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      The AFSUMB Consensus Statements and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound using Sonazoid

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          Abstract

          The first edition of the guidelines for the use of ultrasound contrast agents was published in 2004, dealing with liver applications. The second edition of the guidelines in 2008 reflected changes in the available contrast agents and updated the guidelines for the liver, as well as implementing some nonliver applications. The third edition of the contrast-enhanced ultrasound (CEUS) guidelines was the joint World Federation for Ultrasound in Medicine and Biology-European Federation of Societies for Ultrasound in Medicine and Biology (WFUMB-EFSUMB) venture in conjunction with other regional US societies such as Asian Federation of Societies for Ultrasound in Medicine and Biology, resulting in a simultaneous duplicate on liver CEUS in the official journals of both WFUMB and EFSUMB in 2013. However, no guidelines were described mainly for Sonazoid due to limited clinical experience only in Japan and Korea. The new proposed consensus statements and recommendations provide general advice on the use of Sonazoid and are intended to create standard protocols for the use and administration of Sonazoid in hepatic and pancreatobiliary applications in Asian patients and to improve patient management.

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          Epidemiology of Hepatocellular Carcinoma and Intrahepatic Cholangiocarcinoma

          Hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC) are the most frequently occurring types of primary liver cancer and together are among the most common incident cancers worldwide. There are a number of modifiable and nonmodifiable HCC and ICC risk factors that have been reported. A review of the existing literature the epidemiology and risk factors for HCC and ICC was performed. There are a number of major infectious, lifestyle, metabolic, and heritable risk factors for both HCC and ICC. Some of these risk factors are either potentially preventable (eg, alcohol and tobacco use) or are currently treatable (eg hepatitis infection). In most cases, the molecular pathway or mechanism by which these etiologic factors cause primary liver cancer has not been well delineated. However, in nearly all cases, it is believed that a given risk factor causes liver injury and inflammation which results in chronic liver disease. Given the rising prevalence of several common HCC and ICC risk factors in the western world, the best opportunities for improving the care of these patients are either through the prevention of modifiable risk factors that are associated with the development of chronic liver disease or the identification of at risk patients, ensuring they are appropriately screened for the development of primary liver cancer, and initiating treatment early.
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            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.

            Initially, a set of guidelines for the use of ultrasound contrast agents was published in 2004 dealing only with liver applications. A second edition of the guidelines in 2008 reflected changes in the available contrast agents and updated the guidelines for the liver, as well as implementing some non-liver applications. Time has moved on, and the need for international guidelines on the use of CEUS in the liver has become apparent. The present document describes the third iteration of recommendations for the hepatic use of contrast enhanced ultrasound (CEUS) using contrast specific imaging techniques. This joint WFUMB-EFSUMB initiative has implicated experts from major leading ultrasound societies worldwide. These liver CEUS guidelines are simultaneously published in the official journals of both organizing federations (i.e., Ultrasound in Medicine and Biology for WFUMB and Ultraschall in der Medizin/European Journal of Ultrasound for EFSUMB). These guidelines and recommendations provide general advice on the use of all currently clinically available ultrasound contrast agents (UCA). They are intended to create standard protocols for the use and administration of UCA in liver applications on an international basis and improve the management of patients worldwide. © Georg Thieme Verlag KG Stuttgart · New York.
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              Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) - update 2008.

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                Author and article information

