging of paediatric splenic injury with contrast-enhanced ultrasonography. Pediatr. Radiol., 2004, 34, 351–354.
Skrok J. , 'Imaging of paediatric splenic injury with contrast-enhanced ultrasonography ' (2004 ) 34 Pediatr. Radiol. : 351 -354.
Valentino, M., Serra, C., Pavlica, P., et al.: Blunt abdominal trauma: diagnostic performance of contrast-enhanced US in children – initial experience. Radiology, 2008, 246, 903–909.
Pavlica P. , 'Blunt abdominal trauma: diagnostic performance of contrast-enhanced US in children – initial experience ' (2008 ) 246 Radiology : 903 -909.
Valentino, M., Galloni, S. S., Rimondi, M. R., et al.: Contrast-enhanced ultrasound in non-operative management of pancreatic injury in childhood. Pediatr. Radiol., 2006, 36, 558–560.
Rimondi M. R. , 'Contrast-enhanced ultrasound in non-operative management of pancreatic injury in childhood ' (2006 ) 36 Pediatr. Radiol. : 558 -560.
Riccabona, M.: Modern pediatric ultrasound: potential applications and clinical significance. A review. J. Clin. Imaging, 2006, 30, 77–86.
Riccabona M. , 'Modern pediatric ultrasound: potential applications and clinical significance. A review ' (2006 ) 30 J. Clin. Imaging : 77 -86.
Coley, B. D.: The future of pediatric US. Pediatr. Radiol., 2011, 41 (Suppl 1), S220–S227.
Coley B. D. , 'The future of pediatric US ' (2011 ) 41 Pediatr. Radiol. : S220 -S227.
Mitterberger, M., Pinggera, G. M., Colleselli, D., et al.: Acute pyelonephritis: comparison of diagnosis with computed tomography and contrast-enhanced ultrasonography. BJU Int., 2008, 101, 341–344.
Colleselli D. , 'Acute pyelonephritis: comparison of diagnosis with computed tomography and contrast-enhanced ultrasonography ' (2008 ) 101 BJU Int. : 341 -344.
Harkányi, Z.: Opportunities of contrast-enhanced ultrasound in childhood. [A kontrasztanyagos ultrahangvizsgálatok lehetőségei gyermekkorban.] Magyar Radiológia, 2012, 86, 69–73. [Hungarian]
Harkányi Z. , 'Opportunities of contrast-enhanced ultrasound in childhood. [A kontrasztanyagos ultrahangvizsgálatok lehetőségei gyermekkorban.] ' (2012 ) 86 Magyar Radiológia : 69 -73.
Ascenti, G., Zimbaro, G., Mazziotti, S., et al.: Harmonic US imaging of vesicoureteric reflux in children: usefulness of a second generation US contrast agent. Pediatr. Radiol., 2004, 34, 481–487.
Mazziotti S. , 'Harmonic US imaging of vesicoureteric reflux in children: usefulness of a second generation US contrast agent ' (2004 ) 34 Pediatr. Radiol. : 481 -487.
Papadopoulou, F., Anthopoulou, A., Siomou, E., et al.: Harmonic voiding urosonography with a second-generation contrast agent for the diagnosis of vesicoureteral reflux. Pediatr. Radiol., 2009, 39, 239–244.
Siomou E. , 'Harmonic voiding urosonography with a second-generation contrast agent for the diagnosis of vesicoureteral reflux ' (2009 ) 39 Pediatr. Radiol. : 239 -244.
Kis, E., Nyitrai, A., Várkonyi, I., et al.: Voiding urosonography with second-generation contrast agent versus voiding cystourethrography. Pediatr. Nephrol., 2010, 25, 2289–2293.
Várkonyi I. , 'Voiding urosonography with second-generation contrast agent versus voiding cystourethrography ' (2010 ) 25 Pediatr. Nephrol. : 2289 -2293.
Darge, K., Moeller, R. T., Trusen, A., et al.: Diagnosis of vesicoureteric reflux with low-dose contrast-enhanced harmonic ultrasound imaging. Pediatr. Radiol., 2005, 35, 73–78.
