title: Role of Contrast-Enhanced Ultrasound (CEUS) in Paediatric Practice: An EFSUMB Position Statement.
abstract: The use of contrast-enhanced ultrasound (CEUS) in adults is well established in many different areas, with a number of current applications deemed "off-label", but the use supported by clinical experience and evidence. Paediatric CEUS is also an "off-label" application until recently with approval specifically for assessment of focal liver lesions. Nevertheless there is mounting evidence of the usefulness of CEUS in children in many areas, primarily as an imaging technique that reduces exposure to radiation, iodinated contrast medium and the "patient-friendly" circumstances of ultrasonography. This position statement of the European Federation of Societies in Ultrasound and Medicine (EFSUMB) assesses the current status of CEUS applications in children and makes suggestions for further development of this technique.
authors.affiliation: Department of Radiology, King's College Hospital, London, United Kingdom.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Sidhu
authors.affiliation: Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, University Sapienza, Rome, Italy.
authors.forename: Vito
authors.initials: V
authors.lastname: Cantisani
authors.affiliation: Department of Radiology, King's College Hospital, London, United Kingdom.
authors.forename: Annamaria
authors.initials: A
authors.lastname: Deganello
authors.affiliation: Department of Internal Medicine 2, Caritas Krankenhaus, Bad Mergentheim, Bad Mergentheim, Germany.
authors.forename: Christoph F
authors.initials: CF
authors.lastname: Dietrich
authors.affiliation: Department of Radiology, Parc Tauli University Hospital, Sabadell, Spain.
authors.forename: Carmina
authors.initials: C
authors.lastname: Duran
authors.affiliation: Pediatric Sonography, Department of Pediatric Kidney, Liver and Metabolic Diseases, Children's Hospital, Hannover Medical School, Hannover, Germany.
authors.forename: Doris
authors.initials: D
authors.lastname: Franke
authors.affiliation: Department of Radiology, Heim Pal Children's' Hospital, Budapest, Hungary.
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Harkanyi
authors.affiliation: Department of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kosiak
authors.affiliation: Department of Emergency Radiology, S. Camillo Hospital, Rome, Italy.
authors.forename: Vittorio
authors.initials: V
authors.lastname: Miele
authors.affiliation: Department of Radiology, King's College Hospital, London, United Kingdom.
authors.forename: Aikaterini
authors.initials: A
authors.lastname: Ntoulia
authors.affiliation: Department of Radiology, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Piskunowicz
authors.affiliation: Department of Radiology, King's College Hospital, London, United Kingdom.
authors.forename: Maria E
authors.initials: ME
authors.lastname: Sellars
authors.affiliation: National Centre for Ultrasound in Gastronterology, Haukeland University Hospital, Bergen and Department of Clinical Medicine, University of Bergen, Norway.
authors.forename: Odd Helge
authors.initials: OH
authors.lastname: Gilja
mesh_terms: D000707:Anaphylaxis / Q000209:etiology; D002648:Child; D003287:Contrast Media / Q000008:administration & dosage* / Q000009:adverse effects; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D007262:Infusions, Intravenous; D008279:Magnetic Resonance Imaging; D056687:Off-Label Use; D061214:Patient Safety; D010372:Pediatrics / Q000379:methods*; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012955:Societies, Medical; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography / Q000379:methods*
chemical_list: D003287:Contrast Media