                Journal
                Ultrasonography
                Ultrasonography
                USG
                Ultrasonography
                Korean Society of Ultrasound in Medicine
                2288-5919
                2288-5943
                July 2020
                27 April 2020
                : 39
                : 3
                : 191-220
                Affiliations
                [1 ]Department of Radiology, Seoul National University Hospital, Seoul, Korea
                [2 ]Department of Gastroenterology and Hepatology, Faculty of Medicine, Kindai University, Higashi-Osaka, Japan
                [3 ]Department of Radiology, Chung Ang University Hospital, Seoul, Korea
                [4 ]Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
                [5 ]Department of Medical Imaging and Radiological Technology, Yuanpei University of Medical Technology, Hsinchu, Taiwan
                [6 ]Department of Radiology, National Yang Ming University, Taipei, Taiwan
                [7 ]Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
                [8 ]Laboratory of Biomedical Engineering, Graduate School of Information Science and Technology, Hokkaido University, Sapporo, Japan
                [9 ]Department of Ultrasound, Hepatobiliary and Pancreatic Disease, Hyogo College of Medicine, Nishinomiya, Japan
                [10 ]Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
                [11 ]Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan
                [12 ]Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan
                [13 ]Department of Gastroenterology, Juntendo University, Tokyo, Japan
                [14 ]Department of Gastroenterology and Hepatology, Toho University Medical Center, Tokyo, Japan
                [15 ]Department of Gastroenterology and Hepatology, Takamatsu Red Cross Hospital, Takamatsu, Japan
                [16 ]Department of Gastroenterology and Hepatology, Wakayama Medical University Hospital, Wakayama, Japan
                [17 ]Hepato-Biliary-Pancreatic Surgery Division and Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
                [18 ]Department of Gastroenterology and Hepatology, National Taiwan University, Taipei, Taiwan
                [19 ]Department of Gastroenterology and Hepatology, Chang Gung University, Taipei, Taiwan
                [20 ]Ultrasound Section, Division of Surgery, Department of Gastroenterology, Herlev Hospital, Copenhagen Academy for Medical Education and Simulation, University of Copenhagen, Copenhagen, Denmark
                [21 ]National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital, Bergen, Norway
                [22 ]Department of Clinical Medicine, University of Bergen, Bergen, Norway
                Author notes
                Correspondence to: Byung Ihn Choi, MD, Department of Radiology, Chung Ang University Hospital, 84 Heukseok-ro, Dongjak-gu, Seoul 06974, Korea Tel. +82-2-6299-3204 Fax. +82-2-6299-2064 E-mail: bichoi@ 123456caumc.or.kr
                Masatoshi Kudo, MD, Department of Gastroenterology and Hepatology, Faculty of Medicine, Kindai University, Higashi-Osaka, Japan Tel. +81-72-366-0221 (ext. 3149) Fax. +81-72-367-2880 E-mail: m-kudo@ 123456med.kindai.ac.jp
                [*]

                These authors contributed equally to this work.

                Author information
                http://orcid.org/0000-0001-6946-6042
                http://orcid.org/0000-0001-7146-5954
                http://orcid.org/0000-0002-5613-1881
                http://orcid.org/0000-0001-5833-989X
                http://orcid.org/0000-0002-7418-4514
                http://orcid.org/0000-0002-0676-2116
                http://orcid.org/0000-0001-5817-2444
                http://orcid.org/0000-0003-3463-3714
                http://orcid.org/0000-0001-9048-9011
                http://orcid.org/0000-0003-1568-0769
                http://orcid.org/0000-0002-5841-8827
                http://orcid.org/0000-0001-6853-8577
                http://orcid.org/0000-0003-4671-4431
                http://orcid.org/0000-0001-6271-7806
                http://orcid.org/0000-0003-3371-3157
                http://orcid.org/0000-0002-1044-8808
                http://orcid.org/0000-0002-4534-6692
                http://orcid.org/0000-0001-6885-9223
                http://orcid.org/0000-0002-1341-4072
                http://orcid.org/0000-0003-1929-8479
                http://orcid.org/0000-0002-4532-0118
                http://orcid.org/0000-0001-7527-6181
                http://orcid.org/0000-0003-0168-6131
                http://orcid.org/0000-0002-0436-0383
                http://orcid.org/0000-0002-4102-3474
                Article
                usg-20057
                10.14366/usg.20057
                7315291
                32447876
                d0c2a12d-1b24-4f1b-b3a7-74ab93054005
                Copyright © 2020 Korean Society of Ultrasound in Medicine (KSUM)

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 April 2020
                : 20 April 2020
                : 27 April 2020
                Categories
                Guideline

                pancreatobiliary,sonazoid,contrast media,consensus,liver,ultrasonography

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