TY - GEN A1 - Jung, E.M. A1 - Kaiser, U. A1 - Herr, W. A1 - Stroszczynski, C. A1 - Jung, F. T1 - Novel high-resolution contrast agent ultrasound techniques HiFR CEUS and SR CEUSin combination with shear wave elastography, fat assessment and viscosity of liver parenchymal changes and tumors T2 - Clinical Hemorheology and Microcirculation N2 - Abstract. BACKGROUND: The continuous development of ultrasound techniques increasingly enables better description and visu alization of unclear lesions. New ultrasound systems must be evaluated with regard to all these diagnostic possibilities. METHODS:Amultifrequency C1-7 convex probe (SC7-1M) with the new high-end system Resona A20 Series was used moderntechnologies, includingHiFRCEUS, SRCEUSandmultimodaltissueimaging withs hearwaveelastography(SWE), fat evaluation and viscosity measurements (M-Ref) were applied. RESULTS:Ofn=70(meanvalue 48,3 years±20,3 years, range 18–84 years) cases examined, a definitive diagnosis could be made in n=67 cases, confirmed by reference imaging and/or follow-up. Of these, n=22 cases were malignant changes (HCC (hepatocellular carcinoma) n=9, CCC (cholangiocellular carcinoma) n=3, metastases of colorectal carcinomas or recurrences of HCC n=10). In all 12 cases of HCC or CCC, the elastography measurements using the shear wave technique (with values >2m/s to 3.7m/s) showed mean values of 2.3±0.31m/s and a degree of fibrosis of F2 to F4. In n=14 cases, changes in the fat measurement (range 0.51 to 0.72dB/cm/MHz, mean values 0.58±0.12dB/cm/MHz) in the sense of proportional fatty changes in the liver were detected. In the 4 cases of localized fat distribution disorders, the values were >0.7dB/cm/MHz in the sense of significant fatty deposits in the remaining liver tissue. Relevant changes in the viscosity measurements with values >1.8kPa were found in n=31 cases, in n=5 cases of cystic lesions with partially sclerosing cholangitis, in n=13 cases of malignant lesions and in n=9 cases post-interventionally, but also in n=4 cases of benign foci with additional systemic inflammation. CONCLUSIONS:The results are promising and show a new quality of ultrasound-based liver diagnostics. However, there is a need for further investigations with regard to the individual aspects, preferably on a multi-center basis. KW - Multimodal liver tissue imaging (M-Ref) KW - UMA KW - HiFR CEUS KW - SR CEUS KW - Elastography KW - Fat evaluation KW - Viscosity Y1 - 2024 UR - https://content.iospress.com/download/clinical-hemorheology-and-microcirculation/ch249103?id=clinical-hemorheology-and-microcirculation%2Fch249103 U6 - https://doi.org/10.3233/CH-249103 VL - 86 (2024) SP - 263 EP - 273 ER -