Trusen A. , 'Diagnosis of vesicoureteric reflux with low-dose contrast-enhanced harmonic ultrasound imaging ' (2005 ) 35 Pediatr. Radiol. : 73 -78.
Darge, K., Troeger, J.: Vesicoureteral reflux grading in contrast-enhanced voiding urosonography. Eur. J. Radiol., 2002, 43, 122–128.
Troeger J. , 'Vesicoureteral reflux grading in contrast-enhanced voiding urosonography ' (2002 ) 43 Eur. J. Radiol. : 122 -128.
Zimbaro, G., Ascenti, G., Visalli, C., et al.: Contrast-enhanced ultrasonography (voiding urosonography) of vesicoureteral reflux: state of the art. Radiol. Med., 2007, 112, 1211–1224.
Visalli C. , 'Contrast-enhanced ultrasonography (voiding urosonography) of vesicoureteral reflux: state of the art ' (2007 ) 112 Radiol. Med. : 1211 -1224.
Darge, K.: Voiding urosonography with ultrasound contrast agents for the diagnosis of vesicoureteric reflux in children. I. Procedure. Pediatr. Radiol., 2008, 38, 40–53.
Darge K. , 'Voiding urosonography with ultrasound contrast agents for the diagnosis of vesicoureteric reflux in children. I. Procedure ' (2008 ) 38 Pediatr. Radiol. : 40 -53.
Darge, K.: Voiding urosonography with US contrast agents for the diagnosis of vesicoureteric reflux in children. II. Comparison with radiological examinations. Pediatr. Radiol., 2008, 38, 54–63.
Darge K. , 'Voiding urosonography with US contrast agents for the diagnosis of vesicoureteric reflux in children. II. Comparison with radiological examinations ' (2008 ) 38 Pediatr. Radiol. : 54 -63.
Giordano, M., Marzolla, R., Puteo, F., et al.: Voiding urosonography as first step in the diagnosis of vesicoureteral reflux in children: a clinical experience. Pediatr. Radiol., 2007, 37, 674–677.
Puteo F. , 'Voiding urosonography as first step in the diagnosis of vesicoureteral reflux in children: a clinical experience ' (2007 ) 37 Pediatr. Radiol. : 674 -677.
Darge, K.: Voiding urosonography with US contrast agent for the diagnosis of vesicoureteric reflux in children: an update. Pediatr. Radiol., 2010, 40, 956–962.
Darge K. , 'Voiding urosonography with US contrast agent for the diagnosis of vesicoureteric reflux in children: an update ' (2010 ) 40 Pediatr. Radiol. : 956 -962.
Berrocal, T., Gayá, F., Arjonilla, A., et al.: Vesicoureteral reflux: diagnosis and grading with echo-enhanced cystosonography versus voiding cystourethrography. Radiology, 2001, 221, 359–365.
Arjonilla A. , 'Vesicoureteral reflux: diagnosis and grading with echo-enhanced cystosonography versus voiding cystourethrography ' (2001 ) 221 Radiology : 359 -365.
Berrocal, T., Gayá, F., Arjonilla, A.: Vesicoureteral reflux: can the urethra be adequately assessed by using contrast-enhanced voiding US of the bladder? Radiology, 2005, 234, 235–241.
Arjonilla A. , 'Vesicoureteral reflux: can the urethra be adequately assessed by using contrast-enhanced voiding US of the bladder? ' (2005 ) 234 Radiology : 235 -241.
Duran, C., Valera, A., Alguersuari, A., et al.: Voiding urosonography: the study of the urethra is no longer a limitation of the technique. Pediatr. Radiol., 2009, 39, 124–131.
Alguersuari A. , 'Voiding urosonography: the study of the urethra is no longer a limitation of the technique ' (2009 ) 39 Pediatr. Radiol. : 124 -131.
Riccabona, M.: Contrast ultrasound of the urethra in children. Eur. Radiol., 2003, 13, 1494–1495.
Riccabona M. , 'Contrast ultrasound of the urethra in children ' (2003 ) 13 Eur. Radiol. : 1494 -1495.
