Sonography of the small intestine.
In the last two decades, there has been substantial development in the diagnostic possibilities for examining the small intestine. Compared with computerized tomography, magnetic resonance imaging, capsule endoscopy and double-balloon endoscopy, ultrasonography has the advantage of being cheap, portable, flexible and user- and patient-friendly, while at the same time providing the clinician with image data of high temporal and spatial resolution. The method has limitations with penetration in obesity and with intestinal air impairing image quality. The flexibility ultrasonography offers the examiner also implies that a systematic approach during scanning is needed. This paper reviews the basic scanning techniques and new modalities such as contrast-enhanced ultrasound, elastography, strain rate imaging, hydrosonography, allergosonography, endoscopic sonography and nutritional imaging, and the literature on disease-specific findings in the small intestine. Some of these methods have shown clinical benefit, while others are under research and development to establish their role in the diagnostic repertoire. However, along with improved overall image quality of new ultrasound scanners, these methods have enabled more anatomical and physiological changes in the small intestine to be observed. Accordingly, ultrasound of the small intestine is an attractive clinical tool to study patients with a range of diseases.
Nylund
Kim
K
National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, 5021 Bergen, Norway. kim.nylund@med.uib.no.
Ødegaard
Svein
S
Hausken
Trygve
T
Folvik
Geir
G
Lied
Gülen Arslan
GA
Viola
Ivan
I
Hauser
Helwig
H
Gilja
Odd-Helge
OH
D000005:Abdomen / Q000000981:diagnostic imaging; D001783:Blood Flow Velocity; D002446:Celiac Disease / Q000000981:diagnostic imaging; D003287:Contrast Media; D003424:Crohn Disease / Q000000981:diagnostic imaging; D006801:Humans; D007089:Image Enhancement; D007410:Intestinal Diseases / Q000000981:diagnostic imaging; D007421:Intestine, Small / Q000098:blood supply / Q000000981:diagnostic imaging*; D007443:Intussusception / Q000000981:diagnostic imaging; D007511:Ischemia / Q000000981:diagnostic imaging; D012039:Regional Blood Flow; D014463:Ultrasonography / Q000379:methods; D018608:Ultrasonography, Doppler
D003287:Contrast Media