Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma

The capacity of contrast-enhanced ultrasound (CEUS) to detect microvessel perfusion has received much attention in cancer imaging since it can be used to evaluate the enhancement patterns of the lesions during all vascular phases in real time, with higher temporal resolution as compared other imagin...

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Main Authors: Mariella Faccia, Matteo Garcovich, Maria Elena Ainora, Laura Riccardi, Maurizio Pompili, Antonio Gasbarrini, Maria Assunta Zocco
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/3/481
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author Mariella Faccia
Matteo Garcovich
Maria Elena Ainora
Laura Riccardi
Maurizio Pompili
Antonio Gasbarrini
Maria Assunta Zocco
author_facet Mariella Faccia
Matteo Garcovich
Maria Elena Ainora
Laura Riccardi
Maurizio Pompili
Antonio Gasbarrini
Maria Assunta Zocco
author_sort Mariella Faccia
collection DOAJ
description The capacity of contrast-enhanced ultrasound (CEUS) to detect microvessel perfusion has received much attention in cancer imaging since it can be used to evaluate the enhancement patterns of the lesions during all vascular phases in real time, with higher temporal resolution as compared other imaging modalities. A rich body of literature has demonstrated the potential usefulness of CEUS in the assessment of HCC in response to both locoregional and systemic therapies. It is useful to evaluate the efficacy of ablation immediately after treatment to provide guidance for the retreatment of residual unablated tumors. In patients treated with transarterial chemoembolization (TACE), CEUS showed a high degree of concordance with computed tomography and magnetic resonance for the differentiation of responders from non-responders. Dynamic CEUS (D-CEUS) has emerged as a promising tool for the depicting changes in tumor perfusion during anti-angiogenetic treatment that can be associated with tumor response and clinical outcome. This article provides a general review of the current literature regarding the usefulness of CEUS in monitoring HCC response to therapy, highlighting the role of the procedure in different stages of the disease.
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spelling doaj.art-65d2bb9ed2cc4892a38565bda07279002023-11-23T16:03:32ZengMDPI AGCancers2072-66942022-01-0114348110.3390/cancers14030481Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular CarcinomaMariella Faccia0Matteo Garcovich1Maria Elena Ainora2Laura Riccardi3Maurizio Pompili4Antonio Gasbarrini5Maria Assunta Zocco6Department of Internal Medicine, SS Annunziata Hospital Sulmona, 67039 Sulmona, ItalyDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University of Rome, 00168 Rome, ItalyDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University of Rome, 00168 Rome, ItalyDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University of Rome, 00168 Rome, ItalyDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University of Rome, 00168 Rome, ItalyDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University of Rome, 00168 Rome, ItalyDepartment of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Catholic University of Rome, 00168 Rome, ItalyThe capacity of contrast-enhanced ultrasound (CEUS) to detect microvessel perfusion has received much attention in cancer imaging since it can be used to evaluate the enhancement patterns of the lesions during all vascular phases in real time, with higher temporal resolution as compared other imaging modalities. A rich body of literature has demonstrated the potential usefulness of CEUS in the assessment of HCC in response to both locoregional and systemic therapies. It is useful to evaluate the efficacy of ablation immediately after treatment to provide guidance for the retreatment of residual unablated tumors. In patients treated with transarterial chemoembolization (TACE), CEUS showed a high degree of concordance with computed tomography and magnetic resonance for the differentiation of responders from non-responders. Dynamic CEUS (D-CEUS) has emerged as a promising tool for the depicting changes in tumor perfusion during anti-angiogenetic treatment that can be associated with tumor response and clinical outcome. This article provides a general review of the current literature regarding the usefulness of CEUS in monitoring HCC response to therapy, highlighting the role of the procedure in different stages of the disease.https://www.mdpi.com/2072-6694/14/3/481dynamic contrast-enhanced ultrasoundcontrast-enhanced ultrasoundhepatocellular carcinomatumor response
spellingShingle Mariella Faccia
Matteo Garcovich
Maria Elena Ainora
Laura Riccardi
Maurizio Pompili
Antonio Gasbarrini
Maria Assunta Zocco
Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma
Cancers
dynamic contrast-enhanced ultrasound
contrast-enhanced ultrasound
hepatocellular carcinoma
tumor response
title Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma
title_full Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma
title_fullStr Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma
title_full_unstemmed Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma
title_short Contrast-Enhanced Ultrasound for Monitoring Treatment Response in Different Stages of Hepatocellular Carcinoma
title_sort contrast enhanced ultrasound for monitoring treatment response in different stages of hepatocellular carcinoma
topic dynamic contrast-enhanced ultrasound
contrast-enhanced ultrasound
hepatocellular carcinoma
tumor response
url https://www.mdpi.com/2072-6694/14/3/481
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