Lebowitz, R. L., Olbing, H., Parkkulainen, K. V., et al.: International system of radiographic grading of vesicoureteric reflux. International Reflux Study in Children. Pediatr. Radiol., 1985, 15, 105–109.
Parkkulainen K. V. , 'International system of radiographic grading of vesicoureteric reflux. International Reflux Study in Children ' (1985 ) 15 Pediatr. Radiol. : 105 -109.
Riccabona, M., Avni, F. E., Blickman, J. G., et al.: Imaging recommendations in paediatric uroradiology: minutes of ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007. Pediatr. Radiol., 2008, 38, 138–145.
Blickman J. G. , 'Imaging recommendations in paediatric uroradiology: minutes of ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007 ' (2008 ) 38 Pediatr. Radiol. : 138 -145.
Faingold, R., Daneman, A., Tomlinson, G., et al.: Necrotizing enterocolitis: assessment of bowel viability with color Doppler US. Radiology, 2005, 235, 587–594.
Tomlinson G. , 'Necrotizing enterocolitis: assessment of bowel viability with color Doppler US ' (2005 ) 235 Radiology : 587 -594.
Epelman, M., Daneman, A., Navarro, O. M., et al.: Necrotizing enterocolitis: review of state-of-the-art imaging findings with pathologic correlation. RadioGraphics, 2007, 27, 285–305.
Navarro O. M. , 'Necrotizing enterocolitis: review of state-of-the-art imaging findings with pathologic correlation ' (2007 ) 27 RadioGraphics : 285 -305.
Jenei, M., Várkonyi, I., Nyitrai, A., et al.: Necrotizing enterocolitis in neonatology: comparison of the role of ultrasound and X-ray. [Nekrotizáló enterocolitis a neonatológiában: a röntgen- és ultrahangvizsgálat szerepének összehasonlítása.] Magyar Radiológia, 2010, 84, 224–232. [Hungarian]
Nyitrai A. , 'Necrotizing enterocolitis in neonatology: comparison of the role of ultrasound and X-ray. [Nekrotizáló enterocolitis a neonatológiában: a röntgen- és ultrahangvizsgálat szerepének összehasonlítása.] ' (2010 ) 84 Magyar Radiológia : 224 -232.
Muchantef, K., Epelman, M., Darge, K., et al.: Sonographic and radiographic imaging features of the neonate with necrotizing enterocolitis: correlating findings with outcomes. Pediatr. Radiol., 2013, 43, 1444–1452.
Darge K. , 'Sonographic and radiographic imaging features of the neonate with necrotizing enterocolitis: correlating findings with outcomes ' (2013 ) 43 Pediatr. Radiol. : 1444 -1452.
Alison, M., Kheniche, A., Azoulay, R., et al.: Ultrasonography of Crohn disease in children. Pediatr. Radiol., 2007, 37, 1071–1082.
Azoulay R. , 'Ultrasonography of Crohn disease in children ' (2007 ) 37 Pediatr. Radiol. : 1071 -1082.
Duigenan, S., Gee, M. S.: Imaging of pediatric patients with inflammatory bowel disease. Am. J. Roentgenol., 2012, 199, 907–915.
Gee M. S. , 'Imaging of pediatric patients with inflammatory bowel disease ' (2012 ) 199 Am. J. Roentgenol. : 907 -915.
Karmazyn, B.: Ultrasound of pediatric musculoskeletal disease: from head to toe. Semin. Ultrasound CT MRI, 2011, 32, 142–150.
Karmazyn B. , 'Ultrasound of pediatric musculoskeletal disease: from head to toe ' (2011 ) 32 Semin. Ultrasound CT MRI : 142 -150.
Martinoli, C., Valle, M., Malattia, C., et al.: Paediatric musculoskeletal US beyond the hip joint. Pediatr. Radiol., 2011, 41 (Suppl. 1), S113–S124.
Malattia C. , 'Paediatric musculoskeletal US beyond the hip joint ' (2011 ) 41 Pediatr. Radiol. : S113 -S124.
