Annamaria Deganello MD, Presenter: Speaker, Bracco Group

Eleni Konstantatou MD, MSc, Abstract Co-Author: Nothing to Disclose

Bhavna Batohi MBBS, Abstract Co-Author: Nothing to Disclose

Maria E. Sellars MD, FRCR, Abstract Co-Author: Nothing to Disclose

Paul Singh Sidhu MRCP, FRCR, Abstract Co-Author: Speaker, Bracco Group Speaker, Siemens AG Speaker, Hitachi, Ltd

This presentation aims to exhibit the spectrum of CEUS imaging findings of common and uncommon benign pediatric focal liver lesions, with computed tomography (CT) or magnetic resonance (MR) correlation. The role of CEUS in the detection, characterization, and follow-up of these lesions in children who are investigated for acute and chronic liver disease will also be emphasized.

Primary liver tumours are rare in children, however, in our tertiary referral center for pediatric hepatobiliary disease, it is not uncommon to find a focal liver lesion in a child, and 30% of these lesions are benign. We present a pictorial review of CEUS findings in these lesions, some of which unique to the pediatric population, such as hemangioendotheliomas, some others more common in adults including hemangiomas, focal nodular hyperplasia (FNH), nodular regenerative hyperplasia (NRH) and hepatocellular adenoma; focal areas of fatty sparing or infiltration and liver abscess will also be illustrated. We will incorporate CT and MR images for correlation. Although the use of CEUS remains “off-label” in pediatrics, it holds a significant role in providing an accurate diagnosis and a minimally invasive follow-up tool in these patients, without the need for repeated ionizing radiation exposure or sedation.  

http://abstract.rsna.org/uploads/2014/14012894/14012894_h3x3.pdf

Deganello, A, Konstantatou, E, Batohi, B, Sellars, M, Sidhu, P, Contrast Enhanced Ultrasound (CEUS) in the Characterization of Pediatric Liver Lesions: Spectrum of Imaging Findings.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14012894.html