Farbaky, Zs.: Fundamentals of musculosceletal ultrasonography. 2nd expanded edition. [A mozgásszervi ultrahangvizsgálat alapjai. 2. bővített kiadás.] Budapest, Tordas, 2007. [Hungarian]
Farbaky Zs. , '', in Fundamentals of musculosceletal ultrasonography [A mozgásszervi ultrahangvizsgálat alapjai. 2. bővített kiadás.] , (2007 ) -.
Coley, B. D.: Chest sonography in children: current indications, techniques, and imaging findings. Radiol. Clin. North Am., 2011, 49, 825–846.
Coley B. D. , 'Chest sonography in children: current indications, techniques, and imaging findings ' (2011 ) 49 Radiol. Clin. North Am. : 825 -846.
Mong, A., Epelman, M., Darge, K.: Ultrasound of the pediatric chest. Pediatr. Radiol., 2012, 42, 1287–1297.
Darge K. , 'Ultrasound of the pediatric chest ' (2012 ) 42 Pediatr. Radiol. : 1287 -1297.
Riccabona, M.: Ultrasound of the chest in children (mediastinum excluded). Eur. Radiol., 2008, 18, 390–399.
Riccabona M. , 'Ultrasound of the chest in children (mediastinum excluded) ' (2008 ) 18 Eur. Radiol. : 390 -399.
Tomà, P., Owens, C. M.: Chest ultrasound in children: critical appraisal. Pediatr. Radiol., 2013, 43, 1427–1434.
Owens C. M. , 'Chest ultrasound in children: critical appraisal ' (2013 ) 43 Pediatr. Radiol. : 1427 -1434.
Barta, M. (ed.): Atlas for ultrasonographic diagnosis of the chest. [Mellkasi ultrahang-diagnosztika: atlasz.] Meditel Kft., Szombathely, 2008. [Hungarian]
'', in Atlas for ultrasonographic diagnosis of the chest. [Mellkasi ultrahang-diagnosztika: atlasz.] , (2008 ) -.
Guillerman, R. P.: Infant craniospinal ultrasonography: beyond hemorrhage and hydrocephalus. Semin. Ultrasound CT MRI, 2010, 31, 71–85.
Guillerman R. P. , 'Infant craniospinal ultrasonography: beyond hemorrhage and hydrocephalus ' (2010 ) 31 Semin. Ultrasound CT MRI : 71 -85.
Yikilmaz, A., Taylor, G. A.: Cranial sonography in term and near-term infants. Pediatr. Radiol., 2008, 38, 605–616.
Taylor G. A. , 'Cranial sonography in term and near-term infants ' (2008 ) 38 Pediatr. Radiol. : 605 -616.
Veyrac, C., Couture, A., Saguintaah, M., et al.: Brain ultrasonography in the premature infant. Pediatr. Radiol., 2006, 36, 626–635.
Saguintaah M. , 'Brain ultrasonography in the premature infant ' (2006 ) 36 Pediatr. Radiol. : 626 -635.
Miller, E., Daneman, A., Doria, A. S., et al.: Color Doppler US of normal cerebral venous sinuses in neonates: a comparison with MR venography. Pediatr. Radiol., 2012, 42, 1070–1079.
Doria A. S. , 'Color Doppler US of normal cerebral venous sinuses in neonates: a comparison with MR venography ' (2012 ) 42 Pediatr. Radiol. : 1070 -1079.
Dick, E. A., de Bruyn, R.: Ultrasound of the spinal cord in children: its role. Eur. Radiol., 2003, 13, 552–562.
Bruyn R. , 'Ultrasound of the spinal cord in children: its role ' (2003 ) 13 Eur. Radiol. : 552 -562.
Thapa, M., Vo, J. N., Shiels, W. E. 2nd.: Ultrasound-guided musculoskeletal procedures in children. Pediatr. Radiol., 2013, 43, (Suppl. 1), S55–S60.
Shiels W. E. , 'Ultrasound-guided musculoskeletal procedures in children ' (2013 ) 43 Pediatr. Radiol. : (Suppl. 1), S55 -S60.